On planet health care

there are no passengers

we are all crew 

Meg and Melissa work with you to find better answers by helping you ask better questions.

We founded Coral Health Advisors to work with you to make our health care system better. After decades of experience leading transformation in population health and health policy, we are committed to bringing the best of those lessons learned to the process of continuously improving the ecosystem we all depend on for better health. We enjoy working on a wide variety of teams and projects to get to the root of strategic and operational challenges—finding a way forward or making one.

  • Meg Koepke, MHA, is a seasoned leader in both government and the private sector leading strategy and implementation of population health and value-based care improvement across Medicare, Medicaid and commercially insured populations. She started her career as care coordinator for a home intravenous infusion company serving patients with chronic and terminal illness where she learned early on how right care, right place, and right time are more dream than reality for many patients and their health coverage. Together with early experiences navigating care and treatment as a patient and family member, Meg developed a true north for continuously improving the link between health policy, strategy and operations. Her areas of expertise include CMS regulatory and payment policy, population health, value-based care model design, strategy and operations.

    From 2017-2023, Meg has worked in consulting roles within the health care industry, serving private and public sector clients with strategy and operations to support population health, alternative payment models, and patient engagement. Meg joined the CMS Center for Medicare and Medicaid Innovation (CMMI) in 2014, to lead the adaption and scale of alternative payment model tests of change in primary care, ACOs, Medicare-Medicaid integration, Medicare Advantage, and special population models. While there, Meg was a champion integrating care for dual eligible populations, increasing paths to accountable care for rural communities, and engaging stakeholders with on-the-ground experience in population health improvement to improve value-based care across all programs. Meg has an MHA from University of Minnesota School of Public Health.

  • Melissa Cohen, JD, MPA, has spent the last 15 years as a senior leader in both government and the private sector leading teams responsible for the design and implementation of alternative payment models in the Medicare, Medicaid, and Commercial insurance programs to improve patient care. She started her career as an attorney for hospitals and health systems and learned early on how fragmented care and lack of access leads to poor patient outcomes. This led her to pursue a career in health care policy, strategy and operations and she has not looked back. Her areas of expertise include CMS regulatory and payment policy, value-based care model design, strategy and operations and provider network contracting.

    From 2018-2021, Melissa was the Staff Vice President of Payment Innovation and Strategy at Anthem where she led value-based contracting including capitation and ACO models across all lines of business with a focus on provider enablement and alignment to product and benefit design. Melissa was one of the original staff of the CMS Center for Medicare and Medicaid Innovation (CMMI), joining at its inception in 2011. While there, she drove the design and implementation of payment models across the care continuum including ACOs, Episode Based Payments, and Value Based Insurance Design. In her last year at CMMI, Melissa was responsible for management of the Center’s 10-billion-dollar budget and investment portfolio as well as policy and implementation of the Quality Payment Program (QPP) as the Group Director of the Policy and Programs Group. Melissa has a JD from Fordham University School of Law, an MPA from the Harvard Kennedy School of Government and a Bachelor’s degree from the University of Pennsylvania.

Doing our part to improve our health care system

It doesn’t happen all at once. It takes time to become obsessed with improving policy, operations, patient engagement and health outcomes. The ecosystem that supports (or hinders) the care patients receive today wasn’t developed overnight, nor was our expertise. Across our careers we’ve often reflected on how the perspective built working in each sector of this industry, whether side by side with clinicians, in the government making policy, or running alternative payment models (APMs) in managed care and commercial payers makes the next work product – a strategic plan, public policy, or APM - that much better.  We are committed to leveraging decades of experience on the ground, to help you better understand the health care ecosystem and how to move your organization forward to produce better results for patients.