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Guidehouse has been a trusted advisor to the Centers for Medicare & Medicaid Services (CMS) for more than 20 years, supporting the agency’s mission to advance health equity, expand insurance coverage, and improve health outcomes for society. Our deep knowledge of CMS programs, combined with our team of public and commercial health experts, bring a proven ability to navigate increasingly complex health and regulatory environments. We closely collaborate with CMS at the intersection of technology, policy, and operations, assisting in engaging the stakeholders and communities it serves, protecting the sustainability of its programs, and driving innovations to tackle the nation’s toughest healthcare challenges.

 

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Our Services

Program Management link-arrow

We partner with CMS to develop a comprehensive product strategy, aligned with user needs and identifying unique challenges and goals. With tailored Agile frameworks and methodologies, we guide CMS programs through effective product management practices for seamless implementation and enhancement.

Cybersecurity link-arrow

Our experts guide CMS through strategy, policy, technology, and enterprise risk management scenarios to improve the agency’s security posture. We are committed to preventing fraud, waste, and abuse, administering cyber programs, and reducing cyber threats throughout the enterprise.

Low-Code Platforms link-arrow

We assist CMS with improving time to value and accelerating access to data and resources using low code platforms, helping the agency accelerate digital transformation while improving process efficiency and reducing operational risk.

AI/ML & Intelligent Automation link-arrow

We use next-generation technologies like AI/ML, and intelligent automation to reshape the way clients use robust data portfolios to predict future needs, identify coverage disparities, and discover ways to expand access.

Analytics & Data Visualization link-arrow

We work with CMS to apply user-centric approaches to visualizing its robust data portfolio, leveraging our insights to operationalize real-time, agency-wide value. We identify coverage trends, analyze payment data, and find patterns that provide CMS leaders with confidence in decision-making.

Risk, Regulatory, & Compliance link-arrow

Our team of risk management, program integrity, compliance, and monitoring experts assist CMS to ensure the sustainability of its programs by preventing and detecting fraud, waste, and abuse of Medicare and Medicaid programs.




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Guidehouse is a global consultancy providing advisory, digital, and managed services to the commercial and public sectors. Purpose-built to serve the national security, financial services, healthcare, energy, and infrastructure industries, the firm collaborates with leaders to outwit complexity and achieve transformational changes that meaningfully shape the future.

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