Blog
Key Trends in 2018 for Health Care Organizations Moving to Value-based Payment and Population Health Management
February 3, 2018Health care is in a tumultuous time and what’s for certain is that nothing is for certain. The passing of the recent Tax Cuts and Jobs Act of 2017 (TCJA) has broad but still not completely understood implications for the business community and economy, including non-profit health hospitals and health care systems, generally adding more […]
5 Key Actions Texas DSRIP Anchors and Providers Need to Take in 2018
January 9, 2018Health care providers in Texas continue to work diligently to improve care delivery systems to all patients through Medicaid 1115 waiver transformation initiatives, specifically focusing on the Medicaid and low-income uninsured populations. The work of the Anchors and Delivery System Reform Incentive Payment (DSRIP) program providers in 2017 and previous years is evident in […]
Engaging Physicians for Success in Risk-Based Arrangements
November 29, 2017It is no trade secret that physicians drive quality and medical spend in the health care industry. Across the nation, health systems, Independent Physician Associations (IPAs) and Accountable Care Organizations (ACOs) are challenged with effectively partnering with their physicians to achieve high quality outcomes and reducing the total cost of care. Those organizations most successful […]
Key Strategies for Success in Medi-Cal 1115 Waiver
November 29, 2017California public hospitals have a unique opportunity to leverage the PRIME program to help build the competencies needed to thrive in a risk-based environment. Public health systems and hospitals that make strategic investments in data analytics, network optimization, care management and quality improvement will be set up for success and long-term sustainability. Overview: The […]
Fee-For-Service to Value-Based Payment Transformation Part 3: Bearing Financial Risk in a Changing Landscape: Are You Ready? Part A
October 27, 2017 Read moreDriving Results Through Strategy and Performance Improvement
October 27, 2017COPE Health Solutions has named Michael Zaccagnino as an executive vice president. In his new role, Mr. Zaccagnino will work with health systems, medical centers, physician organizations, and health plans on strategy development and execution and performance improvement, with a special focus on population health. He also will oversee business development and project delivery for […]
Preparing for Trump’s Executive Orders on Health Care and Other Reimbursement Threats
October 27, 2017On October 12, 2017, the President halted federal payments for cost-sharing reductions (CSRs) for insurers that subsidized the cost of coverage for certain low-income eligible enrollees. A parallel executive order instructed the Department of Labor (DOL) to study how to relax rules on association health plans, allow short-term health insurance policies with limited benefits, and […]
Population Health 360: Key Themes and Takeaways
October 27, 2017Last month, COPE Health Solutions and Montefiore Health System brought together health care leaders from across the country to New Orleans to devote two days to discussing population health. This invitation-only event provided an opportunity for an intimate discussion of hot topics, shared experiences, strategy sessions and networking with other industry professionals. Throughout Population Health […]
Implementing Medicaid’s 1115 Waiver for Texas’ JPS Health Network
October 24, 2017The Problem: John Peter Smith (JPS) Health Network is a major public health care delivery system in Fort Worth, Texas and is the anchor entity for Region 10’s Regional Healthcare Partnership (RHP), part of Texas’ 1115 Medicaid waiver. The Delivery System Reform Incentive Payment (DSRIP) funding pool of the waiver allows providers that participate […]