Lumeris is a value-based care management company that partners with health systems, providers, and payers to deliver better healthcare outcomes at a lower cost. Founded in 2010 and headquartered in St. Louis, Missouri, Lumeris leverages technology and data analytics to help healthcare organizations transition to value-based care models, where the focus is on improving patient outcomes rather than the volume of services provided. With a strong presence across the United States, Lumeris works to transform healthcare delivery by providing innovative solutions for population health management and care coordination.

Services and Solutions

Lumeris provides a comprehensive range of solutions designed to help healthcare organizations succeed in value-based care environments. Key services include:

• Population Health Management: Lumeris helps healthcare providers manage the health of their populations by using advanced analytics and technology platforms to monitor patient data, identify high-risk individuals, and implement preventive care strategies.
• Care Coordination: Through its care coordination solutions, Lumeris enables healthcare teams to work together more efficiently, ensuring that patients receive the right care at the right time. This helps reduce hospital readmissions, lower costs, and improve overall patient satisfaction.
• Health Plan Operations: Lumeris offers end-to-end services for health plan management, including claims processing, member services, and compliance. By partnering with providers, Lumeris helps design and implement value-based payment models that align incentives with quality care.
• Technology and Analytics: Lumeris provides cutting-edge technology platforms that support value-based care initiatives, including electronic health records (EHR) integration, data analytics, and performance measurement tools. These solutions help healthcare organizations track progress, measure outcomes, and make data-driven decisions.

Employee Benefits and Compensation

Lumeris offers a competitive benefits package designed to support the well-being of its employees and foster a positive work environment. Key benefits include:

• Health and Wellness: Employees have access to comprehensive health insurance plans, including medical, dental, and vision coverage. Lumeris also provides wellness programs to support employees’ mental and physical health.
• Retirement and Savings: Lumeris offers a 401(k) retirement plan with company matching, helping employees plan for long-term financial security.
• Work-Life Balance: Lumeris promotes work-life balance by offering flexible working arrangements, including remote work options and flexible scheduling.
• Professional Development: Lumeris is committed to employee growth, offering various learning and development opportunities, including leadership training, mentorship programs, and support for continuing education.
• Paid Time Off: Generous paid time off policies, including vacation, holidays, and personal leave, ensure that employees can recharge and maintain a healthy work-life balance.

Business Divisions

Lumeris operates through several key business divisions, each focused on supporting the shift to value-based care in healthcare organizations:

• Population Health Services: This division helps healthcare providers implement strategies for managing patient populations, focusing on preventive care, chronic disease management, and reducing costs.
• Care Coordination: Lumeris’ care coordination services enable healthcare providers to streamline patient care processes, improving outcomes while reducing inefficiencies.
• Health Plan Solutions: Lumeris partners with payers and providers to design and manage value-based payment models, helping them align financial incentives with quality care and cost savings.
• Technology and Analytics: Lumeris provides data-driven solutions, including predictive analytics and performance measurement tools, to support value-based care initiatives and drive better patient outcomes.

Summary

Lumeris is a leader in value-based care management, helping healthcare organizations transition from fee-for-service to value-based models that prioritize patient outcomes. With a robust presence in the United States, Lumeris offers innovative solutions in population health management, care coordination, and health plan operations, supported by advanced technology and analytics platforms.

For actuarial professionals, Lumeris provides unique opportunities to work at the intersection of healthcare and data analytics, contributing to projects that drive value-based care and improve health outcomes. Actuarial roles at Lumeris may involve risk assessment, pricing models, and healthcare cost analysis, providing a dynamic environment for actuaries to apply their expertise in a rapidly evolving industry.

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