Insurance plans,
trusted local providers will focus on the delivery of quality care and wellness
initiatives for seniors across greater Cincinnati
ST.
LOUIS/OMAHA, Neb./CINCINNATI— July 17, 2018 — Mutual of Omaha and Lumeris,
the industry leader in value-based care, today announced they will launch new
Medicare Advantage (MA) plans to deliver health care and promote wellness to
seniors across greater Cincinnati with the help of two local health care
systems, TriHealth and St. Elizabeth
Healthcare. The new plans will be available for the 2019 plan year.
“In 2014, TriHealth and
St. Elizabeth’s forged an innovative partnership through the creation of Health
Solutions Network to get health care right for the Greater Cincinnati and
Northern Kentucky communities by working together to provide better care,
better health and better value,” said Randall Curnow, MD, MBA, medical director
for population health at TriHealth. “And now this collaboration with a trusted
company like Mutual of Omaha will enable us to expand our reach in offering
innovative Medicare Advantage health care solutions to the senior community, a
population that has been particularly affected by the rapid changes in the
health care industry.”
TriHealth and St.
Elizabeth Healthcare selected Mutual and Lumeris based on Mutual’s leadership
in the senior market and Lumeris’ extensive experience helping providers to
develop, operationalize and execute on value-based strategies for Medicare
Advantage plans.
“When evaluating an MA
plan, we quickly realized that Mutual of Omaha and Lumeris have deep industry
expertise, and also have clinical and financial priorities closely aligned with
ours – and that alignment is critical to success in any value-based effort,”
said Lori Ritchey-Baldwin, chief financial officer of St. Elizabeth Healthcare.
Under the terms of the
agreement, Mutual and Lumeris will market the plans, manage day-to-day
operations and support the optimization of the health systems’ high-quality
clinically integrated network, Healthcare Solutions Network. This proven
value-based care model for Medicare Advantage emphasizes collaborative
relationships between patients, providers and payers.
“The strategic alliance
between Mutual of Omaha and Lumeris is based on both organizations’ commitment
to its customers and to delivering top quality care for seniors. TriHealth and
St. Elizabeth are two systems that share this vision and are dedicated to
making a difference in patients’ lives,” said Amber Rinehart, senior vice
president of senior health solutions at Mutual. “As Mutual and Lumeris were
considering the best markets to launch our initial MA plans, Cincinnati soon
became one of our top choices because of the opportunity to serve a growing
number of Medicare-age patients and partner with likeminded health care
organizations in the region.”
According to Jeff Carroll,
executive vice president of health plans at Lumeris, “TriHealth and St.
Elizabeth are two outstanding provider organizations that have demonstrated a
commitment to the delivery of value-based care aligned with Lumeris’ Triple Aim
Plus One: better health outcomes, lower costs, and improved patient outcomes,
plus physician satisfaction. We are excited to work with both systems to
advance health and wellness in the Cincinnati region – and we are confident
that our collaboration will successfully transform the delivery of care for
seniors.”
TriHealth and St.
Elizabeth Healthcare are founding members of the clinically integrated
Healthcare Solutions Network, which began operations in 2015. TriHealth is a
unified health system based in Cincinnati that was formed in 1995 to bring together
physicians, Bethesda and Good Samaritan Hospitals and the community. Today the
system is comprised of five hospitals: Bethesda North, Good Samaritan, Bethesda
Butler, McCullough-Hyde Memorial Hospital and TriHealth Evendale. St. Elizabeth
Healthcare operates six facilities throughout Northern Kentucky and more than
115 primary care and specialty office locations in Kentucky, Indiana and Ohio.
St. Elizabeth serves more than 315,000 patients annually, 10,000 of whom seek
treatment for cancer.
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ABOUT
LUMERIS
Lumeris serves as a
long-term operating partner for organizations that are committed to the
transition from volume-to value-based care and delivering extraordinary
clinical and financial outcomes. We guide health systems and providers through
seamless transitions from volume to value, enabling them to deliver improved
and more affordable care across populations—with better outcomes. And, we work
collaboratively with payers to align contracts and engage physicians in
programs that drive high-quality, cost-effective care with satisfied
consumers—and engaged physicians.
An industry recognized
leader, Lumeris won the 2018 Best in KLAS award for value-based care managed
services for helping clients deliver improved clinical and financial outcomes.
This was the third year it received this distinguished award. For the past
seven years, Essence Healthcare, Lumeris’ inaugural client with more than
65,000 members in Missouri and Illinois, has received 4.5 to 5 Stars from the
Centers for Medicare and Medicaid Services. Lumeris is committed to delivering
these same results with its multi-payer/multi-population clients to meet their
goals and missions.
ABOUT
MUTUAL OF OMAHA
Founded in 1909, Mutual of
Omaha is a Fortune 500 organization offering a variety of insurance, banking
and financial products for individuals, businesses and groups throughout the
United States. In the individual market, Mutual is a leader in the Medicare
Supplement, life, long-term care, disability and annuity lines. The company
also offers a portfolio of employee benefit and retirement solutions. With $8
billion in assets, Mutual of Omaha Bank is a full-service bank providing
financial solutions to individuals and businesses across the United States. For
more information about Mutual of Omaha, visit www.mutualofomaha.com.
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