Care Management Assessment, Optimization and Implementation

Care models that get results.

Industry shifts towards outcomes-driven care necessitate a closer look at care models and care management strategies as organizations look to amplify their success in a value-based marketplace. At COPE Health Solutions, we enable organizations including health systems, IPAs, management services organizations (MSOs), health plans and care management organizations to develop and implement proven care models, providing care management solutions that address the individual needs of the populations they serve and improve member experience across the continuum of care.

Using our proprietary Care Management toolkit, we:

• Perform current-state assessments and identify system and program gaps related to technology, data, resource utilization, care interventions and access to provider and community based organizations and networks
• Analyze available data to identify opportunities that leverage and improve existing care management infrastructure and economies of scale to enable medical spend optimization
• Use population-specific program design, financial modeling, care model integration and workforce design to recommend comprehensive strategies aimed at maximizing return on investment and achieving key health outcome targets
• Implement strategies to help support the care management infrastructure and identify continuous quality improvement programs and other innovative models to achieve the Quadruple Aim

 

Our Approach