Technology and expertise to power better outcomes

Powering High-Value Care and End-to-End Performance

By transforming fragmented data into intelligent, actionable workflows we enable payers and providers to dramatically improve quality, control costs, and achieve sustainable, predictable financial performance. We combine deep clinical and operational healthcare expertise with our powerful ARC platform and workflow engine to drive end-to-end, value-based performance.

Trusted by health plans, provider groups, and health systems for over 20 years.

OUR SOLUTIONS AND PLATFORM

COPE Health Solutions

As a national, technology-enabled leader in value-based performance, we equip payers and providers with the expertise, technology, and operational infrastructure to reduce total cost of care, drive clinical improvement, and achieve sustainable financial performance. The combination of deep clinical, operational, and analytics expertise with scalable workflows and actionable insights, enables healthcare organizations to turn disparate data into coordinated action and measurable results across the care continuum.

For Providers

Full enablement to power performance from strategy to implementation to ongoing success.

We equip providers with the expertise, data, platform, and complete operational coverage to succeed in value-based care, improve quality and maximize financial upside.

For Health Plans

One partner. Less fragmentation. Lower costs.

Our fully integrated, end-to-end solution drives complete operational alignment across clinical, administrative, and financial performance.

State and Federal Programs

Navigate complex Medicaid, Medicare, and multi-agency programs with confidence and operational readiness.

ARC Platform

A single technology platform that transforms fragmented data into intelligent, actionable workflows across clinical, financial, and administrative domains.

Meet ARCI

Unveiling ARCi™, an Agentic AI Suite Built to Improve Quality, Strengthen Financial Performance, and Modernize Member Engagement

ARCi AI agents augment your care teams to reduce burden and create scale by automating routine tasks across the care continuum, allowing staff to focus on higher-value work without adding headcount.

ARC Platform

Transforming Fragmented Data Into Intelligent, Actionable Workflows

Analytics for Risk Contracting (ARC) turns fragmented data into clear performance insights and actions, helping organizations improve care coordination, risk adjustment accuracy, utilization management, and contract performance.

ARC
the choice

Why COPE Health Solutions?

We go beyond advisory services, point solutions, and data dashboards to unlock performance at scale. Our flexible partnership models meet you where you are in your journey to value-based care and accelerate your progress to improved outcomes, lower costs, and measurably improve performance.

Unmatched Expertise

Deep subject matter expertise grounded in years of hands-on experience with FQHCs, risk-bearing providers, health systems, and payers delivering strategy that aligns with regulatory expectations and real-world operations.

Flexible Partnership Models

Partnership models that can be adapted to your unique needs and accelerate your path to performance in risk arrangements.

Proven Track Record

More than two decades of strong client referrals and long-term partnerships built on consistent delivery, transparent communication, and measurable results.

Unified Platform Purpose-Built for Performance

Quality and cost performance improvement, financial management, network management, contracting, and care management – simplified – and all in one place.

Strategic Alliances

Channel Partners We Work With

Aon +
COPE Health Solutions

COPE Health Solutions has partnered with Aon to de-risk and improve performance in advanced risk arrangements. COPE Health Solutions provides health plan, IPA, CIN and other risk vehicle build, restructuring, optimization, interim management advisory/implementation and our Analytics for Risk Contracting data analytics and reporting platform with pop health EDW services alongside Aon’s re-insurance and stop-loss solutions.

HealthAxis +
COPE Health Solutions

COPE Health Solutions and HealthAxis collaborate to blend end-to-end BPaaS with advanced population health analytics to help mid-market plans cut operational strain, boost visibility across their member populations, and scale with confidence. Less time fighting fires, more time improving outcomes.

Client Success

Chosen by Leaders Who Bet on Results

Healthcare leaders across the country partner with COPE Health Solutions to strengthen performance, scale impact, and drive measurable outcomes.

The COPE Health Solutions analytics platform, Analytics for Risk Contracting (ARC), has allowed us to effectively manage our VBP contracts and helps us achieve significant savings below the MLR targets.
Jing Shui
Chief Strategy Officer
CAIPA, Inc.
COPE Health Solutions has been an exceptional partner in helping us navigate and succeed in our value-based payment contracts. The ARC platform has provided our organization with the clarity and insights needed to identify key performance drivers, negotiate improved contract terms, and drive measurable improvements in patient outcomes and financial performance.
Meghann Hardesty
Chief of Value-Based Strategy
Sun River Health
We needed a TPA partner who understood the operational complexities of Medicare Advantage and could implement quickly and seamlessly. The COPE Health Solutions platform and wraparound managed services enabled us to streamline workflows, maintain compliance, and improve execution.
Stephen Cindrich
President
Aspirus Health Plan
Insights

Helping Healthcare Leaders Navigate a Rapidly Evolving Healthcare Landscape

Browse our library of latest thinking for insights and analysis to guide your value-based care and population health management strategy.