By taking on medical management but leaving claims administration with plans, physician groups can be hamstrung by redacted information designed to protect rate confidentiality. A data analytics partner can overcome this hurdle.

Read the article by Tom Dougherty, FACHE and Andrew Snyder, MD

COPE Health Solutions and its Analytics for Risk Contracting, LLC (ARC) subsidiary have launched the first health analytics platform and solutions that integrate a health care organization’s claims, electronic health records, lab, social determinants and other data with CareJourney’s suite of cost and utilization benchmarks derived from Medicare and Medicaid datasets.

Four Levers for Fixing Prior Authorization: Our Expert Comments to HHS

As the federal government considers electronic standards for prior authorization, COPE Health Solutions submitted recommendations designed to ease administrative burdens and improve patient care.

Read the article by Jerry Frank, MD and Lesley Reeder, RN