Stanford Medicare Advantage plan seeks sustainable value-based care growth and continued innovations to serve seniors in collaboration with Lumeris.
Lumeris, a provider of value-based care, and Stanford Health Care are partnering on a long-term collaboration for the further development of Stanford Health Care Advantage, a Medicare Advantage (MA) plan in Northern California. Once finalized, Lumeris will help optimize and grow the MA plan throughout the region and support Stanford Health Care’s transition to a collaborative, provider-led value-based care delivery model. The decision to move forward with Lumeris was the culmination of an 18-month evaluation process for Stanford Health Care, during which a range of potential collaborators was considered.
Collaboration Details
The collaboration calls for Lumeris to assume key plan operations by leveraging its Collaborative Payer Provider Model that aligns payer, provider, and consumer incentives with technology-enabled operations leading to improved outcomes. Integrating claims, electronic health records, lab, pharmacy and social determinants of health data through advanced analytics will enable Stanford Health Care to bring leading operational capabilities that support improving care quality performance measurement, population health management, and member services.
In addition, Stanford Health Care and Lumeris will jointly pursue deploying new innovations to serve the community, including the use of artificial intelligence (AI)-enabled diagnostics, innovative clinical pathways, and the use of digital capabilities to better connect members with providers, all of which are being developed at Stanford.
Impact of Collaboration
“We are very pleased to begin this close collaboration with Lumeris, as we bring our entire enterprise toward improving value,” said David Entwistle, president, and chief executive officer of Stanford Health Care. “Their heritage with provider-led MA plans; the investments they have made in creating technology over time to support fundamentally sound provider engagement practices; their commitment to considering multiple populations within the value chain; and their willingness to work with us to advance Stanford Health Care’s commitment to accelerating innovation for compassionate, personalized care made them a clear choice.”
