As Covid-19 upends traditional patterns of care delivery, health insurance organizations are facing unique challenges. For example, individual physicians and smaller practices may be forced to close, risking the integrity of provider networks. Critical operations that health plans are used to performing in-person, such as member enrollment and recertification, will need to be performed remotely due to social distancing and isolation requirements.
Additionally, as the economy slides into recession, health plans will see members fall out of employer-sponsored commercial plans and move into Medicaid plans or become uninsured. As the health care delivery system shifts to almost exclusively treating Covid-19 patients, health plans need to remotely manage their members with chronic disease, keeping them out of the hospital in the moment and maintaining their health over the long-term.
COPE Health Solutions provides expertise in network adequacy and development, care management, health plan operations and data analytics capabilities to help health plans navigate these unique and challenging times.
Our services include: