Lumeris and Eliza Partnership Produces Significant Results

Share Article

Care gaps closed for Essence Healthcare’s MA members

“These proven results demonstrate what can be done by combining Lumeris’ population health technology and data management platform, Essence Healthcare’s brand equity and Eliza’s expertise in crafting highly effective patient interactions."

Lumeris, a pioneer in population health management solutions headquartered in St. Louis, is pleased to announce that its partnership with Eliza Corporation, the pioneer and recognized leader in health engagement management, has yielded profound results in clinical outcomes and patient satisfaction.

Lumeris leveraged Eliza’s outreach solutions to effectively engage a targeted portion of Essence Healthcare’s female Medicare Advantage members who hadn’t received their preventative mammography screening. With a proactive approach of personalized phone calls driving tailored conversations, patients were educated on the importance of receiving their mammogram and were reminded to schedule their screening. The outreach also helped members overcome barriers to accessing healthcare.

The results were superior, with nearly a 10 percent lift in care gap closure (25 percent with outreach vs. 15 percent without outreach) when a member was reached. More than 60 percent of members attempted were reached, besting Eliza’s benchmarks for similar populations by nearly 20 percentage points. These results can be attributed to the engagement design positioning Essence Healthcare’s strong brand recognition, with a caller-ID tag of ‘Essence Health,’ and a warm greeting and conversational approach scripted by Eliza. In addition, patients were engaged on the phone calls, with 86 percent of those asked saying they found the call valuable.

“These proven results demonstrate what can be done by combining Lumeris’ population health technology and data management platform, Essence Healthcare’s brand equity and Eliza’s expertise in crafting highly effective patient interactions,” said Dr. Debbie Zimmerman, chief medical officer of Lumeris. “Mammograms are an important tool in detecting breast cancer early and the outreach that was administered helped deliver extraordinary clinical outcomes.”

Essence Healthcare achieved 5-Stars from the Centers for Medicare & Medicaid Services for the 2016 plan year. Medicare Advantage and Medicare Advantage Prescription Drug plans are rated annually, and incorporate measures of clinical quality and financial outcomes, including member satisfaction scores. This outreach program, in partnership with Eliza, further demonstrates the importance Essence Healthcare puts on member engagement and satisfaction.

“Our partnership with Lumeris has driven health-related behavior changes of the Essence Healthcare member population that close gaps and deliver positive outcomes with the right message at the right time,” said David Morris, Chief Revenue Officer at Eliza Corporation. “By engaging members in a personalized conversation that motivated them to take an action, this partnership ultimately improved health and financial outcomes. For the past 15 years, Eliza has been engaging with patients and we are delighted to now have proven results with population health leader, Lumeris.”

In August 2016, the organizations began a second engagement outreach with medication therapy management.

###

ABOUT ELIZA CORPORATION
Eliza Corporation (“Eliza”) is the pioneer and recognized health leader in Health Engagement Management. Eliza combines technology, data, and analytics to provide the most advanced solutions and services that measurably improve quality, cost and care outcomes. Over 15 years and 1.8 billion interactions, Eliza has amassed the world’s largest data asset of people’s healthcare actions, behaviors and decisions through the Company’s award-winning multi-channel communications platform. Eliza is based in Danvers, Massachusetts. For more information, visit http://www.elizacorp.com or contact 1.800.701.7864.

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. Lumeris enables clients to profitably achieve greater results in value-based care arrangements through proven playbooks based on collaboration, transparent data and innovative engagement methodologies. Lumeris offers comprehensive services for managing all types of populations, including launching new Medicare Advantage Health Plans, Commercial and Government Health Plan Optimization, and Multi-Payer, Multi-Population Health Services Organizations (PHSOs) for provider organizations. Currently, Lumeris is engaged with health systems, provider alliances and payers representing tens of millions of lives moving to value-based care. Lumeris has nearly 800 employees.

Lumeris was awarded 2015/2016 Best in KLAS within the Value-Based Care Managed Services category for outstanding efforts to help healthcare professionals deliver better patient care. For 2016 annual enrollment, Essence Healthcare, a Lumeris client, was rated “Excellent” by the Centers for Medicare and Medicaid Services. Essence was Lumeris’ pioneer client and has been leveraging Lumeris for more than a decade to operate its Medicare Advantage plans, which serve more than 62,000 Medicare beneficiaries in various counties throughout Missouri and southern Illinois.

###

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Chris Currington
Lumeris
+1 314-770-3723
Email >

Chris Currington
Lumeris
314-770-3723
Email >
Visit website