COPE Health Solutions

COPE Health Solutions COPE Health Solutions provides our clients with the tools, services and advice they need to be leaders in value based payment and in the health care industry.

COPE Health Solutions partners with our clients to help them achieve visionary, market relevant health solutions. We focus on all aspects of strategy, population health management, CMS demonstrations, DSRIP and workforce development for clients across the health care continuum, including hospitals, health systems, physician organizations and health plans. Our multidisciplinary team of health care experts provides our clients with the tools, services and advice they need to plan for, design, implement and support successful operations in a challenging and rapidly evolving health care environment.

Today we take tine to honor and remember those who made the ultimate sacrifice through our armed services to protect our...
05/25/2026

Today we take tine to honor and remember those who made the ultimate sacrifice through our armed services to protect our great country, our people and our allies.

Thank you families of those who gave everything while stepping up to protect our cherished families and freedoms.

Health plan leaders: are you ready for 2026?Shifting policies, tighter margins, and tech modernization pressures mean pr...
02/11/2026

Health plan leaders: are you ready for 2026?

Shifting policies, tighter margins, and tech modernization pressures mean predicting the future isn’t enough—you need a clear path forward.

Join experts from COPE Health Solutions, HealthAxis, and Sheppard to learn how to:

✅ Navigate the 2026 policy horizon, including Medicare Advantage, Medicaid, and ACA updates
✅ Protect margins and grow membership with strategic risk-sharing
✅ Modernize operations with technology that anticipates change

This session is designed for health plan executives, directors, and operations leaders ready to turn uncertainty into informed action.

📅 Register now and prepare your plan for what’s ahead.

https://hubs.li/Q042LG860

CMS is launching LEAD, a voluntary ACO program (2027–2036) designed to support both experienced and new organizations. L...
02/04/2026

CMS is launching LEAD, a voluntary ACO program (2027–2036) designed to support both experienced and new organizations. LEAD offers no benchmark rebasing, hybrid alignment, expanded capitation options for specialists, and high-needs beneficiary integration. Smaller, rural, and independent providers can benefit from advanced payments and administrative support, while experienced ACOs gain tools for long-term financial stability and network growth.

Applications open early spring 2026.

Learn more today: https://hubs.li/Q041SgQ50

Texas’ rural health is entering a new era.With the launch of the federal Rural Health Transformation (RHT) program and T...
01/15/2026

Texas’ rural health is entering a new era.

With the launch of the federal Rural Health Transformation (RHT) program and Texas receiving the largest allocation nationally the conversation is shifting from whether funding exists to whether organizations are positioned to meet new accountability and performance expectations.

We recently published a short article that breaks down:
• What Rural Health Transformation means for Texas
• How the state’s Rural Texas Strong strategy is structured
• Implications for rural hospitals, FQHCs, clinics, and other health providers
• How RHT aligns with Medicaid Directed Payment Programs and emerging federal models like ACCESS and LEAD
• What stakeholders can do now to prepare

If you work in rural health, population health, or value-based care, this is a moment worth paying attention to.

Read the full article here: https://hubs.li/Q03_0p4N0

New York is entering a new era of rural health care transformation.New York is slated to receive $212 million in 2026 th...
01/15/2026

New York is entering a new era of rural health care transformation.

New York is slated to receive $212 million in 2026 through RHT to support rural health system stabilization, infrastructure investment, and long-term transformation. This investment signals a meaningful shift in how rural care is financed and positioned for future value-based accountability.

In the article below our team of experts assessed how New York’s RHT strategy aligns with complementary federal and state initiatives including ACCESS, LEAD/MSSP, and the NYS Safety Net Transformation Program and what this means for Safety-Net hospitals, FQHCs, RHCs, and provider partners operating in the state.

Read the full article here: https://hubs.li/Q03_0qqd0

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California is entering a new era of rural health care transformation.With the launch of the federal Rural Health Transfo...
01/15/2026

California is entering a new era of rural health care transformation.

With the launch of the federal Rural Health Transformation (RHT) Program alongside ACCESS, LEAD ACO, TEAM, and CalAIM. the state is moving from fragmented rural access toward regional, coordinated care networks that strengthen workforce capacity, enhance technology and data capabilities, and improve outcomes for complex Medicare and Medi-Cal populations.

Our team of experts have written a brief article outlining what this shift means for rural hospitals, FQHCs, clinics, and community partners, how these models align, and what organizations should be doing now to prepare.

Read the full article here: https://hubs.li/Q03_0rQK0

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Over the last 30 days, CMS released several major policy and payment model updates — many with far-reaching implications...
01/15/2026

Over the last 30 days, CMS released several major policy and payment model updates — many with far-reaching implications for providers nationwide as we head into 2026–2027.

In our latest thought leadership article, we break down three of the most consequential developments reshaping value-based care across all lines of business:

• LEAD ACO Model
• ACCESS Model
• Rural Health Transformation Program

Together, these programs signal a clear shift toward long-term accountability, outcome-based payment, technology-enabled care, and more integrated care coordination.

The next 6-12 months represent a critical inflection point for providers to begin planning investments, partnerships, and participation strategies for what comes next.

Read the full article to explore how these models are designed, how they intersect, and how your organization can begin preparing now.

https://hubs.li/Q03_0nr80

California providers planning for value-based success in 2026 and 2027 should keep a close eye on what is next for Medi-...
01/05/2026

California providers planning for value-based success in 2026 and 2027 should keep a close eye on what is next for Medi-Cal eligibility.

OBBA (H.R. 1) introduces the biggest shift in Medicaid eligibility processes since the ACA, including semiannual renewals for expansion adults and monthly work or community engagement verification requirements. These changes take effect in January 2027, with major implementation milestones through December 31, 2026.

In our new article, Garret Tedesco and Steven Odom break down what is changing, the operational ripple effects, and a readiness framework to reduce avoidable coverage loss and protect continuity of care.

Read it here: https://hubs.li/Q03ZrtVf0

DHCS has awarded $145.5M in the final PATH CITED funding round—but awardees face a shortened timeline and detailed repor...
12/30/2025

DHCS has awarded $145.5M in the final PATH CITED funding round—but awardees face a shortened timeline and detailed reporting requirements.

Our latest article outlines what’s different in Round 4 and how providers can prepare to maximize this final investment.
Read the full breakdown: https://hubs.li/Q03Zf0fw0

CMS has announced the Long-term Enhanced ACO Design (LEAD) Model, a 10-year voluntary program that builds on lessons fro...
12/30/2025

CMS has announced the Long-term Enhanced ACO Design (LEAD) Model, a 10-year voluntary program that builds on lessons from ACO REACH and PC Flex—this time with more stability, flexibility, and runway for participating providers

For independent practices, FQHCs, RHCs, and organizations serving high-needs populations, LEAD could remove many of the barriers that previously kept sone providers on the sidelines.

Our latest article breaks down:

• How LEAD improves on PC Flex
• What makes the 10-year structure a game changer
• Key features, timelines, and open questions
• What providers should be doing now to prepare

Read the full article: https://hubs.li/Q03Z9sHL0

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