January 2016
In this issue:
In the January 2016 edition of the COPE Monthly Digest, we examine the role of Medicaid Waiver transformation projects in transforming the core strategic and business planning framework of health care organizations, delve into value-based payments in New York DSRIP, share best practices of the New York state DSRIP performance-based contracting and funds flow from PPS to providers, and offer strategies on building effective leadership in a transitory workforce culture. We’re here to empower you with the knowledge and tools to transform health care for tomorrow.

How COPE Health Solutions is Transforming Health Care

The role of Medicaid Waiver transformation projects in transforming the core strategic and business planning framework of health care organizations

       Authors: Sajid Sindha, Vice President and Allen Miller, CEO

Across the United States over the last 10 years, 1115 Medicaid Waiver projects -- initially known as Delivery System Reform Incentive Payments (DSRIP) projects -- are driving health care transformation on a large scale in California, Texas and New York with other states such as Washington preparing to launch. These waiver-funded projects represent an unprecedented targeted investment in the statewide and local level health care delivery system by funding projects to improve the quality of care,...

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New York State DSRIP Performance-Based Contracting and Funds Flow from PPS to Providers: Phased Approach and Other Best Practices

   Author: Margarita Gardea, Senior Consultant

In April 2014, New York State finalized the terms and conditions of the Medicaid 1115 Waiver, which allows the state to reinvest approximately $8 billion generated in savings from the Medicaid Redesign Team (MRT) reforms across a five-year period. Part of these efforts is the Delivery System Reform Incentive Payment (DSRIP) program,...

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Value-Based Payments in New York DSRIP

       Authors: Wren Keber, MBA, Vice President and Lindsey Wallace, MHA, Senior Consultant

As the healthcare industry continues to implement many aspects of the Accountable Care Act (ACA), much of the focus is on payment reform. One of the most commonly utilized terms about payment reform is value-based payments (VBP). As an umbrella term, VBPs can cover a wide range of payment mechanisms that are being employed by government payers and health plans nationwide. Just as we say healthcare is local, we also can say that payment mechanisms are local. Different regions of the country are experimenting with varied payment reforms, most of which have a value-based component. ...

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Normalizing Transition: Building Effective Leadership in a Transitory Workforce Culture

  Joshua Blagaila, Consultant

This is the age of transitory labor. The most recent labor statistics on employee tenure indicate that the average worker will spend 4.6 years in one position. Over a series of 10 years, those engaged in “healthcare support occupations” average 3.2 years, and those identified as “healthcare practitioners and technical occupations” average 4.9 years. In a climate of economic growth, we can expect even higher turnover rates as people who stayed in hospitals and clinics during the Great Recession will start to look for greener pastures....

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Team Member Spotlight

Dawn Johnson, Vice President

Dawn Johnson joined COPE Health Solutions in January 2016 as Vice President, responsible for developing and growing our care coordination offering line of business. This line of business will support both the consulting and HCTI clients and programs. Dawn is a masters-prepared registered nurse with a diverse background in clinical care, health policy and consulting. With more than 20 years of professional healthcare industry experience spanning both the public and private sectors...

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Join COPE Health Solutions as we look to connect with health care leaders and organizations in the Tristate (New York, New Jersey and Connecticut) area and reconnect with our COPE Health Solutions, Clinical Care Extender and Health Scholar alumni. We look forward to meeting you, having you meet fellow alumni and working together to develop opportunities for ongoing professional growth and networking to propel professional development and career paths! 

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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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Editor: Natalie Chau

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