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Insights & Experience
Guidehouse’s state government consulting practice provides real-world solutions to the challenges facing state governments and their healthcare and social services agencies. Whether addressing issues related to pricing, reimbursement, care delivery, or quality oversight, Guidehouse experts work directly with clients to develop and implement successful government healthcare solutions.
The state government team includes former Medicaid and Health and Human Services leadership, Centers for Medicare & Medicaid Services representatives, health plan and health system executives, as well as financial, clinical, policy, and program integrity experts with decades of state and federal service. In addition, our healthcare team includes physicians, nurses, coders, analysts, and IT professionals.
Program Design, Operations, and Evaluation
We help states navigate the entire continuum of their Medicaid program: design, implementation, ongoing operations, and evaluation.
MoreLong-Term Services and Supports (LTSS)
We work with the federal government, state agencies, providers, and health plans to address the challenges associated with LTSS.
MoreBehavioral Health & Substance Abuse
We work with states to assess and improve delivery of behavioral health programs and services.
MoreHealth Equity, Access, & Social Determinants of Health (SDOH)
We work with local, state, and federal agencies to address factors that impact health disparities for underserved and marginalized populations.
MoreActuarial & Payment Transformation
We offer a comprehensive set of actuarial and payment transformation services that can be customized to fit each state’s unique needs.
MoreCOVID-19 and Other Emergency Response
We help states navigate every dimension of a comprehensive emergency response strategy as process design and evaluation experts.
MoreLatest From State Government Practice
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March 16, 2021 Case StudyGuidehouse Supporting Health Systems and State and Local Government Entities’ Allocation of $10 Billion in Federal COVID-19 AidProviders, government agencies leveraging deep healthcare strategy, federal disaster funding, and policy expertise in efforts to obtain and substantiate federal funding use.
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February 17, 2021 Insights‘Win-Win’ Payer Strategies for Predicting Risk and Supporting Health EquityTo optimize federal reimbursement, payers should include social risk factors in their risk adjustment models
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January 29, 2021 FeaturedThriving Through COVID-19: The Guidehouse Health ApproachAt the forefront of COVID-19 resiliency initiatives, Guidehouse is supporting public and private sector organizations during the pandemic and beyond
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January 27, 2021 InsightsSome Much-Needed Help: HHS Doles Out $22B for Testing, VaccinesMedCity News
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January 26, 2021 InsightsIt's Time for States to Reshape MedicaidAs states emerge out of the pandemic, “business as usual” will look different for many Medicaid programs.
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January 22, 2021 InsightsImprove Home and Community-Based Incident Management Systems to Protect Vulnerable PopulationsStates should consider three key strategies when evaluating current systems and processes in relation to the effects of the COVID-19 pandemic.
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January 14, 2021 InsightsThree Keys to Improving Social Isolation with Connected CareProvider proximity to and personal knowledge of patients position them to help mitigate the effects of behavioral health issues
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