Industry’s first Primary Care as a Service™ offering to tackle the 2-billion-hour primary care gap
AI-powered care team member to expand capacity, reduce burden, and improve patient access to care unveiled at ViVE 2025 in Nashville
ST. LOUIS, Feb. 19, 2025 /PRNewswire/ — Lumeris, a leader in healthcare technology and services, today introduced Tom™, the industry’s most advanced AI-powered Primary Care as a Service™ solution designed to support overburdened physicians and their teams while improving patient access to care. Tom is an AI-powered care team member embedded in clinical workflows, proactively extending the primary care team’s reach across critical patient management areas including prevention and wellness, care coordination, social determinants of health, population health, and chronic disease management.
We can extend primary care to 100M Americans, upgrade quality for all, and lower costs by 50% or more.
Primary care is essential for delivering quality outcomes, managing chronic diseases, and effectively containing healthcare costs. However, primary care is increasingly strained and inaccessible. Today, 100 million Americans do not have access to a primary care provider, with the imbalance between primary care demand and supply exceeding 2 billion hours annually and growing. This gap cannot be closed with human resources alone.
Meet Tom
Tom is designed to transform primary care by expanding capacity, reducing administrative burdens, and improving patient access. Built on over 20 years of researching and supporting the needs of physicians, patients, and health systems, and powered by more than five years of AI innovation, Tom uses meticulously curated data and carefully selected large language models to tackle key challenges in delivering personalized care and drive next-best actions at both the patient and population levels.
“The impact of Tom’s technology is profound. We can extend primary care to 100 million Americans who don’t have access. We can upgrade the quality of primary care for all patients, and lower costs by 50% or more,” said John Doerr, chairman of Kleiner Perkins. “Tom’s ‘Primary Care as a Service’ addresses the most pressing needs of our $5 trillion healthcare industry. Tom’s insights and ability to communicate with patients and providers at any level are transformative. Patients and providers will welcome the innovation and outcomes.”
Unlike traditional analytics-based systems that merely inform care teams and increase their workloads, Tom acts. Operating 24/7 within primary care workflows, Tom autonomously executes next-best actions, including scheduling screenings and appointments, monitoring medication adherence, conducting post-discharge outreach, and sharing patient education – all while working within a shared care plan and escalating issues when necessary. This allows care teams to significantly expand their capacity to serve more patients with more comprehensive services.
Tom’s powerful presence at the point of care, delivering real-time and data-driven insights, strengthens clinical decision-making and personalizes interventions. By integrating social determinants of health data, clinical guidelines and adaptative personalization, Tom increases patient engagement while reducing care team burdens and closing the primary care gap.
“We are addressing the 2-billion-hour primary care shortage head-on,” said Mike Long, chairman and CEO of Lumeris. “The urgency and magnitude of the problems mean no one company can solve it alone. We are grateful for the strong support Tom is receiving from leading provider, academic, technology, and services organizations from across the country.”
A Collaborative Approach to Transforming Primary Care
The growing list of market-leading organizations joining Lumeris to tackle this challenge include:
BJC Health System’s Center for Health AI – The center is focused on driving and assessing the efficacy and efficiency of AI in delivering the very best care for patients.
Endeavor Health – Endeavor Health is a comprehensive nine-hospital health system serving more than 1.3 million patients across Chicagoland.
MIT Computer Science and AI Lab – The Manolis Kellis Lab at MIT contributes advanced algorithms for understanding patient trajectories and optimizing healthcare decision-making.
Oliver Wyman – Oliver Wyman is a global leader in management consulting. The Health and Life Sciences Practice combines deep industry knowledge with specialized expertise in strategy, operations risk, and performance transformation.
ŌURA – A leader in wearable health technology and maker of Oura Ring, ŌURA provides insights and guidance to support patients beyond clinical settings.
Wolters Kluwer – Its UpToDate clinical decision support tool is used by over two million physicians worldwide to help improve patient care.
“By combining Tom with the expertise and resources of our partners, we’re unlocking the potential for a highly effective, primary care-led healthcare system,” Long said. “Together with healthcare provider organizations nationwide, we can deliver the accessible, high-quality, and more equitable healthcare system the American people deserve.”
Named in honor of Dr. Tom Doerr, a Lumeris founder and champion of patient-centered primary care who passed away unexpectedly five years ago, Tom embodies his vision of expanding access and improving healthcare through innovation. Doerr’s legacy now lives on in an AI-powered solution that helps providers deliver more effective, accessible, and compassionate care at scale.
About Lumeris
Founded in 2012, Lumeris has pioneered primary care-led, value-based care transformation, partnering with health systems and physician practices nationwide to implement tailored models that improve quality and reduce costs. Using Tom, its AI-driven technology platform, Lumeris is achieving the industry’s best quality metrics, better patient experiences, and enhanced physician satisfaction across Medicare Advantage, Traditional Medicare, Medicaid, and Commercial populations. Its Medicare Advantage plan, Essence Healthcare, consistently earns 4.5 to 5.0 star ratings from the Centers for Medicare and Medicaid Services. Lumeris employs 1,200 engineers, healthcare specialists, and clinicians across offices in St. Louis and Boston and generated $3 billion in revenues in 2024. For more information, visit Lumeris.com.
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SOURCE Lumeris
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