Strengthening Medicare Care Through Collaboration
The innovative partnership between Hackensack Meridian Health (HMH) and Lumeris signifies a major step towards enhancing the quality of care for Medicare beneficiaries. This collaboration focuses on value-based care, aiming to improve healthcare outcomes through superior coordination and efficiency.
Commitment to Improving Patient Outcomes
Hackensack Meridian Health, recognized as New Jersey's largest and most comprehensive integrated health network, has joined forces with Lumeris, a leading healthcare technology and service provider. This partnership expands their existing focus on Commercial and Medicare Advantage programs to include Traditional Medicare through the Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP).
The Benefits of a Clinically Integrated Network
Under this partnership, the established Clinically Integrated Network (CIN) will enhance the care experience for more than 46,200 Medicare beneficiaries. By fostering relationships among providers through shared performance goals and coordinated care processes, this network aims to deliver better health outcomes.
Utilizing Advanced Technology for Better Care
At the center of this initiative is Lumeris's AI-powered platform, Tom™, designed to optimize care delivery by assisting healthcare teams in tracking performance and making informed decisions throughout their clinical operations. This technology will support physicians in coordinating care for patients, ultimately aiming to reduce avoidable hospital utilization.
Achieving Exceptional Quality Scores
With a strong commitment to quality, the Hackensack Meridian Health ACO has achieved a remarkable 87.27% quality score from CMS, reflecting the organization's dedication to patient care. In 2024 alone, the ACO's collaborative effort saved over $40 million in total healthcare costs, demonstrating its efficacy in managing healthcare resources effectively.
Looking Ahead: The Future of Value-Based Care
As Hackensack Meridian Health and Lumeris expand their reach, they seek to strengthen patient experiences and outcomes across New Jersey. The drive for better care coordination and performance in quality of services will facilitate a more streamlined experience for patients undergoing treatment and follow-up care.
An Innovative Approach to Healthcare
Lumeris's approach, particularly through the Tom™ platform, represents a paradigm shift in how healthcare is delivered. By embodying a proactive, data-driven strategy, the initiative builds on years of healthcare experience to revolutionize patient care.
About Hackensack Meridian Health
Hackensack Meridian Health continuously strives to provide top-notch healthcare across its vast network of hospitals and patient care locations. The organization’s commitment to improving health outcomes and wellness in its communities is evident in its philanthropic endeavors and patient-focused programs.
About Lumeris
Since its inception in 2010, Lumeris has been paving the way for value-based healthcare transformation. Its collaborations with various healthcare systems and physician practices underscore the importance of tailored models that emphasize quality while reducing costs.
Frequently Asked Questions
What does the partnership between Hackensack Meridian Health and Lumeris entail?
The partnership focuses on expanding value-based care to include Traditional Medicare, enhancing care coordination for beneficiaries.
How will the new technology affect patient care?
The use of Lumeris's AI-powered Tom™ platform will streamline clinical operations and improve care delivery for patients.
What kind of savings has been achieved through the ACO?
In 2024, the collaboration resulted in more than $40 million in healthcare savings while maintaining high-quality care service.
How does the collaboration benefit physicians?
Physicians will receive enhanced support, data insights, and tools to provide proactive, patient-centered care through this partnership.
What is the role of the Clinically Integrated Network (CIN)?
The CIN aligns providers to shared performance goals and facilitates coordinated care, thereby improving health outcomes for Medicare beneficiaries.
