Virtual clinical solutions for Medicare, Medicaid, and commercial payers

Lumina Care helps federal, state, and private payers improve utilization and deliver value-based care models with clinical excellence

Our evidence-based clinical programs help providers across care settings better manage complex care, treat behavioral health needs, and reduce the risk of complications. 

We add a layer of clinical excellence and operational integration to augment care teams across settings, reducing hospitalizations and improving the delivery of quality care.

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Our programs

Lumina360 Care Analysis Dashboard

Lumina360 provides real-time insight into your facility’s compliance and care needs across your patient population. Easily identify opportunities to improve care delivery, track KPIs that match CMS and DOH requirements, and vastly reduce the time it takes to gather information needed to make decisions about your facility.

After-Hours
Telehealth (AHTH)

Our AHTH program provides timely clinical coverage during off-hours (nights, weekends, and holidays) to reduce transfers to hospitals. We prioritize treating in place to reduce risk and disruption to care and integrate with care teams to streamline clinical handoffs.

Chronic Care Management (CCM)

Our Chronic Care Management (CCM) program is a structured, evidence-based, and proactive approach that integrates with your care team. We coordinate directly with onsite clinicians, administrators, and PCPs to ensure care plans evolve, opportunities are identified, and chronic conditions are actively managed.

Behavioral Health Integration (BHI)

Our Behavioral Health Integration (BHI) program combines psychiatric expertise, clinical coordination, and EMR-driven visibility to ensure behavioral health is monitored and supported continuously. Our approach to BHI improves documentation and support earlier interventions that help broader health outcomes.

Telepsychiatry

Board-certified psychiatrists and mental health NPs deliver integrated telepsychiatry services that work in sync with primary care. Our Telepsychiatry program improves access, reduces inappropriate medication use, and eases staff burden.

Collaborative Care Management (CoCM)

Collaborative Care (CoCM) is an evidence-based approach that brings psychiatric expertise, care management, and primary care together through a structured, accountable care model. Our CoCM program coordinates team-based treatment to improve symptoms and outcomes.

Transitional Care Management (TCM)

Our Transitional Care Management (TCM) program reduces readmissions by supporting patients as they return home with coordinated care, discharge planning, and care delivery.

Our programs

Lumina360 Care Analysis Dashboard

Lumina360 provides real-time insight into your facility’s compliance and care needs across your patient population. Easily identify opportunities to improve care delivery, track KPIs that match CMS and DOH requirements, and vastly reduce the time it takes to gather information needed to make decisions about your facility.

After-Hours
Telehealth (AHTH)

Our AHTH program provides timely clinical coverage during off-hours (nights, weekends, and holidays) to reduce transfers to hospitals. We prioritize treating in place to reduce risk and disruption to care and integrate with care teams to streamline clinical handoffs.

Chronic Care Management (CCM)

Our Chronic Care Management (CCM) program is a structured, evidence-based, and proactive approach that integrates with your care team. We coordinate directly with onsite clinicians, administrators, and PCPs to ensure care plans evolve, opportunities are identified, and chronic conditions are actively managed.

Behavioral Health Integration (BHI)

Our Behavioral Health Integration (BHI) program combines psychiatric expertise, clinical coordination, and EMR-driven visibility to ensure behavioral health is monitored and supported continuously. Our approach to BHI improves documentation and support earlier interventions that help broader health outcomes.

Telepsychiatry

Board-certified psychiatrists and mental health NPs deliver integrated telepsychiatry services that work in sync with primary care. Our Telepsychiatry program improves access, reduces inappropriate medication use, and eases staff burden.

Collaborative Care Management (CoCM)

Collaborative Care (CoCM) is an evidence-based approach that brings psychiatric expertise, care management, and primary care together through a structured, accountable care model. Our CoCM program coordinates team-based treatment to improve symptoms and outcomes.

Transitional Care Management (TCM)

Our Transitional Care Management (TCM) program reduces readmissions by supporting patients as they return home with coordinated care, discharge planning, and care delivery.

Our programs

Lumina360 Care Analysis Dashboard

Lumina360 provides real-time insight into your facility’s compliance and care needs across your patient population. Easily identify opportunities to improve care delivery, track KPIs that match CMS and DOH requirements, and vastly reduce the time it takes to gather information needed to make decisions about your facility.

After-Hours
Telehealth (AHTH)

Our AHTH program provides timely clinical coverage during off-hours (nights, weekends, and holidays) to reduce transfers to hospitals. We prioritize treating in place to reduce risk and disruption to care and integrate with care teams to streamline clinical handoffs.

Chronic Care Management (CCM)

Our Chronic Care Management (CCM) program is a structured, evidence-based, and proactive approach that integrates with your care team. We coordinate directly with onsite clinicians, administrators, and PCPs to ensure care plans evolve, opportunities are identified, and chronic conditions are actively managed.

Behavioral Health Integration (BHI)

Our Behavioral Health Integration (BHI) program combines psychiatric expertise, clinical coordination, and EMR-driven visibility to ensure behavioral health is monitored and supported continuously. Our approach to BHI improves documentation and support earlier interventions that help broader health outcomes.

Telepsychiatry

Board-certified psychiatrists and mental health NPs deliver integrated telepsychiatry services that work in sync with primary care. Our Telepsychiatry program improves access, reduces inappropriate medication use, and eases staff burden.

Collaborative Care Management (CoCM)

Collaborative Care (CoCM) is an evidence-based approach that brings psychiatric expertise, care management, and primary care together through a structured, accountable care model. Our CoCM program coordinates team-based treatment to improve symptoms and outcomes.

Transitional Care Management (TCM)

Our Transitional Care Management (TCM) program reduces readmissions by supporting patients as they return home with coordinated care, discharge planning, and care delivery.

Supporting beneficiaries with proactive, coordinated care

Our clinical programs support beneficiaries across settings with timely after-hours coverage, management of chronic conditions, behavioral health integration, and coordinated transitions between care settings.

By treating issues early and keeping patients comfortable, we help plans reduce unnecessary utilization while elevating the overall care experience.

Integrated reporting, clear documentation, and value-focused workflows provide seamless access to timely insights that help payers manage populations and deliver quality, coordinated care.

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Real results with Lumina Care

Hospitalization Rates with AHTH

16%

12%

8%

4%

0%

15%

Industry AVG.

12%

PREVIOUS VENDOR AVG.

2%

LUMINA CARE

For one midwest provider with 85 facilities, Lumina Care reduced the hospitalization rate from an average of 10-12% per month to an average of 2% per month from February through October of 2025 with after-hours telehealth.

Hospitalization Rates with TCM

80%

60%

40%

20%

0%

31%

WITH TCM

69%

WITHOUT TCM

One partner saw a decrease in hospitalization rates when comparing patients participating in TCM versus those not over a 6-month period from August 2025 to January 2026.

Real results with Lumina Care

Hospitalization Rates with AHTH

16%

12%

8%

4%

0%

15%

Industry AVG.

12%

PREVIOUS VENDOR AVG.

2%

LUMINA CARE

For one midwest provider with 85 facilities, Lumina Care reduced the hospitalization rate from an average of 10-12% per month to an average of 2% per month from February through October of 2025 with after-hours telehealth.

Hospitalization Rates with TCM

80%

60%

40%

20%

0%

31%

WITH TCM

69%

WITHOUT TCM

One partner saw a decrease in hospitalization rates when comparing patients participating in TCM versus those not over a 6-month period from August 2025 to January 2026.

Lumina Care is where clinical excellence meets operational prowess

Clinical excellence

  • Virtual care delivered by clinicians

  • Coordinated, preventative care tailored to complex, high-risk populations

  • After-hours coverage that reduces emergency utilization

  • Continuous oversight of chronic conditions

  • Integrated behavioral health services for earlier identification and intervention

  • Care delivery that strengthens continuity and elevates member experience

Technology that connects care

  • Direct EMR integration for better visibility into member needs

  • Daily updates that surface trends and emerging risks

  • Structured reporting that supports quality tracking and gap closure

  • Transparent documentation that simplifies evaluation, population management, and network performance

  • Dashboards and insights that help payers measure program impact

Operational prowess

  • Deep expertise in healthcare operations, including credentialing, regulatory requirements, and CMS and DOH expectations

  • Teams that understand the daily realities of both facility workflows and payer-side processes

  • Seamless coordination that reduces friction between clinical, administrative, and plan operations

  • Technology and documentation practices designed to align with payer systems and streamline data sharing

  • Reliable execution from a partner that knows what’s needed, how to deliver it, and how to maintain operational continuity across all settings

Insights and resources from Lumina Care

View all resources

Is Anybody There? Solving the Crisis of After-Hours Care in Skilled Nursing and Long-Term Care Facilities

Read now

The Rules Behind the Care: Understanding Compliance in Skilled Nursing

Read now

When Variability Becomes the Hidden Cost in Skilled Nursing Operations

Read now

Insights and resources from Lumina Care

View all resources

Is Anybody There? Solving the Crisis of After-Hours Care in Skilled Nursing and Long-Term Care Facilities

Read now

The Rules Behind the Care: Understanding Compliance in Skilled Nursing

Read now

When Variability Becomes the Hidden Cost in Skilled Nursing Operations

Read now

Insights and resources from Lumina Care

View all resources

Is Anybody There? Solving the Crisis of After-Hours Care in Skilled Nursing and Long-Term Care Facilities

Read now

The Rules Behind the Care: Understanding Compliance in Skilled Nursing

Read now

When Variability Becomes the Hidden Cost in Skilled Nursing Operations

Read now

Talk to an expert

Connect with our team to discuss how our clinical programs and Lumina360 platform can integrate with your workflows, priorities, and clinical care goals.

Talk to an expert

Connect with our team to discuss how our clinical programs and Lumina360 platform can integrate with your workflows, priorities, and clinical care goals.

Talk to an expert

Connect with our team to discuss how our clinical programs and Lumina360 platform can integrate with your workflows, priorities, and clinical care goals.