Value-Based & Managed Care Contracting
At the center of every healthcare model is the patient. Healthcare organizations strive to provide better and more streamlined levels of care by engaging in value-based models and contracting with payors based on the value they add.
FORVIS helps you achieve your full potential by unlocking value, efficiency, and quality while overcoming the challenges that stand between the current and future state of your organization.
Our seasoned professionals will work alongside you to build relationships between physicians and payors, assist in transitioning to value-based care models, and provide actionable insights for your healthcare organization to promote excellence and drive financial improvement.
We can help guide you through:
- ACO, Medicare Shared Savings Plan, & Total Cost of Care
- Clinical Operations
- Episodes of Care
- Managed Care Contracting
- Price Transparency
- Rate Benchmarking
- Strategic Pricing
Financial Reporting & Modeling
When embarking on opportunities for new revenue streams, exploring start-ups, or expanding your influence of care---it's crucial to make decisions backed by accurate and forward-looking data.
To help you make informed and rapid decisions, we provide in-depth market analysis to indicate future demand for existing and planned services.
Our professionals provide sophisticated and reliable financial modeling services that can help you tackle financial decisions head-on, so you can invest in the future and focus on providing value-based and efficient care to your community.
- Prospective Reporting & Feasibility Studies – Plan for and finance your future by analyzing the demand for your current and upcoming services.
- Financial System Enhancement – If a system change is the way forward, we work with you side-by-side to help with decision making and implementation.
- Dynamic Financial Modeling – We’ll work with you to prepare financial plans to simplify your decision-making process during strategic planning.
- Debt Covenant Management – Providing assistance for bond and loan covenant compliance, income available for debt service ratio, financial improvement, and consultant’s report.
- Research & Consulting – We examine the competitive and regulatory landscape and calculate penetration rates to show the demand for your proposed services.
Strategy & Network Development
Healthcare leaders are tasked with growing their organizations, serving their patients and communities, and aligning themselves with stakeholders across the care delivery system.
We have helped healthcare providers nationwide implement their long-term goals. We have found that the key to achieving success—while maintaining financial sustainability—is a strong strategic vision that can see through the evolving nature of our industry.
In any strategic plan, collaboration is the key to success, which is why we prioritize collaboration in every engagement. We work alongside stakeholders at every level of your organization from providers, clinicians, and administrators so that when it comes time to make strategic changes, the transformation goes smoothly.
From innovative targeted payment model approaches and grounded change strategies to broad enterprise planning, affiliations, and decision-making, we empower clients to envision their own unique opportunities, drive sustainable results, and enact lasting change.
- Strategic Planning – FORVIS helps facilitate the strategic planning process by coordinating stakeholder participation at all levels while guiding the transformational thinking required in today’s healthcare environment.
- Mergers, Acquisitions, Affiliations, & Partnerships – We help you evaluate your network design and service line strategy to effectively grow and compete in the changing healthcare landscape and improve your overall performance.
- Clinically Integrated Network & Physician Alignment – FORVIS’ Physician Alignment services can help your organization achieve its full potential by unlocking value, efficiency, and quality.
- Organizational Change – Clari3ty®, integrates surveys, research-based analytics, and interpretation to help take the guesswork out of developing the change management plans that accompany your organization’s most critical strategies.
- Strategy Execution & Deployment – We help provide the focus, discipline, and infrastructure needed to execute strategy successfully.
- Operating Model Development – Our approach to operating model design and deployment assesses pain points to help your organization bolster its leadership and performance against its strategic plans.
Market Assessment & Research
Our FORVIS team brings the agility required to help you pursue expansion at pace while overcoming the obstacles that stand between your current and future states.
Expanding an organization—whether building a new facility or adding a new service line—requires data to support your strategic vision.
We have extensive experience working with providers across the healthcare continuum to help them understand market dynamics related to volume, utilization, occupancy, providers, and physicians to help you identify the demand for services or secure financing for your project.
Our assessment and research team puts the needs of your health facility and those of your communities above all else. Our nimble, responsive, high-touch service engagement teams focus on helping drive your business forward and move with momentum.
Our assessment and research teams can provide the following services:
- Certificate of Need & Demand Analysis
- Community Health Needs Assessment
- Industry Research
- Market Assessment
- Service Line Assessment