Bundled Payments For Care Improvement (BPCI)

Reduce Operating Expense, Improve Financial Performance, and Achieve Health Equity.

Participating, and succeeding in, Advanced Payment Models is challenging. Practices and IDN’s are oriented to patient visits, not population health management and health equity. Challenged by cost of deliver and efficiency, bundle participants rely on Guideway Care to provide an operational component to drive total cost of care performance, while reducing operating budgets. We reduce expense and deliver results. For participants in BPCI (Bundled Payments for Care Improvement), our services offer critical support in managing costs and enhancing outcomes.

How We Work

Our Outcomes

Reducing operating expense, while improving bottom line performance in value-based care arrangements.

42%

REDUCTION

in readmissions in bundles –
Southeast, US

Bundle Payment Healthcare

Improve performance across all bundles

Guideway Care Benefits

Decrease total cost of care
Improve CAHPS scores
Drive operational efficiency
Make health equity actionable
Increase clinical capacity
Eliminate avoidable acute care utilization
Improve patient satisfaction

45% Reduction

Our Care Guides were able to achieve significant results in Cardiac Care Bundles. Through a 13 week protocol driven approach we were able to significantly drive down readmissions by building peer-to-patient relationships.

36% Decrease

Within the Obstructive Lung Disease bundle, our Care guides were able to decrease readmissions by 36%. Addressing non-clinical barriers to care and escalating clinical barriers makes a difference.

55% Fewer

In a 3 year published study our Care Guides delivered amazing patient satisfaction and reduced hospitalizations in oncology by 55%.

Our Model

Achieving
Consistent
Results

Guideway Care’s operating model is based on using human interaction, driven by its proprietary patient activation platform. We work with our client partners to customize our engagement to integrate and augment their current care management workflows. The result is a seamless implementation and execution, which drives optimal patient and financial outcomes.

Skilled Care Guides

Guideway utilizes personality and cognitive tests to hire optimal Care Guides. After extensive training in motivational interviewing and Respecting Choices, Care Guides resolve patient / member barriers related to Social Determinants of Health (SDOH) and disparities, overcome clinical and non-clinical barriers to quality care and promptly address the physical, practical, emotional, informational, spiritual and familial issues that impact patient outcomes.

Proprietary Patient Activation Platform

Guideway’s proprietary platform automates protocols to uncover both non-clinical and clinical issues and barriers for Care Guides. The platform automates the ingestion of tasks, the next step process, clinical escalation, and barrier resolution. The automated prompting and workflow design allows the Care Guides to build peer-to-patient relationships, while stacking non-clinical and clinical assessments in structured reportable data.

Patients & Members

Guideway’s mission is to achieve health equity for all patients by effectively addressing Social Determinants of Health (SDOH) and disparities, and proactively resolving non-clinical and clinical barriers to quality care. Patients / members who need our assistance don’t typically ask for it, but deserve and appreciate the peer-to-patient relationship. Our Care Guides work with our patients to improve their lives on a daily basis.

Partner Clinical Teams

Guideway Care guides act as an extension of our client partners’ clinical teams, allowing them to operate at the highest level of their license. We collaborate with our partners both in the implementation, as well as the execution of our Service-as-a-Solution. We are able to resolve non-clinical patient barriers and automate the escalation of clinical patient barriers to our partner clinical teams.

Integration

Guideway integrates with client partners both operationally and technologically. Our implementation process ensures that we conform to our client partners’ workflows, so we can seamlessly operate within their environment. Our technology integrates with EHR/EMR and care management platforms to provide bidirectional interfaces, prompts and alerts.

Do you want to know more or need a consultation?

Email us or contact us via LinkedIn.