Managed Care Solutions

 

Innovations that Drive Value - Achieving Financial Viability with Exceptional Patient Care Outcomes

We assess readiness for population health management and help organizations determine the appropriate level of risk arrangements. We guide health systems through the process of understanding and evaluating their populations, current managed care arrangements and system capabilities to determine the best-fit opportunities to achieve greater financial integration with payors and its providers while right-sizing their population health infrastructure.

 

Assess institutional readiness and prepare the health system for delegated financial risk from payors – building infrastructure such as ACOs, IPAs, and MSOs that allow for effective financial and quality management along with funds flow.

We bring national expertise and perspective to assist health systems in their journey from fee-for-service to value-driven care, enabling organizations to better understand and prepare for a risk based environment. Our solutions help health systems improve margins for both FFS and managed care risk contracts. Our team of experts have a deep understanding of the available financial integration options and are able to develop system-level and provider value propositions to achieve greater financial integration.

 

We are experts in:

  • Health plan and capitated population valuation, due diligence and risk assessments
  • MSO assessments, enhancements and development
  • ACO/IPA design, application, governance, implementation and launch
  We needed help in developing our health care reform and market response strategies. COPE Health Solutions helped us create our long-term strategic initiatives. We are now developing an integrated health system and building the foundation for our strategic vision to manage population health across the continuum of care.  

   -- Roland Fargo, President, Medical Networks, Adventist Health

Meet Our Experts

Wendy Smith

Executive Vice President

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Carla D'Angelo

Vice President

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Wren Keber

Vice President

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