Lumeris

The partner for value-based care.

Visit Website →

Overview

Lumeris partners with health systems and provider groups to help them make the transition to value-based care. They provide not just a technology platform for population health management, but also operational services and expertise. Their model often involves forming joint ventures or partnerships where they share in the financial risk and reward, aligning their incentives with their clients' success in value-based contracts.

✨ Key Features

  • Population Health Management Platform
  • Value-Based Care Managed Services
  • Data Aggregation and Analytics
  • Care Management Workflows
  • Physician Engagement Strategies
  • Risk-Based Contracting Expertise

🎯 Key Differentiators

  • Comprehensive partnership model that goes beyond just technology
  • Proven experience in co-developing and operating health plans (e.g., Essence Healthcare)
  • Focus on physician engagement and creating sustainable VBC models

Unique Value: Acts as a true partner, providing not just the technology but also the operational expertise and services required to build and succeed in full-risk, value-based care models.

🎯 Use Cases (4)

Transitioning health systems to value-based care Operating Medicare Advantage plans Managing ACOs and other risk-based contracts Improving clinical and financial outcomes

✅ Best For

  • Partnering with health systems to create and manage successful Medicare Advantage plans.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Organizations looking for a simple, off-the-shelf software without services or partnership.

🏆 Alternatives

Evolent Health agilon health Optum

Offers a much deeper, more hands-on partnership model, including managed services and operational support, compared to vendors who primarily sell software licenses.

💻 Platforms

Web

🔌 Integrations

EHR Agnostic Claims Data Clinical Data

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO ✓ HIPAA ✓ SOC 2

💰 Pricing

Contact for pricing
Visit Lumeris Website →