Building the Blueprint to Support Risk-Based Contracts

Post on January 22, 2019 in Events

Daniel Marino, managing partner for Lumina Health Partners, and Meredith Duncan, executive director and COO for Aetna, will present “Building the Blueprint to Support Risk-Based Contracts” on Sunday, June 23 from 12:30 p.m. to 3:30 p.m. at HFMA’s 2019 Annual Conference. Learn more and register here.    

Securing Tertiary and Quaternary Service Lines: The Case for Community Care Integration

Post on January 17, 2019 in Clinical Transformation, and Insights

Financial challenges again rank No. 1 on the list of hospital CEOs’ top concerns, according to the American College of Healthcare Executives’ annual survey of top issues confronting hospitals. In addition, Moody’s recently confirmed its negative outlook for nonprofit hospitals, citing weak volume, reimbursement constriction, and increased numbers of Medicare patients. Financial issues are especially ...Read More

Why ACO Compliance Is a Crucial Element of Achieving Success in 2019

Post on January 8, 2019 in Clinical Transformation, and Insights

With recent changes to the Medicare Shared Savings Program (MSSP), all accountable care organizations (ACOs) need to pay closer attention to their compliance obligations and be prepared to make changes quickly. Each time the Centers for Medicare and Medicaid Services (CMS) updates its MSSP rules, as it did in 2016, it frequently follows these changes ...Read More

The Way Forward with CMS’s Pathways to Success

Post on January 4, 2019 in Insights, and Value-Based Strategy

On Dec. 21, the Centers for Medicare and Medicaid Services (CMS) announced its final rule overhauling the Medicare Shared Savings Program (MSSP) to fundamentally change the way ACOs share in savings and take on risk. The new program, called Pathways to Success, contains several significant changes that ACOs will need to address. These include moving ...Read More

Lumina Health Partners Joins Forces with Empower Billion Women (EBW) to Support Women Entrepreneurs

Post on January 4, 2019 in Insights

At Lumina Health Partners, we are committed to our core values of integrity, collaboration, value-creation, and generosity through social impact. We believe investments in programs that provide women with opportunities to better their health, education, and gain financial independence have effects beyond an individual. A woman business owner has the capacity to multiply the impact ...Read More

Last Chance to Preview CMS Physician Compare Website Performance Data

Post on January 3, 2019 in Insights, and Value-Based Strategy

The Centers for Medicare and Medicaid Services’ (CMS) Physician Compare website helps beneficiaries find and compare physicians and other clinicians who are enrolled in Medicare, allowing individuals to make informed healthcare decisions. We all know how important it is for clinicians to maintain a positive reputation on social media and websites like Physician Compare. Before ...Read More

How to Determine a Physician Engagement Strategy for Your Market

Post on January 2, 2019 in Insights, and Value-Based Strategy

Hospitals, health systems, and physician practices must find ways to adapt to the quickly changing market forces around them. Sources of change include value-based contracting, provider competition, consumerism, changes in government and commercial payment models, health system regionalization, government regulation, and technological innovation. Health systems and physicians increasingly are finding it in their best interests ...Read More

Lumina Insights Webinar: HCCs: A Key to Value-Based Payments

Post on December 19, 2018 in Events

Hierarchical Condition Code (HCC) risk-adjustment models are used to calculate risk scores, and these scores are becoming more important as hospitals and health systems embark on the journey to value-based care. Join us as Lumina’s Managing Partner Lucy Zielinski and Managing Principal Douglas Ardoin, MD, explore the coding, clinical operations, and data analytics aspects of ...Read More

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