Your Partner to Improve Quality and Financial Performance

 

Health Insights
There can be significant conflict when it comes to designing and implementing a utilization management program. By rethinking utilization management, payers can streamline all phases—prospective, concurrent and retrospective—to make it more effective and cost-efficient for themselves and for providers.
Read the article by Jerry Frank, MD and Lesley Reeder
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Care management models mostly work around providers instead of with them. Succeeding at value-based care and payments depends on rebuilding care management to integrate and optimize providers..
Read the article by Yomi Ajao and
Carlene Zincke
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The failure to appropriately compensate primary care physicians for managing populations and total cost of care remains a major obstacle to transforming care delivery, costs, and revenues.
Read the article by Andrew Snyder, MD and
Yomi Ajao
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About COPE Health Solutions
COPE Health Solutions is a national mission-driven consulting firm that partners with health systems and payers to develop and implement comprehensive population health management, data analytics and workforce development strategies.
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