Guidehouse Health

Congrats, Lee Ann Crochunis! We're proud to have you on #TeamGuidehouse.

For many providers, CMS TEAM is the first time they're taking on risk in a CMS model. Some are uncertain about how to succeed. Our latest Insights article offers tips to help participants prepare: https://lnkd.in/eeJ5bHnT Nearly 750 organizations across the country are participating in this mandatory, episode-based model. In this article, our experts discuss how providers should manage performance within their organization and among post-acute partners, how they should balance post-acute and hospital care, and how they can efficiently balance cost and quality.

We are headed to the Healthcare Providers Transformation Assembly next week! We're excited to attend the meaningful event hosted by the Millenium Alliance and learn from executives who are shaping the next wave of hospital and health system transformation. Will you be joining us in Denver? Let us know: https://lnkd.in/dUbxSUfk

Are you passionate about clinical documentation improvement? Do you love the convenience of working from home? Join our award-winning team! We're #hiring now for multiple remote positions: -Remote IP quality reviewer: https://lnkd.in/emrr7T73 -Clinical Documentation Integrity Specialist (Remote): https://lnkd.in/gQ2HQamP -Clinical Documentation Integrity Specialist (Onsite, Escondido, CA): https://lnkd.in/eTu_iYF9 #CDI #californiajobs #californiahealthcarejobs

Healthcare is ahead of other industries in investing in AI, but 50% of leaders say they're not operationally ready to implement it at scale, according to our latest survey report: https://lnkd.in/eYT5BDEa Read our 2026 Healthcare AI Trends to learn how leaders are investing in AI and the challenges they face in implementing the technology at an enterprise level. Based on a HIMSS survey of nearly 200 healthcare executives, our report offers actionable steps that providers can take to build an enterprise-level AI strategy and overcome "execution paralysis."

Health apps from ChatGPT, Claude, and other firms can offer consumers unprecedented insights into their health. But they also introduce risks: https://lnkd.in/gYny7wX8 In a recent roundtable, Guidehouse experts Cate Ciccolone, Alexander Holston, MD, and Zach Jubak offered their thoughts on these new applications and their recommendations for health system leaders on how to prepare for their impact.

Guidehouse Director Erik Pupo, an expert in cybersecurity, was recently quoted in Healthcare Brew about the Iran-linked cyberattack targeting medical equipment vendor Stryker: https://lnkd.in/ecUFvQC9 All healthcare organizations should be on high alert for additional attacks as the war in Iran continues, Pupo said. While guarding against ransomware attacks has been a major priority, geopolitical actors aren't only targeting data—their tactics are often primarily intended to disrupt critical services. #cybersecurity #healthcareIT

AI will allow commercial teams to micro-segment populations and hyper-personalize launch strategies. But first, leaders need to scale the technology and increase adoption. https://lnkd.in/ehB_JApm At many firms, legal and compliance obstacles are preventing widespread adoption of AI in commercialization, as teams are often working with sensitive customer data. While risk must be taken seriously, it's time for leaders to work together to find a path forward. If they don't, the greater risk is falling behind, writes Guidehouse Partner Indraneel Mukherjee.

Some provider organizations have expressed concern about their readiness to succeed under CMS TEAM, a new mandatory model for nearly 750 hospitals. Our latest insights article offers tips to help them prepare: https://lnkd.in/eeJ5bHnT For many participating organizations, CMS TEAM is the first time they'll be taking on risk under a CMS model. In this article, our experts discuss how providers should manage performance within their organization and among post-acute partners, how they should balance post-acute and hospital care, and how they can efficiently balance cost and quality.

Real transformation in the healthcare revenue cycle doesn’t come from incremental fixes—it comes from rethinking how work gets done. Conversational AI is delivering real value by reducing friction for patients and staff while eliminating manual work that constrains performance. Grateful to Gary Fingerhut and Kore.ai for the opportunity to share how our Guidehouse Health Revenue Cycle Modernization Practice is partnering with health systems to drive measurable gains in cost, revenue, and experience, including: • Improving access and engagement through smarter call center and referral management • Accelerating denial resolution and A/R follow‑up • Strengthening financial clearance and pre‑authorization readiness Strong partnerships and pragmatic innovation make the difference. Looking forward to continued progress together. #RevenueCycleManagement #RCM #ConversationalAI #AIinHealthcare #HealthcareOperations #PatientAccess #DenialManagement #PriorAuthorization