CMS & State Demonstrations Solutions

We have unparalleled national experience in translating state and federal programs (e.g. Section 1115 Medicaid waivers) into manageable initiatives that align with overall health system strategy that take full advantage of the opportunity, ensuring maximum program payments and leveraging the programs for the future.

COPE Health Solutions evaluates, balances and integrates strategies to succeed in federal and state programs alongside core organizational objectives. Our team has unmatched national experience designing, applying for and implementing state and federal waiver and demonstration programs. Having led pioneering approaches in multiple states for Medicaid waivers, we strive to position our clients as statewide models for innovation while balancing the need to achieve success per regulatory guidelines to maximize the opportunity. This enables the health system to further invest in population health infrastructure and transformation that will serve them in all payor strategies and value-based payment arrangements.

We are experts in:

• Medicare Next Generation and Shared Savings Program ACOs
• 1115 Medicaid transformation waiver programs, unparalleled experience with DSRIP, PRIME and related programs
• PACE and LTSS programs

 

Services in CMS & State Demonstrations Solutions include:

• ACOs
• State Medicaid and Other Waiver Programs