A regional health plan was facing escalating costs from CHF-related readmissions. Members discharged after heart failure episodes were not following through on medication changes, follow-up appointments, or lifestyle modifications. Traditional care management calls were going unanswered or failing to drive action.

Guideway Care deployed activation-trained Care Guides who contacted members within 48 hours of discharge using our Motivational Patient Guidance framework. Each interaction was designed to address specific behavioral barriers — fear, confusion, medication complexity, and logistical challenges. Our platform prioritized outreach based on clinical risk and behavioral readiness scores.

CHF readmissions dropped by 30% within the first year. The QA pass rate across all member interactions was 99.4%. The health plan estimated $2.1M in avoided readmission costs, and member satisfaction scores for care transitions improved significantly.