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
Latest From Care Management & Utilization Management
January 13, 2023 InsightsThe Value in Hospital Care at HomeHospital-at-home models can increase capacity, improve patient experiences, and create market differentiation.
December 7, 2022 PodcastLearnings from Palomar Health’s Transformational "Acute Hospital Care at Home" InitiativeHear from leaders at Palomar Health and Guidehouse about the successful launch of Palomar’s transformational “Acute Hospital Care at Home Initiative”.
September 1, 2022 Case StudyCovenant Health's Transformative High Reliability Management SystemGuidehouse gave Covenant the framework and tools to proactively address a dynamic market, empower leadership, and evolve into an aligned organization.
April 7, 2022 InsightsThe Social and Economic Factors that Drive Healthcare ServicesKaajal Singh joins Keeping IT Brief to discuss how to think about non-clinical health drivers when making enterprise strategy decisions.
December 9, 2021 InsightsHitting the Reset Button on Value After a Health System MergerWhen Bon Secours and Mercy Health merged in 2018, leaders viewed the partnership as a strategic opportunity to advance value-based payment. Find out more from Guidehouse’s 2021 Clinical Integration Summit.
November 4, 2021 InsightsLeading Change in Healthcare: Creating Opportunities Out of Network VulnerabilitiesHealthcare industry leaders share insights from Guidehouse’s 2021 Clinical Integration Summit, including how to more effectively position their organizations for success.