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Health care payers are rapidly adopting value-based payments as a model of choice, tasking hospitals with the necessity of designing a health care delivery system that can achieve payment reform expectations. Value-based payments are rooted not only in improved clinical outcomes, but also in advancing cost-efficient delivery of care. Stewardship programs are one mechanism by […]

The Path to Payment Reform: More than 50 percent of all payments to medical providers – health systems, physicians and other care providers – are made by federal, state and local government funds1. These costs have accelerated to reflect an aging population and price inflation, and are projected to account for nearly 20 percent […]

Many healthcare organizations are considering using customer relationship management (CRM) systems to manage the development of their provider network. Many healthcare leaders have never managed the deployment of a CRM system and face pitfalls both generic to all CRM deployments and unique to those for network development in healthcare. Here are a few of the […]

Problem: Limited Resources: There is incredible pressure to change operations in health care delivery. In the clinic and the hospital, where the patient interacts with the care delivery team, providers must create often complex transformations to continue to be financially successful, keeping their doors open to the community. EMR implementations, through-put redesign, socioeconomic health […]

COPE Health Solutions has been addressing the workforce needs of hospitals and health systems for over 16 years through our suite of educational programs, called COPE Health Scholars. The foundational purposes of the COPE Health Scholars programs are to 1) provide local talent with the training and patient engagement skills necessary to become the competent, […]

Overview: On April 27, 2016, the Centers of Medicare & Medicaid Services (CMS) released proposed updates and rules to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). In 2015, MACRA was originally implemented to establish a new way to reimburse physicians and increase the use of information technologies, as well as move […]

An organization’s strategic vision and plan are more than just an exercise for the board and executives. Done correctly, and focused on the right areas, they provide a roadmap for transformation and position the organization for future success. Strategic plans need not be overly complex to be successful, nor viewed as an overwhelming task. Thinking […]

Shanah Tirado is a senior consultant at COPE Health Solutions. In this role, she serves as a strategic partner to clients in achieving healthcare delivery transformation. She has previous experience in business strategy and public policy across the healthcare industry, including patient advocacy, project management, and resource utilization optimization.  Her experience with inter-agency partnerships and […]

On May 1, 2016, the Centers for Medicaid and Medicare Services (CMS) approved a 15-month temporary extension for Texas’ Section 1115 Medicaid Transformation Waiver. This is the first extension and it will serve as an opportunity for the state to preserve the existing Delivery System Reform Incentive Program (DSRIP) as it continues to negotiate a […]

With the passage of the Affordable Care Act, millions of previously uninsured Americans have gained coverage and the ability to access a regular source of primary care. Payors and health care providers alike have had to scramble to accommodate the influx of new patients while adapting to new payment models. All of this comes at […]