Guideway Care Affirms Support for Payers to Meet New HEDIS® Metrics 2023, Including Guidelines for Social Need Screening and Intervention

BIRMINGHAM, Ala.--(BUSINESS WIRE)--Guideway Care, a national leader in advancing health equity by resolving patient barriers related to social determinants of health (SDoH), optimizing member outcomes and lowering total costs in Value-Based Care, points to its leading role in helping payers meet the new HEDIS® Metrics 2023 published by the National Committee for Quality Assurance (NCQA) for Social Need Screening and Intervention (SNS-E). Guideway Care implements a multi-point Service as a Solution model with payers to positively impact HEDIS Metrics, CAHPS scores and Medicare Stars Ratings through outbound member interactions and the active identification and resolution of healthcare barriers related to SDoH.

“With the release of these annual additions and revisions, we are in a unique position to help payers make health equity actionable and provide health plans with a clear path to value,” says Greer Myers, president, Guideway Care. “We applaud the new metrics to substantiate not only the identification of members who have food, housing and transportation insecurities, but also the resolution of those identified health-related social needs.”

According to NCQA leaders, these measures are part of an organization-wide effort to advance health equity and encourage health plans to assess and address the food, housing and transportation needs of their member populations. Health plans can identify specific needs and connect members with the resources necessary to address unmet social needs.

“Our approach is aligned with these goals, and we look forward to assisting health plans in their quest to achieve optimal HEDIS scores that advance health equity,” says Myers. “Guideway hires and extensively trains Care Guides who operate within a scalable, technology-enabled platform to successfully address SDoH by activating members and their caregivers to uncover and resolve disparity-related barriers to care.”

Guideway’s Care Guides follow structured, AI-assisted workflow protocols to ensure that both non-clinical SDoH and clinical barriers are resolved, which results in an improved healthcare experience for all members. Over the last 10 years, the Guideway Care approach has consistently decreased avoidable acute care utilization, while improving member satisfaction.

NCQA annually updates and releases measures in the Healthcare Effectiveness Data and Information Set (HEDIS^®), providing new guidance to the healthcare industry. For complete documentation and more information, refer to the full measure specifications in HEDIS MY 2023 Volume 2: Technical Specifications for Health Plans and/or HEDIS MY 2023 Digital Measures Bundle.

About Guideway Care

For more than 10 years Guideway has delivered a proven, scalable technology-enabled Service as a Solution for advancing health equity in Value-Based Care. Partnering with hospitals/health systems, payers and provider organizations, Guideway reduces health disparities, improves patient/member satisfaction and lowers total cost of care. Highly trained Care Guides, supported by a proprietary technology platform, build peer-to patient relationships that allow for the identification and resolution of non-clinical and clinical barriers to accessing quality care. By maximizing the patient care experience and resolving barriers that lead to avoidable deterioration and acute care utilization, the Guideway approach to patient activation creates value for all stakeholders. www.guidewaycare.com