Overview

As more and more healthcare providers engage in risk-based contracts such as Medicare Advantage, many providers struggle with preparing their organization for risk or maximizing their performance under a risk-based contract. As healthcare providers engaged in their value-based care journey, they must track quality outcomes, evolve their care delivery models, align incentives between physicians, hospital and value-based performance, and negotiate a successful risk-based contract. And of course, the work really begins when you sign the risk-based contract with your payer. 

For more information or to talk to one of our professional advisors who can help you with your journey to risk, please contact us at dmarino@luminahp.com.

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Lumina Podcast Episodes

Episode 79: Building Quality and Performance Models for Risk Contracting Success with Cliff Frank

Tune into the latest episode of Value-Based Care Insights, as our host Daniel J. Marino speaks with Gene Rondenet and Paula Gallagher on how data and information critical to proactively build a prospective risk model is key to to manage the potential risks of health care cost increases and prepare the organization for the future.

 

Episode 83: Climbing the Ladder of Risk-Based Contracts with Cliff Frank and Dr. George Mayzell

Risk-based contracts are revolutionizing the healthcare industry, prompting a transition to value-based care. In this episode of Value-Based Care Insights, guests Cliff Frank and Dr. George Mayzell explore the key aspects of risk-based contracts and provide actionable insights for physicians and practitioners navigating this transformative shift.

Episode 85: Catalysts of Change: Dr. David B. Nash Discusses the Upcoming 23rd Population Health Colloquium

In this episode of Value-Based Care Insights, we sit down with Dr. David B. Nash as he discusses the Population Health Colloquium taking place September 18-20th in Philadelphia. We dive into the colloquium’s focus on value-based care, health equity and AI’s innovation within population health, and the exceptional speakers who will discuss the crucial link between delivering value and transforming the future of healthcare.

Lumina Speaking Engagements

The 23rd Population Health Colloquium

Daniel J. Marino and Cliff Frank spoke at the 2023 Population Health Colloquium about the problem with medical groups entering into risk-based contracts without understanding the operational and strategic changes they need to make in order to succeed. Failure to make these changes can lead to significant financial losses. Their session, "Your Physician Group Just Signed a Risk-Based Contract — Now What?" identified key actions that practice administrators and physician leaders must take once the ink is dry on a new risk-based contract.

Lumina Webinars

Re-Thinking Quality and Performance Models for Risk Contracting Success with Gene Rondenet

As more and more provider organizations engage in Medicare Advantage and other risk-based contracts, understanding quality and performance along with clinical workflow integration is critical to contract success. This webinar will dive into Risk Adjustment Factor (RAF) scores and the impact of Hierarchical Condition Category codes (HCCs) on the ultimate goal of better patient care. 

Climbing the Ladder of Risk-Based Contracts with Cliff Frank and Dr. George Mayzell

Risk-based contracts continue to expand in the healthcare industry, prompting a transition to value-based care. In this webinar, guests Cliff Frank and Dr. George Mayzell explore the key aspects of risk-based contracts and provide actionable insights for physicians and practitioners navigating this transformative shift.

Lumina Articles

6 Actions for Physician Practices on Signing Risk-Based Contracts by Cliff Frank and Dr. George Mayzell

By Adopting 4 Models for Managing Risk, Healthcare Organizations Can Secure the Foundation for Value-Based Payment Success

 

Talk With a Lumina Trusted Professional Advisor Today

For more information or to talk to one of our professional advisors who can help you with your journey to risk, please contact us at dmarino@luminahp.com.

Talk to an Expert

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