Expertise: Organizations
EXAMPLES
Healthier Florida: A comprehensive disease management, care coordination and health literacy initiative aimed at improving the health of Medicaid beneficiaries in Florida chronically ill with Asthma, Diabetes, Hypertension or CHF. Partnering with five hospitals and over 50 care managers, we reduced access barriers and delivered scientifically sound interventions tailored to individual patient literacy, cultural and lifestyle needs. The project resulted in 34% improvement in self-care abilities, an 18% reduction in ED visits, and a 22% reduction in inpatient hospital days.
Kansas City Collaborative (KC2): Building on the established link between employee health and corporate bottom-line, this comprehensive health benefit program offering for large and mid-sized employers helps them prioritize and integrate disparate employee health data sources, and use that data to classify risks, align incentives, implement evidenced-based health interventions and assess the impact on employee health. The program increased employee participation in annual health risk assessments and biometric screenings by 17%, reduced BMI by over 7% and the average savings realized per employer was 17% greater than the implementation cost.
Transitions of Care: Supporting a professional association in bringing together a diverse group of health care stakeholders, the project delivers a set of standards that guide seamless transitions and support payer and provider organizations in achieving care coordination goals. This effort is designed to reduce costs and improve longitudinal outcomes for patients with complex care needs as they transition through various care delivery settings. The impact of implementing the transitional care standards is currently being evaluated using metrics established by CMS, Medicare STAR, HEDIS and CAHPS.
TESTIMONIALS
“CareGuides offers just the right mix of clinical expertise, business acumen and emotional intelligence to help people with a challenging illness navigate the health care system, identify services and use resources in the best way possible. They are strong patient advocates who know how to engage providers, coordinate care, and negotiate with managed care organizations. The strategies CareGuides employ not only impact individual health and wellbeing, but also demonstrate meaningful outcomes like improved self-care abilities, fewer symptoms, and reduced health care costs.“
Scott Wolf, DO, MPH, FACP
VP Operations/Chief Physician Executive
Lee Health System
“It was a big job to manage an initiative that brought together sixteen diverse employer headquartered in Kansas City, and keep them focused and engaged over a two-year period as they made investments in the health of their employees by changing benefit offerings, promoting preventive services and fostering healthy behaviors. Through CareGuides engaged project leadership, the many moving parts to this multi-stakeholder project were expertly handled. The leadership, communication, time management, negotiation, team management, and critical thinking skills that CareGuides brought to this project helped to create a proven model that was replicated nationally in other markets.
Troy Ross
President & CEO
Mid-America Coalition on Health Care
“CareGuides is a valuable thought partner and has worked collaboratively with ACMA to identify and support innovative and impactful projects that further our mission to be the premier association for Case Management and Transitional Care professionals. They have helped us greatly in designing and delivering valuable solutions and resources that are topical, relevant and that make a difference for our members.”
L. Greg Cunningham
CEO
American Case Management Association