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How quickly can a health care market shift from traditional fee-for-service to payments based on value? New York state has a worthy but ambitious goal of moving 80-90% of managed care organization Medicaid expenditures to value-based payment (VBP) by 2020. In order to accomplish this, the state is using a carrot and stick approach with […]

Remote patient monitoring has the potential to improve care management and lower costs for high-risk patients – but the right devices alone are not enough. Organizations must think about how and where to integrate remote patient monitoring into the care management work flow, as well as the operational support needed to support a remote monitoring […]

The New York State DSRIP program aims to create accountability at a community level for improving health outcomes for the Medicaid population. It accomplishes this by using performance-based contracting to incentivize community providers to work together towards this common goal. These contracts are executed in multiple phases with distinct objectives, and rely on the core […]

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 […]