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Guideway Care is Your One Solution for Evidence-Based Patient Activation

Improve Financial and Clinical Outcomes Across the Enterprise

Guideway Care is Your One Solution for Evidence-Based Patient Activation

Improve Financial and Clinical Outcomes Across the Enterprise

What We Do

Evidence-Based Patient
Activation Solution

Evidence‐Based Patient Activation.
We Succeed Where Engagement Fails.

One Solution. One Focus.
Every patient’s next right action.

At Guideway Care, we are the Patient Activation Company. We do one thing extremely well: we activate patients—ensuring they take the next right step—regardless of the challenge. Our AI‐powered, activation psychology‐driven solution fuses advanced technology, motivational patient guidance, and specialized human insight to overcome both practical and psychological barriers, delivering transformative financial and clinical outcomes.

Whether we are reducing readmissions by 35%, boosting appointment adherence to near 100%, or lifting patient satisfaction scores by 31%, our overwhelming activation evidence shows that our integrated solution delivers unmatched clinical and financial outcomes where traditional engagement methods have failed.

The Engagement Gap: Market Challenges

Despite billions of dollars invested in patient engagement portals, apps, and outreach programs, healthcare outcomes remain stagnant or are even declining.

Preventable
Utilization

82% of U.S. hospitals incur Medicare readmission penalties for avoidable re-hospitalizations.

Revenue Loss &
Patient Leakage

Up to 20% of health system revenue is lost as patients seek care elsewhere; 35–40% of referrals never result in a completed visit due to poor guidance and overwhelming obstacles.

Declining Patient Satisfaction

Only 69% of patients would “definitely recommend” their hospital, with loyalty shrinking and leakage increasing.

Ineffective
Outreach

Patients are forced to navigate digital hurdles and phone tag; 86% expect to speak with a knowledgeable human, yet many encounter frustrating, automated responses.

Overstretched
Clinical Staff

Clinicians spend nearly twice as much time on paperwork and administrative tasks as on patient care, leading to burnout and inefficiency.
These challenges reveal that traditional engagement tools and additional clinical staffing alone are not enough to drive the necessary behavioral change. The industry is paying a high price: high spending, low impact, and worsening outcomes.

One Solution. Enterprise-Wide Patient Activation Impact.

Patient Activation Challenges

Our solution delivers enterprise-wide impact by addressing core operational and financial patient activation challenges with a single solution across multiple settings:

  • Decrease HRRP penalties
  • Improve HCAHPS scores
  • Decrease care navigation expense
  • Improve patient acquisition and retention
  • Increase clinical capacity
  • Reduce patient leakage
  • Streamline appointment setting
  • Grow profitable revenue
  • Decrease total cost of care
  • Drive operational efficiency
  • Make health equity actionable
  • Eliminate avoidable acute care utilization
  • Improve patient satisfaction
  • Decrease avoidable utilization
  • Leverage purpose-built predictive analytics
  • Control network steerage to optimize cost and quality
  • Capture RAF score revenue
  • Grow attributed member populations
  • Decrease no-shows
  • Improve medication compliance
  • Improve referred patient appointment setting
  • Retain more patients
  • Attract new patients
  • Increase intra-organizational referrals

Enterprise-Wide, Evidence-Based Patient Activation Results

Our solution is trusted by a broad spectrum of healthcare organizations
Hospitals & Health Systems
  • 35% Fewer Readmissions
  • Near-Perfect Appointment Adherence—from 61% to nearly 100%
  • 31% Higher HCAHPS Scores
  • Increased Clinical Capacity
  • Reduced Patient Leakage
Risk-Based Organizations
Payors, ACOs, Bundled Payment Providers
  • Reduced avoidable utilization and HRRP penalties by 25–30%
  • Improved member adherence and satisfaction, yielding a 5.6:1 ROI within 12 months
Strategic Specialties
Oncology, Orthopedics, Bariatrics, Women’s Health, Chronic Care Management
  • Increased specialty case volumes by 20–25%
  • Boosted new patient acquisition and conversion rates
  • Enhanced revenue through improved conversion and retention
Federally Qualified Health Centers (FQHCs)
  • Expanded patient access and outreach through targeted, multi-channel campaigns
  • Delivered incremental funding of $100–$300 per patient annually by reducing no-shows and improving scheduling
Medical Device Manufacturers
  • Accelerated device utilization rates by up to 20%
  • Reduced training gaps and increased revenue opportunities through better patient compliance
These outcomes, replicated across diverse populations and service lines, prove that Guideway Care’s evidence-based patient activation is the only solution that consistently transforms clinical and financial performance.

Motivational Patient Guidance and Activation Psychology

Key Elements of Motivational Patient Guidance
Key Motivational Patient Guidance (MPG) Elements for delivering “the right nudge at the right moment” activate each individual patient to improve clinical and business outcomes.

Intrinsic Motivation Focus

We uncover each patient’s unique intrinsic motivators through tailored assessments and conversations, then deliver personalized outreach that speaks to their specific “why” to drive action.

Practical Barrier Removal

Along with motivation, we tackle logistical or financial hurdles (transport, childcare, confusion over instructions). By clearing these barriers, we ensure each patient’s “path to yes” is smooth.

Validated in
Real World Settings

The activation psychology-based MPG is grounded in real data from a decade of patient interactions, delivering consistent success in diverse populations.

Nine Behavioral Activation Techniques

The MPG is built on nine core behavioral techniques that drive action, organized into three macro disciplines:
  • Foundational Motivation & Perception
  • Cognitive Congruence & Compliant Pathways
  • Relational Acceleration & Proactive Autonomy

AI-Orchestrated Personalization

Our AI-powered Enterprise GPS platform continuously profiles motivational cues, segments patients by risk and preference, and prompts the correct next-best-action. The system monitors changes (like missed calls or new concerns) and adapts in real time—no static workflows.
Through the MPG framework, we transform “engagement” into activation.
Instead of just sending reminders or information, we orchestrate a journey from initial patient interest to sustained action. The combination of specialized human support and AI-driven strategy—all guided by activation science-based principles—ensures that patients supported by Guideway don’t just promise to adhere, they follow through. This is the critical difference that leads to better health outcomes, lower costs, and a superior patient experience.
MPG Comprehensive Overview + Download
Motivational Patient Guidance Inputs
Our Care Guides conduct conversational assessments to identify personal barriers—such as transportation issues, financial constraints, or work/family demands—that might prevent patients from following through on their care plans. By surfacing these stressors early, we proactively resolve them, ensuring that no obstacle derails treatment.
Through brief, scenario-based surveys, we determine what motivates each patient. We tailor our approach—whether emphasizing the consequences of inaction or the rewards of proactive care—so our interventions resonate on a personal level.
Our MPG model is continuously refined using over a decade of patient interaction data. This iterative process ensures our activation methods are always updated with the latest insights, delivering the lowest total cost of effectiveness and consistent, superior outcomes.
“When patients overcome everyday barriers with personalized guidance, they reclaim their health and transform their care journey.”

Care Guidance Supports Patients’ Clinical Needs

Acute Myocardial
Infarction (AMI)

Our AMI program provides practical barrier resolution, patient education on heart conditions, smoking cessation, medication adherence support, and nonclinical interventions for common comorbidities such as COPD, diabetes, and anemia.

Cancer

Rooted in the CMMI-funded Patient Care Connect (PCC) Program spanning twelve cancer centers across five states, our cancer care guidance has demonstrated nearly $4,100 per quarter per patient in savings during the acute phase and over $8,000 per patient in the final six months of life. This program includes barrier resolution, patient education, advanced care planning, and connection with psychosocial support resources – vital for supporting alternative payment models like the Enhancing Oncology Model.

Coronary Artery Bypass Grafting (CABG)

Our CABG program offers comprehensive patient education (wound care, infection prevention), practical barrier resolution, patient-reported wound monitoring, medication adherence support, and dietary instruction to support recovery and manage comorbidities such as diabetes and COPD.

COPD

We address COPD with robust barrier resolution, extensive patient education, pulmonary rehabilitation accountability, smoking cessation, and medication adherence support, alongside interventions for cardiovascular disease, depression/anxiety, diabetes, and osteoporosis.

Heart Failure

Our heart failure program includes barrier resolution, patient education, medication adherence support, smoking cessation, and dietary guidance, with additional interventions for comorbidities such as COPD, diabetes, hypertension, and obesity.

Obstetrics

Our obstetric guidance program enhances the care experience for expectant mothers and their families through proactive non-clinical interventions. It increases engagement by ensuring clear communication, robust education, and personal assistance—preparing mothers for every stage of pregnancy and the transition to newborn care.

Pneumonia

For pneumonia patients, we offer barrier resolution, medication adherence support, smoking cessation (if applicable), and patient education on fluid intake, symptom recognition, and management of comorbid conditions like heart failure and COPD.

THA/TKA

Our THA/TKA program provides comprehensive support including barrier resolution, patient education on wound care and infection prevention, patient-reported wound monitoring, and medication adherence, alongside interventions for common comorbidities such as hypertension, diabetes, obesity, and depression.

    Patient Activation Components

    Guideway Care’s operating model is based on human interaction powered by our proprietary patient activation platform. We partner with our clients to seamlessly integrate our approach into their existing care management workflows, delivering optimal patient and financial outcomes.

    Skilled Care Guides

    We use personality and cognitive assessments to hire the best Care Guides. Trained in motivational interviewing and Respecting Choices, our Care Guides resolve patient barriers—addressing social determinants of health (SDOH) and disparities, as well as clinical and nonclinical obstacles that affect outcomes.

    Proprietary Patient Activation Platform

    Our platform automates protocols to uncover both nonclinical and clinical issues, managing task ingestion, next-step processes, clinical escalation, and barrier resolution. This automated workflow enables Care Guides to build meaningful, peer-to-patient relationships while capturing structured, reportable data.

    Patients & Members

    Our mission is to achieve health equity for all by effectively addressing SDoH and disparities. Patients who need our assistance rarely ask for it, yet they deeply appreciate the supportive, personalized care we provide.

    Partner Clinical Teams

    Guideway Care Guides act as an extension of your clinical teams, enabling clinicians to focus on high-value care. We collaborate during both implementation and execution to resolve nonclinical barriers and escalate clinical concerns when needed.

    Integration

    Our solution integrates seamlessly with your existing workflows and technology systems. We work with your EHR/EMR and care management platforms to deliver bidirectional interfaces, prompts, and alerts—ensuring that our data flows directly into your systems, and nothing falls through the cracks.

    Close the Gap with Evidence-Based Patient Activation

    It’s time to close the engagement gap in your organization.
    Don’t settle for costly programs that maintain the status quo. Download our Short Guide to Evidence-Based Patient Activation to learn how Guideway Care can drive better outcomes and financial performance for you. See the data, case studies, and model behind this proven solution – and discover how to finally achieve the patient engagement breakthrough your team has been looking for. Get the guide now and start your journey to real patient activation and real results.
    Evidence-Based Patient Activation Guide
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