REDW Financial Advisors & CPAsFinancial advising, accounting, tax, valuation, and wealth management
Your partner throughout the journey
The benefits of tribal self-governance and self-determination through PL 93-638 are many, particularly when Tribes seek to improve healthcare delivery within their communities. But fully realizing these benefits depends upon your organization’s ability to plan and prepare for the transition and how well the transition is executed.
REDW leads the nation in delivering 638 healthcare transition services. As trusted advisors, we navigate the complex and dynamic regulatory landscape for tribal healthcare organizations. Leveraging our vast industry knowledge and deep understanding of tribal cultures, we offer a proven, collaborative approach to guide your organization through a successful 638 transition and into the future.
From Start to Finish
- Start-Up Planning
- Communication Plan & Needs Assessment
- Contract Negotiations
- Strategic Planning
- Transition Support: Finance, Human Resources, Software
- Post-Transition Support: Audit Prep, Recruiting, Training, AFA Negotiations, Transitioning IPAs/MOAs, Compensation Studies
Serving Tribal Nations
- 638 Healthcare Transition Support
- Advisory & Accounting
- Annual Tribal Compensation Reports
- Audit & Assurance
- Contract Support Costs
- Cybersecurity Grant Application Services
- Forensic Analysis & Litigation Support
- GASB 96 – Subscription-Based IT Arrangements (SBITAs)
- Retirement Plan Management Assessment & Consultation
- Tax Consulting
- Valuation & Related Advisory
Needs Assessment
Our team is pleased to provide a no-cost preliminary consultation or training to facilitate and recommend appropriate next steps.
REDW’s 638 Transition team will first assess the merits of a potential transition and the unique needs of your organization in order to create a set of solutions for improving your operations and financial performance.
Using a comprehensive checklist developed through years of hands-on experience, we address all key aspects of the transition process and come to objectively understand your unique situation so that we can better position your organization and clinical leadership for success.
Project Coordination
The multi-faceted nature of a transition can make project coordination challenging. REDW professionals regularly assume leadership roles in this process and can:
- Conduct training in preparation for transition
- Consult with management and Board members to determine goals, resources, timeframes and deadlines
- Assist your team with managing the process and conduct meetings to coordinate tasks
- Prepare administrative tools and documentation
- Facilitate strategic planning sessions and Board retreats
Preparing for Start Up
To help you prepare for that critical moment when Indian Health Service (IHS) flips the switch and your new healthcare organization takes charge, REDW will work closely with you to:
- Support contract or compact negotiations
- Prepare a budget and select the right accounting system
- Draft policies and procedures (non-clinical)
- Train employees for new roles in the organization
- Serve on-site as interim heads of your Finance and Human Resources departments until permanent staff is hired
Retooling Your Operations
Whether you are planning, or have already completed a 638 transition, REDW stands ready to serve as your strategic partner. We will deliver the highest quality services, all tailored to suit the organizational structure of your Tribe and its enterprises, and to meet your long-term goals.
Finance
REDW can serve in a range of interim roles:
- CFO/Controller
- Accounts Payable/Receivable
- Payroll
- Procurement
- Accounting Specialist
With additional financial solutions and support in:
- Developing Policies & Procedures and process controls
- Creating forms, templates and flow charts
- Developing budget and budget projections
- Training Department staff and Board members in finance and budgeting
- Coordinating with revenue cycle staff
Human Resources
REDW can serve in a range of interim roles:
- CHRO/Director
- Recruiter
- Employee Relations
- Trainer
In addition to:
- Staffing and managing daily HR operations
- Performing staffing assessments; developing position descriptions and organization charts
- Recruiting skilled employees to fill vacancies
- Creating a compensation and structure process
- Developing Policies & Procedures, forms and desk procedures
- Facilitating PL 101-630 background check process
- Managing IPA/MOA and contractor relationships
Business/Accounting Software
We know both accounting & software:
- Interface accounting with patient billing systems
- Financial and inventory systems
- Timekeeping
- Human Resources Information system
- All related workflows and training
Unique Services
- Assisting with IHS negotiations
- Overall project management or coordination of vendors
- Health Board guidance and training
- Tribal member recruiting, training and succession planning, all fully supportive of tribal hiring preference policies
- Quality Assessment and Performance Improvement projects, training and support
- Lean Six Sigma process improvement training and project support
- Studer-method training
Let our team provide relief to yours
REDW’s trusted advisors and accounting specialists are here to help you regain confidence.
Contact Us Today
