Healthcare Private Equity
Value Generation and Risk Mitigation
Creating value while avoiding risk is not always an easy task. Privately held healthcare and life sciences companies often face increased financial and operational pressures along with regulatory scrutiny. All companies answer to financial sponsors to meet expectations of growth and profitability, despite operating in an increasingly regulated environment that is putting constant pressure on margins. In these situations, FTI Consulting customizes solutions for clients who are often actively transitioning towards value-based care, while simultaneously facing related challenges and supporting the delivery of high-quality patient care. In need of fast financial and operational improvements, clients turn to our trusted industry experts.
How We Help
Clients turn to our trusted industry experts for assistance in generating value quickly. We partner with private equity firms, for-profit medical groups, healthcare IT vendors, and other healthcare companies to support a range of solutions including diligence, integration, platform consolidation, and business transformation. Our recommendations are based in operational expertise and underpinned by sound financial improvement objectives. We couple this with regulatory and compliance expertise in a way that allows us to also mitigate risk. Our deep collective industry experience allows us to share our thoughts and solutions with key stakeholders and quickly deliver results.
Featured Insights
Due Diligence
Clients rely on our diligence teams to go beyond the numbers to provide business insights and recommendations...
Clients rely on our diligence teams to go beyond the numbers to provide business insights and recommendations on risks, planning considerations, and implications for a deal. Whether you’re buying or selling healthcare or life sciences organizations, our experts can help you maximize value.
Services include:
- Commercial Diligence and Market Assessment
- Financial (Quality of Earnings and Quality of Revenue) and Tax Diligence
- Operational Assessment (Clinical, Revenue Cycle, IT, HR, etc.)
- Revenue Cycle Management Diligence
- Compliance Risk Review, including Billing, Medical Necessity and Clinical Coding
- HIPAA Security and Privacy Evaluation
- IT and Cyber Diligence and Data Quality Review
Integration and Carve-Outs
Clients seeking to grow their business through acquisition or to consolidate previously acquired assets may...
Clients seeking to grow their business through acquisition or to consolidate previously acquired assets may require support to successfully integrate businesses, achieve synergies and execute cost-reduction opportunities.
Services include:
- Strategic Planning and Initiatives
- Integration/Separation Management Office (IMO)
- Integration/Separation Playbooks and Strategic 100 Day Plans
- Revenue Cycle and IT Platform Integration
- Interim Management
- Data Governance and Management
- Business Intelligence and Data and Analytics
- New Operating Model and Business Process Optimization
Financial Optimization
Clients often face challenges upgrading or integrating financial systems and standardizing processes to achieve...
Clients often face challenges upgrading or integrating financial systems and standardizing processes to achieve leading-practice workflow and adherence to financial reporting standards. We have the expertise and experience to support clients seeking to optimize highly complex financial systems and operations.
Services include:
- Finance and Accounting Support
- Financial Statement Modeling
- Financial Reporting and Analytics Evaluation
- Capital Planning and Solutions
- Revenue Recognition
- Managed Care Rate and Fee Analysis
- Actuarial Medical Loss Ratio (MLR) and Rate Support
Value-Creation Strategies
Clients can achieve significant value through strategic business transformation.
Clients can achieve significant value through strategic business transformation. Our industry experts work alongside our clients to design and execute on initiatives that enhance enterprise value.
Services include:
- Operational Assessments
- Performance Transformation
- Workforce Management
- Revenue and Cost Optimization
- Strategic Outsourcing and Vendor Management
- Market Fee Studies and Payer Contracting Evaluation
- Growth Platform Development
Physician Practice Management (PPM)
PPM organizations face unique challenges in running complex business operations, delivering high-quality patient...
PPM organizations face unique challenges in running complex business operations, delivering high-quality patient care and adhering to regulatory requirements. Our experts support PPMs, or their equity sponsors, in achieving profitability despite an increasingly challenging environment and the industry shift towards value-based care.
Services include:
- Physician Compensation Evaluation and Design
- Physician Alignment
- Call Center Optimization
- IT Platform Optimization
- Workforce Management and Governance
- Revenue Cycle Operations and Patient Access Transformation
- Regulatory Compliance Strategy and Planning
