The process may be complicated, but the waivers can have a significant impact on the health care delivery system for patients—especially the Medicaid and uncompensated care populations.
-David Salsberry, Executive Vice President, COPE Health Solutions
Managing the health care (and finances) of different payer populations can be a challenge, but doing so is possible with the right tools and understanding COPE Health Solutions brings. Whether it means designing and implementing an Accountable Care Organization (ACO) structure or a Delivery System Reform Incentive Payment (DSRIP) program under a Medicaid 1115 Waiver, our team members are experts in helping to transform the way care is provided to all groups. Their experience with these complex federal programs and the nuances of each state’s requirements—both as outside consultants and as former employees of resource-strapped health care institutions—helps organizations appropriately design and implement projects, reporting structures, milestones and metrics that facilitate the achievement of the Triple Aim and receipt of process- and outcome-based incentives.
We are experts in:
Medicaid Redesign, Waivers & DSRIP
Our team has unrivaled experience planning for, developing and implementing these projects across geographies and state-specific requirements to meet and balance key health care provider, system and community needs with limited resources.
Medicare & Medicaid ACO Design and Implementation
We bring historical knowledge and experience from previous ACO engagements to manage population health, but we also are up-to-date on understanding and applying the complexities of changing federal and state policies.
Medicare Demonstration Programs
We have been and continue to be at the forefront of demonstration projects designed to test and measure the likely impact and outcomes of program changes, including alterations to service delivery, coverage of new service types and new payment approaches.