A_young_Mother_and_her_son_visit_the_doctor-1024x360
A_young_Mother_and_her_son_visit_the_doctor-1024x920
A_young_Mother_and_her_son_visit_the_doctor-428x332
Guidehouse has been a trusted advisor to the Centers for Medicare & Medicaid Services (CMS) for more than 20 years, offering scalable, innovative solutions 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 digital, technology, and analytical capabilities have helped advise CMS on improving operations, reducing risk, and achieving its mission as the country’s trusted health partner and steward. We closely collaborate with our CMS partners at the intersection of technology, policy, and operations to assist CMS 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.

 

Connect With an Expert


Our Services

Program Management

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

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

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

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

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

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.



About Guidehouse Health

 

Ranked the nation’s third largest healthcare consultancy and IT consulting firm, Guidehouse Health integrates strategy and policy expertise with deep industry partnerships across the healthcare ecosystem, helping organizations deliver innovative services to their communities. Our team of seasoned public health, commercial health, life sciences, and state health professionals bring proven ability to navigate increasingly complex public health and regulatory environments. Guidehouse supports all 15 executive departments of the U.S. federal government and such health agencies as CMS, CDC, VA, NIH, FDA, HHS, IHS, and MHS. Learn why Guidehouse has received 19 Best in KLAS Awards and consistently attains higher performance ratings than other U.S. federal contractors.

 

Visit Guidehouse Health


Awards

Our Insights

link-arrow

Our Experts



Let Us Help Guide You

Complexity demands a trusted guide with the unique expertise and cross-sector versatility to deliver unwavering success. We work with organizations across regulated commercial and public sectors to catalyze transformation and pioneer new directions for the future.

Stay ahead of the curve with news, insights and updates from Guidehouse about issues relevant to your organization and its work.