Healthcare Value-Based Care Readiness Assessment
About this free form template

Transform Your Healthcare Organization with Value-Based Care

The shift from fee-for-service to value-based care represents one of the most significant transformations in healthcare delivery. Whether you're a physician practice, hospital system, ACO, or health plan, understanding your readiness for value-based payment models is critical to success in today's healthcare landscape.

This Healthcare Value-Based Care Readiness Assessment is designed specifically for healthcare consulting firms who help organizations navigate the complex transition to value-based care arrangements. By completing this comprehensive evaluation, you'll receive insights into your current capabilities, identify gaps in your quality measurement infrastructure, and discover opportunities to optimize care management and achieve shared savings goals.

Why Value-Based Care Readiness Matters

Value-based care models—including ACOs, bundled payments, capitation, and shared savings programs—require fundamentally different operational, clinical, and financial capabilities than traditional fee-for-service arrangements. Organizations that enter these contracts without proper preparation often struggle with:

  • Risk exposure from inadequate actuarial analysis and population health management
  • Quality measure reporting gaps that lead to withheld payments or penalties
  • Care coordination challenges that increase costs rather than reduce them
  • Data infrastructure limitations that prevent real-time performance monitoring
  • Provider engagement issues that undermine clinical transformation efforts

This assessment helps healthcare consultants quickly identify where prospective clients stand on their value-based care journey and what specific interventions will deliver the greatest impact.

How Healthcare Consulting Firms Use This Assessment

Leading healthcare consultants leverage this interactive quiz to:

Qualify high-value leads: Score responses to identify organizations with the budget, motivation, and complexity that make them ideal consulting clients. Organizations already in value-based contracts or actively pursuing them represent higher-intent prospects.

Personalize your approach: Tailor your initial consultation based on specific pain points revealed in the assessment—whether that's quality measure selection, care management program design, financial modeling, or technology implementation.

Demonstrate expertise: By asking sophisticated, clinically-relevant questions about HEDIS measures, HCC coding accuracy, care gap closure, and shared savings calculations, you establish credibility as a subject matter expert before the first conversation.

Build your pipeline: Capture detailed contact information and organizational context that enables highly targeted follow-up. Segment leads by contract type, organization size, current capabilities, and specific challenges.

Accelerate sales cycles: Prospects who complete the assessment have self-identified their needs and educated themselves on value-based care requirements, making them more informed and motivated during sales conversations.

What This Template Covers

This comprehensive assessment evaluates readiness across all critical dimensions of value-based care:

  • Current contract portfolio including ACO models, bundled payments, capitation arrangements, and quality incentive programs
  • Quality measurement capabilities covering CMS Stars ratings, HEDIS measures, MIPS/MACRA requirements, and custom payer metrics
  • Care management infrastructure including care coordination programs, high-risk patient identification, chronic disease management, and transitional care
  • Data and analytics maturity assessing claims data access, clinical data integration, predictive modeling, and real-time reporting
  • Financial performance evaluating shared savings achievement, medical cost trends, and return on care management investment
  • Organizational goals understanding growth targets, risk tolerance, and strategic priorities

Perfect for Multiple Healthcare Consulting Niches

This template works beautifully for consultants specializing in:

  • ACO advisory services helping organizations launch and optimize accountable care arrangements
  • Quality improvement consulting supporting HEDIS, Stars, and MIPS performance enhancement
  • Care management program design building nurse-led care coordination and chronic disease programs
  • Financial and actuarial consulting modeling risk arrangements and shared savings opportunities
  • Population health technology implementation selecting and deploying analytics and care management platforms
  • Payer-provider partnership development structuring innovative value-based contracts
  • Medicare Advantage consulting supporting MA plan quality and cost performance

Seamless Integration with Your Consulting Workflow

Because this form is built on Paperform, it connects effortlessly to the tools healthcare consultants already use:

  • CRM sync: Push qualified leads directly into HubSpot, Salesforce, or Pipedrive with all assessment scores and responses attached, triggering appropriate follow-up sequences.
  • Automated lead scoring: Use Paperform's calculation fields to score responses in real-time, automatically tagging high-priority prospects.
  • Personalized follow-up: Leverage conditional logic to show different success pages and trigger different email sequences based on readiness level, contract types, or specific challenges identified.
  • Calendar booking: Include a scheduling field so highly-qualified prospects can book their initial consultation immediately after completing the assessment.
  • Analytics and reporting: Use Paperform's AI Insights to identify patterns across submissions—which quality measures pose the biggest challenges, what contract types are gaining traction, where organizations struggle most.

Extend Functionality with Stepper and Papersign

Take this assessment further by connecting Stepper (stepper.io) to automate your post-assessment workflow:

  • Automatically generate a customized readiness report PDF based on their responses
  • Create opportunities in your CRM with lead scores and next actions
  • Notify the appropriate consultant based on geography, specialty, or organization type
  • Schedule follow-up tasks at appropriate intervals
  • Update your marketing automation platform to nurture based on readiness stage

If your consulting engagement includes formal proposals or contracts, Papersign (papersign.com) lets you seamlessly transition from assessment to signed agreement, keeping everything connected to the original submission for perfect audit trails.

Built for Healthcare Consulting Professionals

This template reflects deep expertise in healthcare operations, finance, and quality improvement. The questions are grounded in real-world value-based care requirements, using industry-standard terminology that resonates with COOs, CMOs, CFOs, and quality directors at provider organizations.

The assessment format—conversational yet comprehensive—respects the time constraints of busy healthcare executives while gathering the intelligence you need to have a substantive first conversation. The scoring mechanism identifies not just who to follow up with, but how to position your services for maximum relevance.

Whether you're an established healthcare consulting firm looking to scale your lead generation or a boutique practice building your value-based care advisory service line, this template provides a professional, conversion-optimized tool that positions you as the trusted advisor for healthcare transformation.

Trusted by Healthcare Consultants Nationwide

Healthcare consulting firms across the country rely on Paperform to power their lead qualification, client intake, and engagement workflows. With SOC 2 Type II compliance, GDPR adherence, and enterprise-grade security, Paperform meets the data protection standards that healthcare organizations expect—though please note that Paperform is not HIPAA compliant and should not be used to collect protected health information (PHI).

This template is part of a library of 30,000+ professional form templates trusted by over 500,000 teams worldwide. Customize the questions, adjust the scoring, apply your brand styling, and deploy within minutes—no coding required.

Ready to accelerate your healthcare consulting practice? Start with this Value-Based Care Readiness Assessment and transform how you identify, qualify, and engage your most valuable prospects.

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unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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