– Mary Washington varieties a strategic partnership with Lumeris to launch a brand new Medicare Benefit plan in 2020
– Lumeris will handle the Medicare Benefit plan operations together with enrollment, claims processing, and supply infrastructure and governance.
– Lumeris can even assist Mary Washington with the event and deployment of a value-based care technique to drive applications to teach, incent, and have interaction suppliers.
Mary Washington Healthcare, a not-for-profit well being system that primarily serves 7 counties in Fredericksburg, Virginia introduced it would launch a brand new Medicare Advantage plan in January 2020. As well as, the announcement Mary Washington has fashioned a strategic partnership with Lumeris, a value-based care managed companies operator for well being methods and suppliers to drive the event, deployment, and operation of the Medicare Benefit plan.
Enlargement of Mary Washington’s Worth-Based mostly Service Choices
The bulletins comply with 5 years of success collaborating in Medicare’s Shared Financial savings and Subsequent Gen Packages, Mary Washington Healthcare has opted to increase its value-based service choices to incorporate a Medicare Benefit plan for the area’s senior inhabitants. Mary Washington Healthcare is presently the area’s largest well being system with two hospitals and over 500 physicians throughout its clinically-integrated community.
As a part of the strategic partnership, Lumeris will deal with the entire well being plan’s day-to-day operations, together with enrollment and claims processing, and supply infrastructure and governance. Lumeris can even help Mary Washington Healthcare with the event and deployment of a value-based care technique and develop and drive applications to teach, incent and have interaction suppliers.
Lumeris’ Information-Pushed Supply Mannequin
Lumeris has greater than 10 years of expertise working with suppliers to ship industry-leading scientific and monetary outcomes. The corporate has developed a confirmed transformative care supply mannequin that emphasizes affected person wellness and the pursuit of the Triple Purpose Plus One, outlined as higher well being outcomes, decrease prices, enhanced affected person expertise, plus markedly improved doctor satisfaction. Lumeris’ data-driven care supply mannequin persistently improves value-based outcomes throughout populations.
For the previous eight years, Lumeris with Essence Healthcare, its inaugural consumer with greater than 63,000 Medicare members in Missouri and Illinois, has acquired four.5- to 5-Star Scores from the CMS and produced the very best client and doctor satisfaction scores within the together with considerably higher scientific outcomes and decrease prices.
The Larger PIcture
Greater than 11,000 child boomers flip 65 every day and enter the Medicare market. CMS has projected that Medicare Benefit enrollment will attain an “all-time excessive” in 2019 with 22.6 million Medicare beneficiaries, given the unprecedented progress. Medicare Benefit plans are one of many frontline gamers within the push for value-based care and must gear as much as obtain a wonderful care ecosystem for his or her members with the most effective scientific and monetary outcomes.
After remaining flat for 4 years, the entire variety of Medicare Benefit plans elevated 34 % within the final two years to 2,734. The elevated variety of plans has expanded choices for enrollees and created competitors amongst insurers. The common recipient is ready to decide on between 24 plans in 2019, in comparison with 19 two years earlier.
Why It Issues
“In launching Mary Washington Medicare Benefit, our objective is to ship better-coordinated take care of our sufferers,” stated Michael McDermott, president, and CEO of Mary Washington Healthcare. “We’re excited to work with our collaborative associate Lumeris to assist rework how we ship care and assist us drive higher well being throughout our affected person inhabitants. After evaluating alternate options, Lumeris shortly stood out as the corporate with essentially the most expertise and success serving to suppliers efficiently get up their very own Medicare Benefit plans.”