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.

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

-Cal

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

Season’s Greetings from COPE Health SolutionsAs the year comes to a close, we’re grateful for the connections, collabora...
12/25/2025

Season’s Greetings from COPE Health Solutions

As the year comes to a close, we’re grateful for the connections, collaboration, and shared successes that shaped it. Thank you for being part of our journey.

Wishing you a joyful holiday season and a new year filled with continued growth, opportunity, and shared success.

Happy Holidays from all of us.

https://www.eco2greetings.com/ecard/6945b9d8aaeb5

Designing shared savings that truly work for your ACO is not just a finance exercise, it is a strategic decision that sh...
12/16/2025

Designing shared savings that truly work for your ACO is not just a finance exercise, it is a strategic decision that shapes how physicians and care teams show up.

Our new whitepaper, "Making Shared Savings Work: Six Strategic Decisions for ACO Incentive Design," walks ACO and health system leaders through:

🔷 Who gets paid first and why it matters for engagement
🔷 How to handle delayed CMS settlement and in flight incentives
🔷 When to evolve from participation focused payouts to performance driven models
🔷 Ways to reinvest savings in people, tools, and community focused initiatives

Use it to pressure test your current model or guide your next incentive redesign conversation with leadership and physician partners.

🔗 Download the whitepaper today and start designing smarter shared savings models: https://hubs.li/Q03Y4ky30

Today, the Health Care Transformation Task Force released two new resources highlighting how accountable care delivers m...
12/02/2025

Today, the Health Care Transformation Task Force released two new resources highlighting how accountable care delivers meaningful results:

1️⃣ The issue brief, co-developed with our firm, shows that Medicare Shared Savings Program ACOs who take on downside risk have better cost and quality outcomes. https://hubs.li/Q03WsJlk0
2️⃣ The policy brief offers recommendations to CMS and CMMI to support opportunities for ACOs to bear global risk. https://hubs.li/Q03WsVs30

Together, these resources provide a roadmap for accelerating accountable care transformation and improving outcomes for patients.

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