Implementation and optimization of inpatient and ambulatory care and utilization management programs can improve revenue capture, reduce length of stay, and lower cost of care.

Guidehouse experts provide care and utilization management solutions that focus on best practices across the continuum, regardless of reimbursement model. Our team includes physicians, mid-levels, nurses, social workers, therapists, and pharmacists with broad health system, post-acute provider. payer, and retail provider experience. We apply best practices to evaluate and develop processes, staffing, technology, and dashboards to ensure sustainable gains.

• Ambulatory & Payer Care Management
• Payer Utilization Management
• Hospital Utilization Review
• Hospital Case Management

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