Payer Strategy Solutions

COPE Health Solutions helps providers and payers by identifying and implementing the solutions needed to reform their payment systems and determine their readiness to succeed in a value-based payment environment. This includes helping organizations develop value-based and risk transfer arrangements, optimize their revenue from their managed care contracts and provide solutions specific to developing their network.

Services in Payer Strategy include:

• Value-based and Risk Transfer Payment Arrangements
• Managed Care / Risk Readiness Gap Assessment
• Managed Care Contract Revenue Optimization
• Health Plan Advisory
• Licensure and Compliance

We assess readiness for population health management and help organizations determine the appropriate level of risk arrangements. We guide health systems through the process of understanding and evaluating their populations, current managed care arrangements and system capabilities to determine the best-fit opportunities to achieve greater financial integration with payers and providers while right-sizing their population health infrastructures.

COPE Health Solutions’ brings national expertise and perspective to assist organizations in their journey from fee-for-service (FFS) to value-driven care, enabling them to better understand and prepare for a risk based environment. Our solutions help health systems improve margins for both FFS and managed care risk contracts. Our team of experts have a deep understanding of the available financial integration options and are able to develop system-level and provider value propositions to achieve greater financial integration.