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Lumeris Expands Medicare Advantage Plan into Five New States

Analysis  |  By Jay Asser  
   November 04, 2022

The company is growing five-star rated Essence Healthcare to Indiana, Kentucky, Arkansas, Georgia, and Ohio.

Lumeris will offer its Medicare Advantage plan, Essence Healthcare, in five new states in 2023, the a value-based care managed services operator announced.

The expansion is due to Essence's customer and provider satisfaction with the plan and its benefits, allowing the MA offering to move beyond Illinois and Missouri.

Beginning January 1, Essence will be available in Indiana, Kentucky, Arkansas, Georgia, and Ohio marketplaces.

"We are passionate about our vision to create the system of care every doctor wants for their own family," said Michael Long, chairman and CEO of Lumeris. "While the health care delivery system in the United States has struggled to balance quality, cost, and patient and physician satisfaction, Lumeris has demonstrated that it is not only possible, but also scalable. We are pleased to expand our provider partnerships to bring Essence Healthcare to a growing number of seniors."

Essence received a five-star rating for the second consecutive year from CMS, which released Medicare Advantage plan ratings based on 38 quality measures.

"Our strategically aligned partnerships with providers are creating a new standard for how healthcare can be delivered and financed," said Umar Farooq, president of Essence Healthcare. "Through these deep-rooted partnerships, Essence Healthcare has demonstrated that when providers are the table in co-designing managed care solutions, we can together achieve highest quality star rating designated by CMS."

Jay Asser is the contributing editor for strategy at HealthLeaders. 

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