Meet Forena
Our Commitment
Forena Healthcare works side-by-side with health plans, providers, and government organizations.
We leverage more than 30 years of hands-on executive experience to drive successful outcomes in Value-Based Care, Health Plan Operations, Population Health, and Network Development.
Collaboration
1
Value-Based Care
Value-based care programs reduce medical and administrative costs, improve quality, and align provider incentives with payor goals across specialties or populations. Our services include:
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Develop provider networks and partnerships to enable outcome-driven care delivery.
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Design and implement advanced managed care financial models, such as bundled payments, shared savings, and hybrid risk arrangements.
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Manage risk and ASO payor structures to optimize performance, transparency, and cost control.
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Population Health
Population health programs leverage analytics to improve care, eliminate service duplication, and identify potential fraud, waste and abuse for a range of member cohorts such as chronic medical conditions or special needs. Our services include:
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Develop specialized plans of care
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Institute provider report cards
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Construct provider quality bonus programs
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Implement reimbursement models aligned with targeted outcomes
3
Advisory
Many provider and payor organizations need help with early navigation of value-based care. With more than 30 years experience in managed care, we offer the following:
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Provider Contracting Review and Strategies
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Network Development and Operations Strategies
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Compensation Modeling
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Medical Cost Management
Success Stories
Forena Healthcare has deep experience designing and implementing programs that drive operational and financial improvements while maintaining clinical impact.
Value-Based Care
For a major Medicaid plan, implemented a VBC program for outpatient therapy.
The program generated over $20MM in annual guaranteed savings, improved Plan of Care compliance by 40%, and reduced denials by 75%.
Population Health
For a state Medicaid agency, developed a program for a designated Medicaid population.
Focused on quality programs, including provider report cards, quality bonus programs, and rewarding specific health outcomes. Verified savings was over $28 PMPM.
Advisory
For a major Medicare plan, created a pay-for-performance program with several contracted hospital systems.
New financial arrangements shifted cost sharing and lowered total cost of care. Directly negotiated these arrangements.
Leadership
Martin Bilowich
CEO
Martin Bilowich has over 30 years of executive experience in the managed care industry, successfully implementing single-specialty provider networks and value-based care (VBC) programs for numerous insurers and providers.
Prior to starting Forena Healthcare, Martin founded and operated Health Network One, one of the largest provider network organizations in the US and continues to serve as a Senior Advisor. Through his hands-on leadership, Martin grew Health Network One from a start-up to covering over 7 million lives, maintaining VBC agreements with most major health insurers in the United States.
Prior to Health Network One, he held senior leadership positions at MedPartners/Caremark, HCA Hospitals, and Ernst & Young.
Martin holds a Masters in Business Administration (MBA) and a Masters of Public Health from Tulane University, as well as a Bachelors in Finance from the University of Iowa.
