If you run a Value-Based Care Organization, take our 3-minute self-assessment

Blog

Fee-For-Service to Value-Based Payment Transformation Part 3: Bearing Financial Risk in a Changing Landscape: Are You Ready? Part A

October 27, 2017

Read more

Driving Results Through Strategy and Performance Improvement

October 27, 2017

COPE Health Solutions has named Michael Zaccagnino as an executive vice president. In his new role, Mr. Zaccagnino will work with health systems, medical centers, physician organizations, and health plans on strategy development and execution and performance improvement, with a special focus on population health. He also will oversee business development and project delivery for […]

Read more

Preparing for Trump’s Executive Orders on Health Care and Other Reimbursement Threats

October 27, 2017

On October 12, 2017, the President halted federal payments for cost-sharing reductions (CSRs) for insurers that subsidized the cost of coverage for certain low-income eligible enrollees. A parallel executive order instructed the Department of Labor (DOL) to study how to relax rules on association health plans, allow short-term health insurance policies with limited benefits, and […]

Read more

Population Health 360: Key Themes and Takeaways

October 27, 2017

Last month, COPE Health Solutions and Montefiore Health System brought together health care leaders from across the country to New Orleans to devote two days to discussing population health. This invitation-only event provided an opportunity for an intimate discussion of hot topics, shared experiences, strategy sessions and networking with other industry professionals. Throughout Population Health […]

Read more

Implementing Medicaid’s 1115 Waiver for Texas’ JPS Health Network

October 24, 2017

The Problem: John Peter Smith (JPS) Health Network is a major public health care delivery system in Fort Worth, Texas and is the anchor entity for Region 10’s Regional Healthcare Partnership (RHP), part of Texas’ 1115 Medicaid waiver. The Delivery System Reform Incentive Payment (DSRIP) funding pool of the waiver allows providers that participate […]

Read more

St. Mary Medical Center Improves Post-Discharge Phone Call Process

July 27, 2017

Background: The period following discharge as a patient transitions from hospital to home can be a vulnerable time for patients, especially those who are at high risk for hospital readmission. Preventable hospital readmissions often stem from a discontinuity in a patient’s care plan due to confusion surrounding discharge instructions, changes to medication regimen, or […]

Read more

Driving Transformational Change with Problem Solving and Effective Status Reporting

May 18, 2017

The initial failed launch of CMS’s HealthCare.gov website is cautionary tale of what can go wrong when leadership teams do not have actionable intelligence delivered from a problem solver’s perspective. Plagued by glitches and performance issues, HealthCare.gov was so unreliable during its debut in October 2013 that the government considered scrapping the entire $300 million […]

Read more

Tom Dougherty – Team Member Spotlight

May 17, 2017

  Tom Dougherty, FACHE, Principal, has extensive expertise in risk-based coordinated health care delivery models, health plan network management and administration of hospitals, nursing homes, and home health. COPE Health Solutions draws on Tom’s experience and knowledge for its health system clients that are developing or enhancing their risk-based care and capitation models.  : […]

Read more

The Evolution and Future of the NY Health Home Program

May 17, 2017

Background: In 2010, the Affordable Care Act provided states the option to implement a “health home” (HH) care management model, with the goal of improving care coordination, reducing costs and improving health outcomes for high-need Medicaid members with chronic conditions. In an attempt to bridge resource gaps for a particularly complex segment of the […]

Read more

Washington State Payment Reform Medicaid Demonstration: Where do we go from here?

March 16, 2017

Overview: On January 9, 2017, Washington State Health Care Authority (HCA) released highly anticipated Special Terms and Conditions (STC) outlining the provisions of the Section 1115 Medicaid demonstration waiver. The five-year waiver is active now through December 31, 2021. Under this demonstration, a delivery system reform incentive payment (DSRIP) program aims to increase access, […]

Read more