Infographic: GuidingCare Clinical Expertise

GuidingCare^® is not just another software provider; it brings unparalleled clinical expertise to the table, ensuring that your care management platform and programs significantly enhance both clinical and financial outcomes across the healthcare ecosystem.

Clinical Expertise in Care Management

GuidingCare® stands out by seamlessly integrating deep clinical knowledge into its operations. Our seasoned experts have decades of experience working within and alongside health plans, translating clinical needs into best-practices workflows and ensuring compliance with regulatory requirements. This wealth of knowledge and practical experience is continuously leveraged through training sessions, ride-along programs, and user groups, ensuring that our platform evolves in alignment with your business needs.

Comprehensive Support and Proficiency

Our dedicated team also provides ongoing support through robust individual and group training sessions, professional services guidance, and continuous customer support. This comprehensive approach keeps your team proficient in care management best practices, making sure you stay compliant and effective.

Decades of Experience

With over 100 years of combined experience in the health plan space and more than 50 years supporting GuidingCare® customers through various implementations, our experts bring a deep understanding of industry best practices tailored to your needs. This ensures that the GuidingCare® application, along with its functionalities and processes, is continuously optimized for your business.

Versatile Solutions for Complex Needs

The GuidingCare® suite of solutions supports care management, utilization management, appeals and grievances, authorizations, and population health in a next-generation, fully integrated platform. By improving mission-critical workflows and providing real-time data access, we empower digital payers to achieve superior financial and health outcomes.

Regulatory Compliance

We proactively monitor the evolving state and federal regulatory landscape to keep you compliant and confident during audits. Health plans leveraging GuidingCare® can maximize coordination and member engagement, leading to improved STAR ratings, better health outcomes, and increased member satisfaction.