LLumeris provides value-based care management as a services operator for health systems and physician groups, offering technology, services, and risk management to shift from fee-for-service to value-based models. Its Population Health Services Organization (PHSO) combines an AI-powered platform called Tom with workflows and expertise to coordinate care, surface best next actions like screenings, and reduce administrative burden. It differentiates itself through risk-sharing partnerships with providers and payers and by leveraging Essence Healthcare’s proven value-based care approach at scale, managing over $13 billion in medical spend and serving more than a million patients. Its goal is to expand the adoption of value-based care by forming broader risk-based partnerships that improve clinical outcomes while controlling costs.
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Industries
Company Size
1,001-5,000
Company Stage
Late Stage VC
Total Funding
$507M
Headquarters
Maryland Heights, MO
Founded
2001
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Total Funding
$507M
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Lumeris, a health care technology and services company, has hired Dr. Charles "Chuck" Saunders as chief clinical transformation officer and president of Value-Based Care Enablement. The company announced the appointment on October 20, 2026. Saunders will lead the business unit that helps health systems and physicians improve clinical and financial results under value-based care. He will also oversee clinical leadership for Tom™, Lumeris' AI-powered Primary Care as a Service™ platform. Saunders most recently served as chief executive officer of Integra Connect. He founded Healthagen, Aetna's population health business, and was earlier chief executive of Broadlane and chief medical officer of Healtheon/WebMD. "There are few leaders who understand value-based care as deeply as he does," said Mike Long, Lumeris' chairman and chief executive officer.
Lumeris has partnered with Schmitt-Thompson Clinical Content (STCC) to integrate evidence-based clinical triage content into Tom, its AI-powered Primary Care as a Service platform. The collaboration aims to strengthen Tom's symptom-checking capability by combining conversational patient engagement with STCC's clinical guidance. The enhanced feature helps patients with chronic conditions navigate symptoms between appointments whilst supporting care teams in identifying those requiring additional attention. Following interactions, Tom generates structured summaries with prioritisation guidance to assist clinical workflows. STCC provides telehealth triage guidelines to over 400 health systems and 10,000 physician practices across North America. Lumeris, founded in 2010 and headquartered in St. Louis and Cambridge, Massachusetts, employs more than 1,200 staff.
Lumeris has launched a symptom-checking capability within Tom, its AI-powered Primary Care as a Service platform, to support high-risk patients between primary care appointments. The feature enables patients with chronic conditions to report symptoms and ask health-related questions through conversational interactions. Powered by Google's CX Agent Studio and Gemini, the capability generates structured summaries with prioritisation guidance to help care teams assess patient needs and determine appropriate interventions. The system aims to prevent delayed care or unnecessary visits to higher-acuity settings. The feature is currently being used by a Medicare Advantage plan serving high-risk members, with broader availability planned later this year. It complements recent Tom platform additions including conversational analytics and real-time voice interactions. Founded in 2010, St. Louis-based Lumeris employs over 1,200 healthcare specialists.
Lumeris has introduced native audio capabilities for Tom, its AI-powered Primary Care as a Service platform, enabling real-time speech-to-speech interactions with patients. Built using Gemini's native audio technology, the functionality aims to create more natural patient conversations with reduced latency and improved accuracy. The upgrade addresses America's primary care shortage, where nearly 100 million adults lack access and a shortage of 90,000 physicians is projected within the decade. Native audio allows patients to engage through voice with improved turn-taking, noise handling, and planned multilingual support. The technology is integrated across Tom's communication channels, including phone and mobile applications, supporting continuous AI-enabled primary care whilst keeping care teams in control. Lumeris, founded in 2010, employs over 1,200 staff across engineering, clinical and healthcare specialties.
Lumeris has launched Ask Tom, an AI-powered analytics capability that gives health system leaders conversational access to enterprise data through its Tom Primary Care as a Service platform. The tool allows users to query complex healthcare data in plain English and receive instant answers, visualisations and recommendations. Ask Tom aggregates data from clinical, claims, pharmacy and social determinants sources to create a comprehensive view of patients and populations. The platform features agentic capabilities that continuously monitor enterprise data, detect anomalies and surface improvement opportunities. The launch addresses mounting pressure in US primary care, where nearly 100 million adults lack access and a shortage of 90,000 physicians is projected over the next decade. Ask Tom is currently available in limited preview, with broader availability planned for 2026.
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Industries
Company Size
1,001-5,000
Company Stage
Late Stage VC
Total Funding
$507M
Headquarters
Maryland Heights, MO
Founded
2001
Find jobs on Simplify and start your career today
Don't see your dream role? Check out thousands of other roles on Simplify.Browse all jobs