Cerner and Lumeris partner to deliver value-based care
Partnering with Salesforce earlier this year to extend its population health, clinical and administration portfolio, Cerner has now partnered with value-based healthcare services operator Lumeris.
Lumeris aligns providers and payers across populations with technologies, processes, behaviors and information to achieve high-quality, cost-effective care with satisfied consumers and engaged physicians. The company has recently also entered a new partnership with BayCare Health System to support its new Medicare Advantage Plans.
Cerner and Lumeris’ 10-year collaboration will enable the duo to further eradicate inefficiencies within the current healthcare system, from inefficient data sharing complex reimbursement processes.
Combining Cerner and Lumeris technology and services to streamline redundant processes that burden the patient and provider, Maestro Advantage (MA) has been developed to help health systems succeed and enable patients to receive enhanced access to primary care and a level of service that was previously only delivered via expensive concierge medicine programmes.
“The United States healthcare system’s transition to value-based care has been impeded by disjointed technology, cumbersome processes, misaligned incentives and inadequate management of clinical and financial outcomes,” said John Doerr, Lumeris board member and chairman of Kleiner Perkins.
“Maestro Advantage lowers the barriers to data transparency and sharing and empowers physicians and health systems. However, we know technology alone is not sufficient. MA is an innovative model with supporting processes and expertise to aid long-term success in value-based care arrangements.”
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Brent Shafer, chairman and CEO, Cerner added: “By using data to reduce or eliminate unnecessary costs and ineffective transitions of care, providing doctors and their patients a more complete view of their medical history and a health plan that consistently receives high quality scores from CMS, this collaboration with Lumeris aligns well with our mission and illustrates the potential of Cerner technology to positively impact health care economics and outcomes in deeper, more impactful ways than before.”
By integrating actionable data and insights with provider workflows, MA uniquely leverages existing investment in digitised data and processes. It has been designed so providers can more effectively assess risk and create interventions and better maximise outcomes for patients enrolled in value-based arrangements, such as PSHPs and MA plans and will work across any EHR in the network.
According to Healthcare Dive, over 20,000mn members enrolled in MA plans in 2016, a number which has risen significantly since this time.
“MA 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.”
Lumeris will adopt Cerner’s HealtheIntent platform and combine its clinical methodology and advanced analytics to help drive better patient outcomes and lower costs of care. Both parties will then work to identify health systems best positioned to succeed with the offering.
The move also follows on from Cerner’s decision to enable Abu Dhabi based Mubadala Healthcare to harness its integrated electronic health record technology (EHR), signalling its leading position within the market.
Getting ready for cloud data-driven healthcare
As healthcare continues to recognise the value of data and digital transformation, many organisations are relying on the cloud to make their future-forward and data-centric thinking a reality. In fact, the global healthcare cloud computing market was valued at approximately $18 billion and is expected to generate around $61 billion USD by 2025.
At the forefront of these changes is the rapid adoption of cloud-based, or software-as-a-service (SaaS), applications. These apps can be used to handle patient interactions, track prescriptions, care, billing and more, and the insights derived from this important data can vastly improve operations, procurement and courses of treatment. However, before healthcare organisations can begin to dream about a true data-driven future, they have to deal with a data-driven dilemma: compliance.
Meeting regulation requirements
It’s no secret that healthcare is a highly regulated industry when it comes to data and privacy – and rightfully so. Patient records contain extremely sensitive data that, if changed or erased, could cost someone their life. This is why healthcare systems rely on legacy technologies, like Cerner and Epic EHRs, to manage patient information – the industry knows the vendors put an emphasis on making them as secure as possible.
Yet when SaaS applications are introduced and data starts being moved into them, compliance gets complicated. For example, every time a new application is introduced into an organisation, that organisation must have the vendor complete a BAA (Business Associate Agreement). This agreement essentially puts the responsibility for the safety of patients’ information — maintaining appropriate safeguards and complying with regulations — on the vendor.
However, even with these agreements in place, healthcare systems still are at risk of failing to meet compliance requirements. To comply with HIPAA, U.S. Food and Drug Administration 21 CFR Part 11 and other regulations that stipulate the need to exercise best practices to keep electronic patient data safe, healthcare organisations must maintain comprehensive audit trails – something that gets increasingly difficult when data sits in an application that resides in the vendor’s infrastructure.
Additionally, data often does not stay in the applications – instead healthcare users download, save and copy it into other business intelligence tools, creating data sprawl across the organisation and exposing patient privacy to greater risk.
With so many of these tools that are meant to spur growth and more effective care creating compliance challenges, it begs the question: how can healthcare organisations take advantage of the data they have without risking non-compliance?
Yes, healthcare organisations can adhere to regulations while also getting valuable insights from the wealth of data they have available. However, to help do this, organisations must own their data. This means data must be backed up and stored in an environment that they have control over, rather than in the SaaS vendors’ applications.
Backing up historical SaaS application data directly from an app into an organisation’s own secure cloud infrastructure, such as AWS or Microsoft Azure, makes it easier, and less costly, to maintain a digital chain of custody – or a trail of the different touchpoints of data. This not only increases the visibility and auditability of that data, but organisations can then set appropriate controls around who can access the data.
Likewise, having data from these apps located in one central, easily accessible location can decrease the number of copies floating around an organisation, reducing the surface area of exposure while also making it easier for organisations to securely pull data into business intelligence tools.
When healthcare providers have unfettered access to all their historical data, the possibilities for growth and insights are endless. For example, having ownership and ready access to authorised data can help organisations further implement and support outcome-based care. Insights enabled by this data will help inform diagnoses, prescriptions, treatment plans and more, which benefits not only the patient, but the healthcare ecosystem as a whole.
To keep optimising and improving care, healthcare systems must take advantage of new tools like SaaS applications. By backing up and owning their historical SaaS application data, they can do so while minimising the risk to patient privacy or compliance requirements. Having this ownership and access can propel healthcare organisations to be more data-driven – creating better outcomes for everyone.