Lumeris

Lumeris

Value-based care management via PHSO platform

Overview

Lumeris provides value-based care managed services for health systems and physician groups, delivering technology, services, and risk management to move care from fee-for-service to value-based models. Its Population Health Services Organization (PHSO) combines an AI-powered platform called Tom with workflows and expert support to coordinate care, schedule screenings, and manage chronic diseases across patient populations. The company differentiates itself through risk-sharing partnerships with providers and payers, leveraging Essence Healthcare’s proven value-based model to pursue both quality and cost-efficiency. Its goal is to expand value-based care adoption by forming broader risk-based partnerships that improve patient outcomes while delivering predictable, efficient care delivery.

About Lumeris

Simplify's Rating
Why Lumeris is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & Analytics

Enterprise Software

AI & Machine Learning

Healthcare

Company Size

1,001-5,000

Company Stage

Late Stage VC

Total Funding

$507M

Headquarters

Maryland Heights, Missouri

Founded

2001

Your Connections

People at Lumeris who can refer or advise you

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Simplify's Take

What believers are saying

  • Hackensack Meridian expansion into Traditional Medicare widens Lumeris’s addressable market beyond Medicare Advantage.
  • Tom’s symptom checker and native audio deepen between-visit engagement for high-risk patients.
  • The $100 million equity raise funds product development and expansion across partnerships.

What critics are saying

  • AI triage errors or hallucinations in Tom create patient-safety and liability exposure.
  • Shared-savings economics weaken quickly if client health systems miss quality and cost targets.
  • Competition from larger healthcare vendors can compress Lumeris’s specialist platform differentiation.

What makes Lumeris unique

  • Physician-founded PCaaS platform Tom combines clinical and financial data for value-based care.
  • PHSO pairs technology, services, and risk management for health systems and physician groups.
  • Essence Healthcare heritage gives Lumeris a proven Medicare Advantage operating model.

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Funding

Total Funding

$507M

Above

Industry Average

Funded Over

5 Rounds

Notable Investors:
Late VC funding comparison data is currently unavailable. We're working to provide this information soon!
Late VC Funding Comparison
Coming Soon

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Flexible Work Hours

Paid Vacation

Paid Sick Leave

Paid Holidays

Sabbatical Leave

Hybrid Work Options

401(k) Company Match

Employee Assistance Program

Employee Resource Groups

Employee Discount Program

Learning and Development Opportunities

Growth & Insights and Company News

Headcount

6 month growth

1%

1 year growth

1%

2 year growth

2%
PR Newswire
Mar 18th, 2026
Lumeris launches Ask Tom, giving health leaders conversational AI access to enterprise data

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.

PR Newswire
Jan 27th, 2026
Hackensack Meridian Health and Lumeris expand value-based care partnership to Traditional Medicare after saving $40M

Lumeris and Hackensack Meridian Health have expanded their value-based care partnership to include Traditional Medicare through the Medicare Shared Savings Program ACO. The collaboration builds on their existing work with commercial and Medicare Advantage patients across HMH's Clinically Integrated Network. The HMH ACO comprises over 700 doctors serving approximately 46,200 patients. In 2024, the organisation achieved $40 million in healthcare savings with an 87.27% quality score from CMS, earning over $18 million in shared savings. Previous HMH ACO groups saved more than $247 million between 2012 and 2021. Lumeris will support the programme with its AI-powered Tom platform, enabling performance tracking and workflow management. The expansion aims to improve care coordination whilst reducing avoidable utilisation and administrative burden for Medicare beneficiaries across New Jersey.

The Health
Dec 18th, 2024
Lumeris secures $100M for expansion

Lumeris, a value-based care strategy company, secured $100 million in equity capital led by Deerfield Management, with participation from Endeavor Health and others. The funds will support expanding provider partnerships. Lumeris has a strong track record, including a five-star Medicare Advantage plan. Recent partnerships include Stanford Health Care and Integrated Physician Network. The company has also expanded its leadership team with key appointments.

PR Newswire
Apr 22nd, 2024
Lumeris Completes $100M Equity Growth Capital Investment Round

/PRNewswire/ -- St. Louis-based, privately held Lumeris announced the completion of a $100M equity capital raise. The funding round was led by Deerfield...

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