COPE Health Solutions

Happy Thanksgiving from COPE Health Solutions! Wishing everyone all the best for a peaceful and enjoyable holiday weekend with friends and family. We are deeply thankful this Thanksgiving for our talented and dedicated team, partners, and clients who are committed to improving health outcomes, quality and financial performance! For those of our colleagues, friends and family who are frontline health care heroes working shifts to care for our communities we especially thank you for your sacrifices of family and holiday time to ensure those who needed it have access to quality health care. Wishing all of you, your friends, colleagues and loved ones a holiday filled with gratitude, joy, and connection. #Thanksgiving #Gratitude #COPEHealthSolutions #ThankfulForYou

AHEAD is a voluntary total cost of care model targeting reductions in high cost care utilization while increasing investments in primary care. Read our key takeaways for hospitals and providers in those states that were awarded. Read the article by COPE Health Solutions experts John Brault, Steven Hefter, MPH and Allen Miller. https://lnkd.in/gZpPA__i #healthcare #AHEAD #NY1115Waiver #hospitals #providers

We’re Hiring for Nurse Practitioner / Physician Assistant roles in California and New York! Looking to hire ASAP ?? COPE Health Solutions is seeking a compassionate and experienced Nurse Practitioner (NP) / Physician Assistant (PA) to join our team. This role is pivotal in providing holistic, quality care to members enrolled in managed care plans and supporting our Community Health Worker (CHW) team. Key Responsibilities: ? Oversee and evaluate assessments completed by the CHW team. ? Provide patient-centered care to address Health Risk Social Needs gaps and close open care gaps. ? Re-engage members with primary care services to improve quality of life and reduce total cost of care. ? Collaborate across teams to deliver comprehensive care and support positive patient outcomes. Apply today and share your experience with us! ?? New York: https://lnkd.in/gBYiYr6D ?? Los Angeles, CA: https://lnkd.in/g-_RurEm ?? Monterey, Salinas, and Santa Rosa, CA: https://lnkd.in/gm-q5gkm #HealthcareJobs #NursePractitioner #PhysicianAssistant #CareManagement #COPEHealthSolutions #HiringNow

How might a new administration impact the Medicare landscape? With new policies expected from the Trump administration’s CMS, health plans must prepare for shifts likely to re-energize Medicare Advantage growth. Join John Wallace, Principal from COPE Health Solutions, and Nick Hutchins, SVP Revenue and Account Management from HealthAxis, on December 12 as they combine their expertise to share data-driven strategies, operational support models, and actionable steps that empower health plans to succeed in a more favorable policy environment, particularly as they expand their focus on Medicare Advantage and D-SNPs. Participants will learn how to: 1. Understand the potential impacts of potential 2025 policy changes, and why effectively managing Total Cost of Care (TOC) and Medical Loss Ratio (MLR), while staying focused on quality and clinical documentation, will be essential for success. 2. Leverage data and analytics to pinpoint cost-saving opportunities and support MLR improvement in value-based care models. 3. Optimize administrative and operational workflows to align with the potential growth in Medicare Advantage and D-SNP enrollments. 4. Strengthen care coordination and population health efforts to improve outcomes and reduce high-cost utilization, supporting TOC and MLR goals. ??Register today: https://lnkd.in/gEmQ3qqc #HealthPolicy #HealthcareLeaders #MedicareAdvantage #HealthPlans #MedicalLossRatio #PopulationHealth #ValueBasedCare #HealthCareAdministration #TotalCostOfCare #HealthcarePayers #ProfessionalDevelopment #FreeWebinar #HealthcareLeaders #Healthcare

We’re Hiring Patient Care Navigator roles in Los Angeles, Riverside, Monterey, and Salinas, CA! Join COPE Health Solutions as a Patient Care Navigator and make a direct impact on client health and well-being! In this role, you’ll: ? Provide telephonic and field-based case management for clients in the CALAIM Enhanced Care Management and Community Support Program. ? Be the main point of contact for clients, building strong relationships to help them stay engaged in care and adhere to their medications. ? Remove barriers to care by connecting clients with critical resources and guiding them through healthcare systems. ? Collaborate with a Care Team of doctors, nurses, and clinical staff to support positive client outcomes. Apply today to join our team: https://lnkd.in/g9nvr2jc #HealthcareJobs #CareNavigator #CALAIM #COPEHealthSolutions #HiringNow

How will the 2025 administration shift reshape Medicare Advantage? Join HealthAxis and COPE Health Solutions for an exclusive webinar, hosted by the Association for Community Affiliated Plans (ACAP), to explore actionable strategies for Proactive Cost Avoidance and MLR Optimization in your Medicare Advantage business. ?? Date: Thursday, December 12th ? Time: 2 - 3 PM ET With potential policy changes on the horizon, Medicare Advantage plans must prepare for shifts that could accelerate growth opportunities, particularly for Dual Eligible Special Needs Plans (D-SNPs). This webinar will equip you with the insights and tools to effectively manage Total Cost of Care (TOC), Medical Loss Ratio (MLR), and quality initiatives in this evolving environment. What You’ll Learn: ? How anticipated 2025 policy changes may impact Medicare Advantage and D-SNPs. ? Data-driven strategies for identifying cost-saving opportunities and improving MLR. ? Operational workflows that support scalable growth while optimizing outcomes. ? Strengthening care coordination and population health to reduce high-cost utilization. Featured Speakers: ?? Nicholas Hutchins – SVP, Revenue and Account Management, HealthAxis ?? John Wallace – Principal, COPE Health Solutions Open to all—no ACAP membership required! ?? Spots are limited, so reserve yours today: https://ow.ly/P0vB50UfgPZ #HealthAxis #COPEHealthSolutions #ACAP #HealthPolicy #HealthcareLeaders #MedicareAdvantage #HealthPlans #MedicalLossRatio #PopulationHealth #ValueBasedCare #HealthCareAdministration #TotalCostOfCare #HealthcarePayers #ProfessionalDevelopment #FreeWebinar #HealthcareLeaders #Healthcare

CITED is an incentive payment model available to Enhanced Care Management (ECM) and Community Supports (CS) providers which includes Federally Qualified Health Centers (FQHC), county and social services agencies, rural health clinics, and other community-based entities. Read this article written by Allison Blakemore, MPH and Evan King to understand the key elements of the CITED Model. https://lnkd.in/gy8-F_TH #healthcare #communitybasedentities #ECM #FQHCs

COPE Health Solutions is excited to announce the official launch of our New York City office! ??While we’ve proudly partnered with NY healthcare organizations for years, this new office strengthens our local presence and commitment to delivering innovative solutions that transform care delivery and payment. We’re thrilled to deepen our roots in the Big Apple ?? and look forward to continuing to make an impact on healthcare across NY, the northeast and nationally. #NYCOffice #HealthcareInnovation #COPEHealthSolutions #StrongerTogether

Read this month's Health Insights to stay on top of the groundbreaking news happening in healthcare! In this month’s issue, our experts: ? Outlined key considerations in the final round of the CITED model ? Highlight optimal approach for handling AHEAD Global Budgets ? Announce our partnership with University of Puget Sound on workforce development Any thoughts on these topics? Please comment below! https://lnkd.in/gD6JgrHR #healthcare #ACO #NY1115Waiver #MedicalAdvantage

Thinking About a Career in Healthcare? Let’s Talk! Join us for our next Virtual Information Session TODAY, November 20th at 6 PM PT, and learn how the COPE Health Scholars program can help you gain the experience and skills you need to succeed in healthcare! This session is perfect for: ? Pre-med students looking for hands-on clinical and administrative experience ? Future healthcare professionals seeking volunteer hours for medical or nursing school ? Individuals looking to pivot into a healthcare career What to expect: ? Learn about the program’s benefits and locations ? Hear about past students that have been through the program ? Get your questions answered live by our team! Don’t miss this opportunity to explore how COPE Health Scholars can help you achieve your goals. ??Save Your Spot Today: https://lnkd.in/gFznSU3V We can’t wait to see you there! #COPEHealthScholars #HealthcareCareers #FutureDoctors #ClinicalExperience #MedicalSchoolPrep