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Payers Health payers - desktop small 1440x360 mobile 428x332 tablet 1024x920 Care Delivery Build high-performing provider networks that manage costs without sacrificing quality. We help payers manage quality and risk, improve provider engagement, and effectively implement value-based reimbursement models. Customer Experience Optimize provider and member experiences and services to streamline access, strengthen loyalty, lower long-term medical costs, and improve outcomes. Our solutions enhance performance and increase satisfaction. GRC Build a governance and operating model that emphasizes cross-functional collaboration and accountability. Our experts help leaders make informed strategic decisions while navigating a continually evolving regulatory landscape. Governance, Risk & Compliance Managed Services Scale operations with hands-on support across claims management, customer service, and administrative functions. Our outsourcing teams integrate with your teams and core systems for customized, quick-to-implement and cost-effective solutions. Strategy Our experts identify opportunities for transformation and growth, advise on new programs and markets, help you scale and streamline operations, evaluate partnerships, and more. Technology Modernize aging core systems and outdated processes to enable next-generation experiences. We build agentic workflows that improve outcomes, enhance satisfaction, and lower costs. Services we deliver Overview Services Experts Insights Connect Learn More Insights on technology-led, financially resilient, and person-centered healthcare. Health Insights Payer Consulting, Health Plan Consulting
payers - desktop small 1440x360tablet 1024x920mobile 428x332
Health

Payers

Health plan business models are being tested by rising costs, regulatory challenges, and an increasingly complex delivery landscape. We help payer leaders in commercial, federal, and state organizations build sustainable, technology-enabled business models that minimize risk and improve performance at scale.

Services we deliver

Care Delivery

Build high-performing provider networks that manage costs without sacrificing quality. We help payers manage quality and risk, improve provider engagement, and effectively implement value-based reimbursement models.

Customer Experience

Optimize provider and member experiences and services to streamline access, strengthen loyalty, lower long-term medical costs, and improve outcomes. Our solutions enhance performance and increase satisfaction.

Governance, Risk & Compliance

Build a governance and operating model that emphasizes cross-functional collaboration and accountability. Our experts help leaders make informed strategic decisions while navigating a continually evolving regulatory landscape.

Managed Services

Scale operations with hands-on support across claims management, customer service, and administrative functions. Our outsourcing teams integrate with your teams and core systems for customized, quick-to-implement and cost-effective solutions.

Strategy

Our experts identify opportunities for transformation and growth, advise on new programs and markets, help you scale and streamline operations, evaluate partnerships, and more.

Technology

Modernize aging core systems and outdated processes to enable next-generation experiences. We build agentic workflows that improve outcomes, enhance satisfaction, and lower costs.
Payers
OverviewServicesExpertsInsights

Meet our experts

Eric Kammer, Guidehouse

Eric
Kammer

Partner, Health

Eric is a trusted advisor to healthcare executives across the U.S., helping organizations navigate transformation initiatives, growth strategy, and operating model evolution.
eric meinkow, Guidehouse

Eric P.
Meinkow

Partner, Health

Eric has more than 20 years of experience specializing in helping payers strategically and operationally design, sustain, and scale successful business models.
hafer_greg-headshot-25

Greg
Hafer

Partner, Health

As CMS team leader, Greg has provided management and strategy consulting services to federal government and private sector clients for more than 20 years.
lin-hanford-headshot-25

Hanford
Lin

Partner, Health

As State Health and Human Services Leader, Hanford helps agencies improve access, outcomes, and community well-being.

Michelle Chen pictured on a blue and green background

Michelle
Chen

Director, Health

Michelle leads strategic transformation for both providers and payers, with focus on supporting government program payers in achieving their affordability priorities.

Jason Iacobellis on a blue and green background

Jason
Iacobellis

Director, Health

Jason advises health payers and third-party administrators on strategy, growth, and transformation, with nearly two decades of experience across operations, new product development, and technology.

Trusted insights

Health

Value-based purchasing’s increasing role in managed care contracts

Health

2026 Revenue Cycle Management Trends

Health

Achieving sustainable value with healthcare AI

Payer Consulting, Health Plan Consulting

Health Insights

Insights on technology-led, financially resilient, and person-centered healthcare.

Learn More

Let us guide you

Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets.

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