Guideway Care Success Stories
Avoided In-patient and ER Visits for Medicare Patients
A large, California-based Medicare Advantage plan administrator needed an effective way to lower rates of avoidable utilization and deterioration.
The target population received care guidance services to identify and lower barriers to care and preventative services. The goal was to lower avoidable inpatient (IP) and emergency department (ED) visits.
Within the first two months of the program, Guideway Care reduced in-patient admission rates by 79 percent and emergency department admission rates by 50 percent for the target member population. Sixty-day costs avoided totaled more than $103K.
IP: Reduced Readmissions by 79%
ED: Reduced Readmissions by 50%
Appointment Scheduling and Adherence: Addressing Gaps
After multiple unsuccessful outreach attempts, a patient returned a Care Guide’s call requesting assistance. He missed an appointment and wanted help rescheduling. The Care Guide was able to reschedule the appointment successfully and assist with securing transportation.