Managed Care Systems Design

 

Managed Care Systems Design

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

We work with health care clients across the industry to understand their goals and vision, as well as assess their market conditions, in order to determine the best managed care tools for them to develop and integrate.  Whether it’s a health system, hospital, clinic, physician group or health plan, our team understands the changing health care environment and the available tools to address it.  From there, we can assess market conditions, develop pro formas with detailed consequences, and restructure organizations and networks to correct issues, add value and meet strategic goals.

We are experts in:

  • Performance-Based Provider Contracting

    We work with health systems to help them better align financial incentives around clinical processes in order to capture capitated dollars and make improvements in quality and cost.

  • IPA Development

    Our team helps physician groups and clinics with strategic planning and decision making that includes determining whether to join or create an Independent Physician Organization (IPA), as well as how to successfully do so.

  • MSO Assessments and Development

    We engage with hospitals, health systems, physician organizations and health plans to assess the impact of potential integration and consolidation, as well as develop Managed Service Organizations (MSOs) that add strategic, operational and financial value.

 

Learn more:

For more information about COPE Health Solutions’ Managed Care Systems Design services, please contact info@copehealthsolutions.org.

 

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