December 2015
In this issue:


Thank you from
COPE Health Solutions' Executive Team and
Board of Directors
As 2015 comes to a close, we would like to take this time to thank our clients, partners and friends for your continued support. While this year was filled with growth, there’s so much more to be done as we work together to improve access and quality for patients.  Next year, we look forward to transforming care and making a difference in our communities with you, our valued partners. All the very best wishes to you and yours for an enjoyable holiday season and for a healthy, happy and successful 2016!

How COPE Health Solutions is Transforming Health Care

Year in Review
Author: Allen Miller, CEO

What a year 2015 has been for those of us living in the high pressure and constantly changing world of health care! Like teenagers, we have a new set of very popular jargon. If we used hashtags, #populationhealth, #caremanagement, #valuebasedcontracting, #jointventure and #consolidation would be trending. 

Our team has identified 10 critical success factors for those providers and communities who are committed to elevating the health and wellness of their community and ensuring financial sustainability through the development of not just an integrated delivery network but a true wellness network in 2016 and the next decade:

  1. A clear vision and strategic plan
  2. Commitment to all lines of business and success through more covered members 
  3. Alignment of incentives through value-based contracting 
  4. Comprehensive care coordination model 
  5. Accessible, up-to-date and actionable member information 
  6. Deep understanding of the social determinants of health 
  7. Comprehensive network development and refinement 
  8. Re-envisioning the roles of hospitals and other traditional acute care facilities 
  9. Talent pipeline and training programs 
  10. Operational excellence across the continuum
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Lessons for Launching a Project Management Office (PMO) to Support DSRIP Implementation

    Authors: Tammy Liu, Consultant and Michael Hunter, Vice President

The Delivery System Reform Incentive Payment (DSRIP) program is a key element of many 1115 Medicaid demonstration waivers that have been approved in eight states. It is designed to achieve the Triple Aim by incentivizing health care providers to increase access to care and improve population health outcomes for low-income patients. Participating health care organizations must achieve prescribed milestones and clinical outcomes for a suite of projects to draw down federal dollars that require a deliberate, strategic and coordinated effort across various stakeholders...

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Leveraging Health Care Talent Pipelines for DSRIP Success

   Authors: Henna Zaidi, Senior Consultant

Implementing a successful Delivery System Reform Incentive Project (DSRIP), or any delivery system redesign initiative, can be challenging, but overcoming those challenges can reap great reward. Organizations are often overwhelmed when planning DSRIP projects and ensuring such projects are aligned with broader population health management goals. Care management resources are often limited, resulting in focused interventions on high-risk populations that unintentionally neglect the needs of lower-risk patients....

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Developing a Data Sharing Roadmap through the NY DSRIP Program

    Authors: Ragini Sarma, Senior Consultant, COPE Health Solutions and Donny Patel, Director of Interoperability, Mount Sinai Health System

The transformative New York State five-year Delivery System Reform Incentive Payment (DSRIP) Program, part of New York’s 1115 Medicaid Waiver, requires organizations across the State to create regional provider networks called Performing Provider Systems (PPSs) that will coordinate care to manage the health of the Medicaid population in their respective regions. At its core, DSRIP is designed to move these PPSs over time towards value based care, where providers are rewarded for the quality of care rather than quantity of care through incentive dollars. ...

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About Us

COPE Health Solutions provides our clients with the tools, services and advice they need to be leaders in the health care industry. Focusing on all aspects of strategy, population health management, Medicaid waivers, and workforce development, we help drive our clients' success every step of the way.

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