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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.
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
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Total Funding
$507M
Above
Industry Average
Funded Over
5 Rounds
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
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.
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.
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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
Find jobs on Simplify and start your career today