![]() Lumeris has partnered with leading health systems to deploy its PHSO to more than 1 million patients and 7,000 physicians, managing $10B of medical spend in 15 markets around the US. The PHSO is the best solution in the market for health systems looking to manage outcomes for Medicare, Medicaid, Commercial and Individual populations. ![]() Lumeris enables health systems to successfully deliver exceptional value-based care through its market leading population health solution – the PHSO (Population Health Services Organization). “By jointly launching Essence Healthcare, powered by Lumeris’ powerful population health capabilities, in the California market, Stanford Health and Lumeris are making a forceful commitment to deliver the best care to the rapidly growing senior population and to pioneer the next-generation of healthcare in California.” “Lumeris is thrilled to partner with Stanford Health Care to deliver high quality service, affordable care and improved health outcomes to seniors throughout Northern California” said Mike Long, CEO of Lumeris. That success comes via the deployment of Lumeris’ proprietary Collaborative Payer/Provider Model, which aligns incentives for providers, transparently shares data insights to all stakeholders, and provides seniors with the highest quality, most affordable healthcare options. “Members of the plan can look forward to enhancements in their member experience that will come with the transition.”Įssence Healthcare, enabled by Lumeris’ groundbreaking predictive analytics, innovative care delivery processes and population health technology, has earned national recognition by performing in the top 2% of all Medicare Advantage plans over the last 10 years. “SHC Advantage provides essential care to seniors in our community, and this partnership with Essence Healthcare will further strengthen our ability to deliver affordable, high quality patient care to them,” said David Entwistle, President and CEO of Stanford Health Care. Members will maintain access to the same benefits they have today as well as the current network of plan providers, including the world-class providers of Stanford Health Care. Under the terms of the agreement, Stanford Health Care, one of the nation’s leading academic medical centers, will maintain a minority ownership position in the Medicare Advantage plan. 5, 2021 - Lumeris today announced its industry-leading, flagship Medicare Advantage plan, Essence Healthcare, has acquired a majority stake in Stanford Health Care Advantage (“SHC Advantage”). No change to benefit design or network.Lumeris to deliver the best care to the rapidly growing senior population and to pioneer the next-generation of healthcare in California Transition to PERS Gold Supplement to Medicare Plan. No change in performance design or network. Moving to the Platinum PERS Supplement of the Medicare Plan. personnel system Post-launch meals 24 one-way.$80 over-the-counter drug quarterly benefits Emergency.New plan available nationwide Additional benefits: Twelve one-way trips, up to 60 miles per trip per year.Non-urgent medical transportation with doctor appointments, SilverSneakers locations, and pharmacies.12 nutrition counseling sessions over the phone 1 monthly delivery of recommended healthy and non-perishable commodities.Read More: Sign up for Medicare part ABC and D Medicare Plans Plan NameĮxtension to 21 additional districts to cover 58 counties New benefits: Maintains the same 80/20 performance and network design as PERS Select Provides a 90/10 benefit design and maintains the Persare/Pers Choice network Maintains the same 90/10 design and performance network as Persare/Pers ChoiceĬonversion to PERS Platinum. The two PPO plans offer a stronger distinction in terms of performance design, networking, and premium pricing. ![]() The change is the result of a one-year analysis to stabilize the baseline portfolio, including working with members, employers, and stakeholders. Read More: Difference between PPO and HMO Health Insurance Plans Preferred Provider Organization (PPO)ĬalPERS’s three PPO plans, PersCare, PERS Choice, and PERS Select, are switching to two plans, PERS Platinum and PERS Gold. New plan available in Los Angeles, Orange, Riverside, San Bernardino, and San Diego counties Reenter eight districts of the Bay Area: Alameda, Contra Costa, Marín, San Francisco, San Mateo, Santa Clara, Sonoma and SolanoĮxpand into Santa Cruz, Stanislaus, and Orange counties Health Plan Changes for 2022 Health Plan Changes for 2022 : Basic Plans Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) baselines plan Name ![]()
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