COPE Health Solutions

CMS’ Geographic Direct Contracting program should sound a warning bell for provider organizations wavering on whether to enter into #valuebasedpayments arrangements. Read this article by Allen Miller and Andrew Snyder, MD to learn of the impact the Geographic Direct Contracting model may have on your organization and whether it is a good fit for you. http://ow.ly/gF1j50CG4rf ... #copehealthsolutions #healthcare #medicaredirectcontracting #medicare #populationhealth

It’s an honor to count among our COPE Health Scholars alumni, some of the best leaders and thinkers in #healthcare. Tune into Allen Miller’s interview with Dr. Efrain Talamantes, Chief Operating Officer, AltaMed Health Services. As an alumnus of our programs, Dr. Talamantes shares his career experiences and his views on the future of healthcare #workforcedevelopment, #populationhealth, and other industry topics. https://youtu.be/mgxfBXNQiBU #copehealthsolutions #altamed #copehealthscholars #hospitals

We are pleased to announce our newest Consulting team Vice President: Ronda Hefton, RN, MSN, MBA. Ronda is deeply expert in population health management, care models, value based payment and physician alignment. Recently she advised a start-up multi-state health plan and has facilitated clinical, governance, organizational, quality, contracting and network operation advisory services related to the development and operation of successful clinically integrated #healthcare programs and networks nationally. Learn more about Ronda’s leadership and expertise. http://ow.ly/idvb50BSH2B #copehealthsolutions #providers #healthsystems #hospitals #populationhealth #leadership #healthplans

CMS launched #MedicareDirectContracting (MDC) in 2019, giving #providers and payers an opportunity to take risk and manage #populationhealth for #Medicare fee-for-service (FFS) beneficiaries. Although the program builds on existing features of accountable care organization (ACO) models, payments under MDC will be based on partial or full capitation. To participate in the MDC program, organizations must establish a legal entity called a Direct Contracting Entity (DCE). Our exp...erts can help you decide if MDC is right for you, assess your readiness and collaborate with you to ensure success. Learn all about these updates by reading our fact sheet: http://ow.ly/EuGG50CjavI #copehealthsolutions #healthcare #valuebasedpayment #managedcare

The #covid19 pandemic has created a barrier to #healthcare at a magnitude the likes of which our industry has never seen. Many patients are terrified to receive care in traditional health care settings. Health care providers and organizations need to pivot from virtual shutdown to reopen and provide vital care to patients. To accomplish this, providers need to create and communicate that their brick and mortar settings are safe. Read this article featured in Healthcare News... and written by #copehealthsolutions Principal, Tom Dougherty, MBA, FACHE and Senior Vice President, Elizabeth DuBois, DNP, MSN, FNP-BC, AAHIVS to learn the steps providers should consider during the process of reopening. http://ow.ly/8Po950At2B1 #healthsystems #physicians #hospitals #clinicians #publichealth

The disruption to #healthcare caused by #covid19 has hit and shifted fee-for-service (FFS) primary care, with volumes plummeting, taking cash and revenues with it. Physician compensation models determine the contours of care delivery; financial sustainability and regulatory compliance set the guardrails within which care models are designed and in turn optimized. The question of compensation must be addressed such that #physicians can provide the best care they can afford to ...offer. Read this article written by Shanah Tirado and Andrew Snyder, MD FAAP to learn of the opportunities presented in physician compensation models. http://ow.ly/8aX550BMC64 #copehealthsolutions #populationhealth #valuebasedpayment

Cindy Ehnes, Esq, Principal, COPE Health Solutions, was recently quoted in an LA Times article highlighting the importance of #healthcare workers and specialists during a time of urgency. Read this article to view Cindy’s thoughts and to understand the situation LA’s poorest patients face while enduring long delays. http://ow.ly/88D350BKl2B #copehealthsolutions #covid19 #hospitals #clinics #healthsystems #patientcare

CMS’s new CHART model aims to reduce disparities and drive payment transformation in rural communities. 15 Lead Organizations will be selected for the Community Transformation Track (one of the two tracks of the model). With up to $5 million in funding available to each Lead Organization, the Community Transformation Track serves as a great opportunity to fund community-wide efforts to embrace value based payment models across multiple lines of business. Interested in applyin...g? Take a look at this article featured in Healthcare News and written by COPE Health Solutions team members, Shanah Tirado, Manager, and Allen Miller, CEO, to learn about the five questions applicants should consider. http://ow.ly/LaVA50BKl1N #copehealthsolutions #healthcare #providers #healthsystems #populationhealth #valuebasedpayment

How can the #healthcare system adapt to take care of the vulnerable members of our society without endangering and exposing them to #covid19? How do we manage the many individuals who will contract the virus but have symptoms that are treatable at home? How can we help to stop the spread by preventing avoidable utilization and reserving capacity for those who critically need it? Read this article by Andrew Snyder, MD, and Shanah Tirado, Manager to learn about #telehealth. h...ttp://ow.ly/uQWA50BExWu #copehealthsolutions #providers #healthsystems #hospitals #populationhealth #remotepatientcare

The #covid-19 pandemic has deeply impacted the entire health care industry and forced #healthcare #providers and #hospitals to make major operational and strategy changes. Read this article by Allen Miller, CEO, and Shanah Tirado, Manager, to learn about the five changes that #healthplans must adapt to in order to maintain or improve current market position and network viability. http://ow.ly/pwab50BExRu... #copehealthsolutions #healthsystems #populationhealth #remotepatientcare

As the drive for #valuebasedpayment grows from both CMS and employers as well as some state #Medicaid agencies, #providers and #payers are weighing their options for building, buying or partnering to gain access to the management service organization (MSO) services needed to meet their VBP and #populationhealth management objectives. Developing the right build, buy or partnership MSO strategy for your organization is a key step on the roadmap to successful VBP transformation.... Many are already struggling against the financial impacts of #covid19, and because of the capital investment required and the vast diversity of MSO offerings, it is critical to understand the network need, scope and associated costs prior to building or purchasing MSO services. Learn more about MSOs in this article by Allen Miller, Principal & CEO. http://ow.ly/lH4N50BxbQl #copehealthsolutions #healthcare #healthsystems #hospital

Shanah Tirado is a Manager at COPE Health Solutions who brings a community-based perspective to her work. With emphasis on social determinants of health, disparity reduction and integration of community based organizations into networks and care models, she is able to improve quality and reduce costs for impacted communities. After graduating from Yale University, Shanah began her career as a paralegal and patient navigator for low income New Yorkers where she generated posit...ive impacts by developing a workflow that accelerated case management for terminally ill and high-risk patients. Shanah would later implement her expertise at the Health Industries Advisory practice of PricewaterhouseCoopers and IBM, among others. Learn more about the positive changes Shanah's bringing to the #healthcare industry: http://ow.ly/3Yca50Bx8cM #copehealthsolutions #healthcare #providers #healthsystems #hospitals #populationhealth #leadership

To thrive in the #covid-19 climate today means to build a strong #Medicare advantage network. The Health Plan, a not-for-profit health plan serving 280,000 members, engaged COPE Health Solutions to grow their network. Learn about how we were able to grow The Health Plan’s network by 3,000 providers including key large #healthsystem contracts with outsize impact on network adequacy within a 6-month time-frame. http://ow.ly/oKm850Bx4T1... #healthcare #providers #hospitals #populationhealth #valuebasedpayment

The #covid-19 pandemic has spurred rapid implementation of virtual health across the country. However, with the seemingly proliferation of telehealth overnight, how do organizations strategically integrate telehealth and remote patient monitoring into their care management model while ensuring these strategies and platforms are scalable and sustainable? What are some common challenges and critical success factors related to both people (physicians and patients) and processes ...(operations)? On September 21st, Robert Blair, Chief Administrative Officer at Kaiser Permanente Riverside tackled these issues along with team members Andrew Snyder, MD, Principal & Chief Medical Officer, Ronda Hefton, RN, Vice President and Allen Miller, Principal & Chief Executive Officer. If you missed the webinar, you can watch the recording: http://ow.ly/J9oI50Bycwp #copehealthsolutions #healthcare #providers #healthsystems #hospitals #populationhealth #valuebasedpayment #remotepatientcare #kp_riverside

Academic Medical Centers (AMCs), for the large part, are late to the #populationhealth game and have been playing catch-up. Though uniquely innovative and focused on both clinical care and research, AMCs are challenged by systemic obstacles that make transformations difficult as change requires new levels of collaboration across the entire organization. Simply put, changing a delivery system while successfully sustaining operations within some of the most complex institutions... in the country is a complex transition. Transitioning an AMC’s #healthcare delivery model requires a well-planned and well-paced strategy to simultaneously and synergistically impact the underlying business and clinical models. Learn more about the five major hurdles AMCs face by reading this article written by Andrew Snyder, MD and Sarin Khachatourians. http://ow.ly/Am8h50BrG8P #copehealthsolutions #healthsystems #strategicplanning #managedcare

At COPE Health Solutions, leaders, such as Vice President Elizabeth DuBois, DNP, FNP-BC, AAHIVS, take the #initiative to bring about positive change in health care and our communities. Elizabeth launched a number of innovative projects as Deputy Chief Medical Officer at Community Healthcare Network, including the initiation of the first primary care and community psychiatric nurse practitioner (NP) fellowships in New York State (NYS) as well as working with organizations thro...ughout NYS to improve workforce practices. These experiences have contributed to her deep #healthcare industry expertise and enriched the added value she brings to clients. She holds a Doctorate of Nursing Practice, concentrating on leadership, education and research applications to practice, from Yale University and a Master’s of Science from Columbia University and is board certified as a Family NP and an American Academy of HIV Specialist. Currently, she is working to build health care workforce programs for #hospitals, #medicalgroups and #healthsystems throughout the country with #copehealthscholars and innovative workforce partnerships. Read more about Elizabeth’s journey in health care: http://ow.ly/IyVO50BrFCJ

The #healthcare industry has seen an overall shift towards value-based care. This trend coupled with the current state of the world makes it all the more urgent to ensure that Medicaid and other vulnerable populations have access to the right care at the right place and at the right time. Public #hospitals and #healthsystems have a commitment to provide access to care for the most vulnerable populations, including the uninsured and underinsured. Find out how you can become le...aders of a network of choice through engagement of private providers and CBOs in value-based payment arrangements that add value to #healthplans in this article written by Allen Miller. http://ow.ly/7ejY50BrG0A #copehealthsolutions #populationhealth #managedcare #hospitals