Blog
Leveraging Data to Achieve Economically Viable Population Health Management
November 7, 2018 Read moreFee-For-Service to Value-Based Payment Transformation, Part 5: Successful Population Health Management – Installment 2
November 7, 2018 Read morePopulation Health 360 Key Takeaways
October 25, 2018On October 18, 2018, COPE Health Solutions and Montefiore Health System hosted the West Coast regional Population Health 360 Conference in Los Angeles, California. More than 50 health care leaders from provider and payor organizations gathered for this invite-only event to discuss current trends, challenges and the future vision of the value-based payment landscape. Attendees […]
Learning From Kaiser and Optum
October 8, 2018A recent headline, “With 8k more physicians than Kaiser, Optum is ‘scaring the crap out of hospitals: ’1 is resonating within the hospital sector, as it reinforces what many hospital system executives are facing: either becoming a partner – or fearing becoming a “cost center.” The article’s premise – that two behemoths are battling it […]
Innovations in Improving Patient Experience: A Look at a Large Medical Center in the Pacific Northwest
October 8, 2018Patient experience has a direct impact on the bottom line of hospitals and health systems. Satisfied patients, and often their families, can lead to improved market share as the health system builds a positive reputation in the community. Additionally, physicians are becoming increasingly responsible for patient experience as payor contracts begin to incorporate value-based arrangements […]
Fee-For-Service to Value-Based Payment Transformation, Part 5: Successful Population Health Management – Installment 1
August 17, 2018 Read moreKey Considerations for Public Hospitals Transitioning to Value-Based Payment Arrangements
July 17, 2018The transition from fee-for-service to value-based contracts is a challenge faced by the health care industry. The ability to succeed in value-based payment contracts is critical for public hospitals that are often the primary safety net for a given community. Without the right operational foundation and data-driven strategy, organizations can easily jump into a risk […]
Optimizing ACO Care Management Programs to Succeed in Downside Risk Arrangements
July 9, 2018By now, it is well documented that a small percentage of “super users” account for over half of the health care costs in the country. A concept first brought to mainstream attention by Atul Gawande’s oft-cited 2011 article Hotspotters, identifying these super users and establishing targeted interventions has the potential to both vastly improve these […]
Accessing More of the Health Premium: The Transition into Population Health and Value-based Payment
June 28, 2018 Read moreOptimizing an ACO Network to Succeed in Downside Risk Arrangements
June 21, 2018Recent announcements from the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) indicate that the current administration sees cost savings opportunities when providers, including hospitals, take downside financial risk. HHS Secretary Alex Azar commented, “There is no turning back to an unsustainable system that pays for procedures […]