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Building the Core Elements of an Accountable Community of Health to Support 1115 Waiver implementation

October 5, 2016

Providers in California, Texas and New York are currently implementing transformation projects under various 1115 Waivers to achieve the Quadruple Aim: better health, better care, less cost, higher satisfaction.  Work under delivery system reform incentive payment programs (DSRIP) — the component of 1115 waivers that pays for outcomes if providers change practices from volume to […]

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An Uneven Playing Field for New Grad Nurses

September 29, 2016

As mass media totes an impending national nursing shortage, many young students and career transitioners are flocking to nursing school. In Fall 2015, total nursing baccalaureate enrollment totaled 331,703, up from 180,127 ten years ago1. As a result of this increased enrollment, the Health Resources and Services Administration (HRSA) estimates the number of licensed registered […]

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Pass on the Penalties: How New York’s VBP “Pass-Through” Penalties Cause Big Stress for Small Providers and How to Cope

September 28, 2016

How quickly can a health care market shift from traditional fee-for-service to payments based on value? New York state has a worthy but ambitious goal of moving 80-90% of managed care organization Medicaid expenditures to value-based payment (VBP) by 2020. In order to accomplish this, the state is using a carrot and stick approach with […]

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Including Remote Patient Monitoring in Your Care Management Roadmap

September 28, 2016

Remote patient monitoring has the potential to improve care management and lower costs for high-risk patients – but the right devices alone are not enough. Organizations must think about how and where to integrate remote patient monitoring into the care management work flow, as well as the operational support needed to support a remote monitoring […]

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Balancing Relationships and Data in Evolving VBP Contracting in the New York State DSRIP Program

July 28, 2016

The New York State DSRIP program aims to create accountability at a community level for improving health outcomes for the Medicaid population. It accomplishes this by using performance-based contracting to incentivize community providers to work together towards this common goal. These contracts are executed in multiple phases with distinct objectives, and rely on the core […]

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Transforming Health Care Delivery through Stewardship Programs

July 28, 2016

Health care payers are rapidly adopting value-based payments as a model of choice, tasking hospitals with the necessity of designing a health care delivery system that can achieve payment reform expectations. Value-based payments are rooted not only in improved clinical outcomes, but also in advancing cost-efficient delivery of care. Stewardship programs are one mechanism by […]

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Value Based Payment Roadmap: The Path for New York and Washington State

July 28, 2016

The Path to Payment Reform: More than 50 percent of all payments to medical providers – health systems, physicians and other care providers – are made by federal, state and local government funds1. These costs have accelerated to reflect an aging population and price inflation, and are projected to account for nearly 20 percent […]

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Four common pitfalls to avoid when implementing CRM for your health care organization

June 28, 2016

Many healthcare organizations are considering using customer relationship management (CRM) systems to manage the development of their provider network. Many healthcare leaders have never managed the deployment of a CRM system and face pitfalls both generic to all CRM deployments and unique to those for network development in healthcare. Here are a few of the […]

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Avoid Project Paralysis with Smart Resource Alignment

June 28, 2016

Problem: Limited Resources: There is incredible pressure to change operations in health care delivery. In the clinic and the hospital, where the patient interacts with the care delivery team, providers must create often complex transformations to continue to be financially successful, keeping their doors open to the community. EMR implementations, through-put redesign, socioeconomic health […]

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Person-in-Environment: A Critical Framework in Health Care Workforce Development

June 28, 2016

COPE Health Solutions has been addressing the workforce needs of hospitals and health systems for over 16 years through our suite of educational programs, called COPE Health Scholars. The foundational purposes of the COPE Health Scholars programs are to 1) provide local talent with the training and patient engagement skills necessary to become the competent, […]

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