Licensure and Compliance

Ensuring full compliance while continuing to innovate.

Expanding oversight through health reform combined with an increase in regulatory requirements within government programs equates to increased risk in remaining compliant. Helping protect your operational efficiency while allowing you to meet your strategic and financial goals remains a fundamental driving force for our Licensure and Compliance services.

Our team at COPE Health Solutions has deep expertise in regulatory, financial, risk contracting and operational mechanics to health plans and delegated providers. Our experts have published national regulations, crafted compliance systems, conducted audits and overseen corrective action plans for capitated and delegated providers.

 

Our Approach

• PMO services to help new health plans navigate and successfully secure licensure
• Advisory services on standing up health plan operational mechanics that meet regulatory requirements
• In-depth assessments of current plan operations to identify regulatory shortfalls and enhanced compliance effectiveness through detail corrective action plans