State Medicaid and Other Waiver Programs

Optimizing state and federal opportunities for health system transformation.

COPE Health Solutions has developed and implemented innovative strategic plans and integrated delivery models across a broad set of providers in health care markets across the country, including extensive experience with 1115 Medicaid waivers and Delivery System Reform Incentive Payment (DSRIP) implementation. We are pioneers in this work and have a proven history of working with multiple stakeholders within communities to define a best-fit solution, implement the design and manage ongoing operations and performance.

Our success in supporting our clients is underscored by a commitment to collaboration and joint planning with our clients and key stakeholders. This approach allows us to understand the current state of care delivery and true realities (e.g., resources, politics and culture) of each system. Most importantly, it enables the collaborative development of a solution that is responsive, timely and practical.

 

Our Approach

Our team includes experts in the areas of clinical integration, managed care systems design, ambulatory network development, strategic planning, care coordination and health care finance – including value-based payment methodologies, Medicare Accountable Care Organizations (ACOs) and Medicare Access and CHIP Reauthorization Act (MACRA), Medicaid waivers, provider and health plan contracting and population health. This expertise and bench strength has enabled us to lead our clients through the challenging process of transformation in multiple settings. COPE Health Solutions has developed a cadre of core subject matter experts with deep experience within the industry, allowing us to readily organize resources around strategic issues, operational challenges and pertinent policy and regulatory changes.