Cerner and Lumeris, a health plan and value-based care managed services operator, today announced a 10-year relationship aimed at eliminating inefficiencies in the current health care system. Under the relationship, the parties will launch a new offering, Maestro Advantage, for value-based arrangements, including Medicare Advantage (MA) and provider-sponsored health plans (PSHPs). The strategic relationship includes a Cerner investment in Lumeris’ parent company, Essence Group Holdings Corporation, to accelerate the enterprise’s outreach to leading health systems transitioning to value-based care.
Cerner/Lumeris Partnership Details
The partnership combines Cerner and Lumeris technology and services to streamline redundant processes that burden the patient and provider, including lengthy claims processing and reimbursement cycles, and obstacles to sharing data and records. Maestro Advantage is designed to help health systems succeed with MA, and other value-based arrangements by improving the quality of outcomes and physician-patient encounters.
Maestro Advantage uniquely integrates actionable data and insights with provider workflows, leveraging existing investment in digitized data and processes. Maestro Advantage is designed so providers can more effectively assess risk and create interventions and better maximize outcomes for patients enrolled in value-based arrangements, such as PSHPs and MA plans. Maestro Advantage will manage health systems’ increasingly complex mix of owned- and affiliated-provider relationships across any EHR in the network.
As part of the relationship, Lumeris will adopt Cerner’s HealtheIntentSM platform and combine its clinical methodology and advanced analytics to help drive better patient outcomes and lower costs of care. Cerner and Lumeris will identify health systems best positioned to succeed with the offering, particularly large organizations pursuing multi-year growth strategies. Initial deployments of Maestro Advantage are expected to begin in the second half of 2018 with broad market implementations in 2019. An executive steering committee of members from Lumeris and Cerner leadership will provide oversight and governance of the strategy, business development, client delivery and continuous innovation of Maestro Advantage.
“Our collaboration with Cerner holds incredible promise at a time when it is urgent we fix our health care delivery system. Maestro Advantage creates a patient-centric health care delivery network. Prevention and wellness become the top priority rather than treatment and ‘sick care,’” said Mike Long, chairman and CEO, Lumeris. “Physicians and care teams will get access to timely data and easy-to-use, actionable insights at the point of care. Combined with a proven, value-based accountable primary care model, physicians can truly advocate for their patients, ensuring they receive better care and are more satisfied on their health care journey.”
For the past twelve years, Lumeris with Essence Healthcare, its premier client and learning laboratory with more than 65,000 Medicare members in Missouri and Illinois, has received 4.5 to 5 Star Ratings from the CMS and produced the highest consumer and physician satisfaction scores in the industry along with significantly better clinical outcomes and lower costs.