Lumeris

Rural healthcare workforce shortages won’t be solved by staffing alone.  They require care model redesign, scalable prevention strategies, and intelligent automation that strengthens clinical teams. At #ACHECongress 2026, John Fryer will join national healthcare leaders to discuss sustainable workforce growth and practical strategies that expand rural capacity without increasing burden. At Lumeris, we’re advancing agentic AI that extends the reach of primary care teams — automating prevention, supporting care coordination, and surfacing best next actions so clinicians can focus on what matters most. If you’ll be in Houston and want to discuss how AI-enabled primary care models can drive measurable workforce capacity and financial sustainability, our team welcomes the conversation. 📩 Message us or comment below to schedule time during AHCE Congress.

We’re hiring a VP of Risk Adjustment for Essence Healthcare!    Essence is continuing to strengthen and modernize how we manage Medicare Advantage Risk Adjustment across approximately 61,000 members — ensuring clinical stories are documented accurately, compliantly, and in a way that supports better care and long-term sustainability.   We’re looking for a leader who can influence physicians, simplify complex regulatory concepts, align with Population Health and Pharmacy, and translate evolving CMS guidance into disciplined execution. This role goes far beyond documentation review. It’s a VP-level mandate to lead CMS rule interpretation, drive audit readiness (including RADV), strengthen provider engagement, and elevate the tools, workflows, and cross-functional partnerships that power risk accuracy. If you’re an experienced Medicare Advantage Risk Adjustment executive who thrives at the intersection of compliance, provider partnership, analytics, and strategy — come join one of the best performing Medicare Advantage plans in the Country! Learn more: https://lnkd.in/gGCQKx3X

ViVE 2026 is kicks off this weekend! Lumeris leaders will be onsite connecting with health system peers for thoughtful, real-world conversations around digital health, AI, and primary care transformation. Excited for conversations around agentic AI that transforms primary care. #ViVEvent #AIinHealthcare #PrimaryCareTransformation

As AI becomes ubiquitous, it can feel opaque. In health — the most personal part of life — we choose the opposite. Tomorrow Labs spotlights the people building the future of primary care with Tom™: engineers, designers, and AI/data scientists. We show the work — explainable, human‑centered, grounded in clinical agency. From model choices and guardrails to workflow design and research, we open the hood so trust isn’t implied — it’s earned. Our shared goal: AI for Access Intelligence, opening more doors to primary care while clinical judgment stays sovereign. See how Tom works, from the people who make it → https://lnkd.in/eMkzK-3m   #TomorrowLabs #Tom #TomorrowsPrimaryCare #AccessIntelligence #ExplainableAI #HealthcareAI #ProductEngineering #CambridgeMA #KendallSquare

Black History Month is a time to celebrate the remarkable impact of Black healthcare professionals on the health and well-being of communities everywhere. Thank you for all that you do. #BlackHistoryMonth #HealthEquity

Health systems are being asked to expand access, manage risk, and improve outcomes, all while operating inside a fee-for-service model that was never designed to support prevention, continuity, or scale. AI alone doesn’t fix that. It takes rethinking the entire care delivery equation to reimagine:  🔸 How primary care teams are structured  🔸 Why scaling care requires rethinking human effort first  🔸 How care is financed when outcomes matter more than visits Lumeris Executive Vice President & Chief Clinical Transformation Officer David Carmouche, MD shared his perspective on what AI-enabled primary care actually means for workforce capacity, operating costs, and system margins.  Read the full piece on these topics and why this moment feels different than past “digital health” waves: https://lnkd.in/gK-rRaFq #PrimaryCareTransformation #HealthcareAI

Welcome to Kendall Square in Cambridge, Mass., and meet the engineers, designers, and AI/data scientists who train Tom™, our AI primary care team member. Building the future of primary care means building trust — and we believe that trust starts with knowing the people behind the platform. Located in what’s known as the “most innovative square mile on the planet,” Cambridge is Tom’s home base — but our teams span the country, with top talent collaborating across time zones to build tomorrow’s primary care. Together, we’re developing our AI platform for Access Intelligence — built for duty, not demos — opening more doors to care while keeping clinical judgment sovereign. Watch the 2-minute peek inside Tomorrow Labs ➡️ https://lnkd.in/esmZZq7F Learn more ➡️ https://lnkd.in/eMkzK-3m #TomorrowLabs #Tom #TomorrowsPrimaryCare #AccessIntelligence #ExplainableAI #HealthcareAI #ProductEngineering #CambridgeMA #KendallSquare

As workforce pressures and financial strain grow, policy and AI are creating new paths forward for health systems willing to act. On March 3, Lumeris joins Becker's Healthcare to discuss how policy shifts and AI are reshaping primary care. 🎙 David Carmouche, MD, Chief Medical & Commercial Officer and Anagha Vyas, Vice President of AI. 👉 Register: https://lnkd.in/g2wdqYTA #HealthcareAI #PrimaryCareTransformation #BeckersHealthcare

⚠️ Challenges States Must Solve to Realize RHT: Workforce strain and unmet social needs. Rural systems face staffing shortages, burnout, and limited visibility into social needs outcomes. ✅ How the Collaborative for Healthy Rural America Helps: CHRA enables team-based care, workflow automation, and closed-loop social services integration, extending capacity without replacing local providers. 🔗 Learn more: connect@lumeris.com or read further:   https://lnkd.in/ercNk5MD #CHRA #RuralHealthTransformation 

⚠️ Challenges States Must Solve to Realize RHT: Gaps in maternal and behavioral health continuity.  Loss of obstetric services and fragmented behavioral health follow-up create critical gaps in care. ✅ How the Collaborative for Healthy Rural America Helps: CHRA supports coordinated maternal and behavioral health pathways that combine local care teams with virtual specialty support and closed-loop follow-up, enabling measurable improvements in maternal health outcomes, postpartum follow-up, and behavioral health continuity in rural communities. 🔗 Learn more: connect@lumeris.com or read further:   https://lnkd.in/ebqduEZQ #CHRA #RuralHealthTransformation