Nurse Guidance, Navigation, and Engagement to Improve Quality and Lower Cost

Payers are under increasing pressure to improve outcomes and increase member satisfaction while reducing costs. For these organizations, GuidePoint from AxisPoint Health is their most trusted and proven advice, guidance, navigation, and member engagement service.

AxisPoint Health’s NCQA certified and URAC accredited GuidePoint service leverages more than two decades of experience in delivering successful nurse advice programs to support access to care, close gaps, and reduce costs across the continuum.

GuidePoint empowers payers to offer their members the most effective and comprehensive clinically-led and analytically-backed triage, navigation, and omni-channel engagement solution available today. With GuidePoint, you can ensure your members get connected to the right level of care at the right time, anytime.

Payers are under increasing pressure to improve outcomes and increase member satisfaction while reducing costs. For these organizations, GuidePoint from AxisPoint Health is their most trusted and proven advice, guidance, navigation, and member engagement service.

AxisPoint Health’s NCQA certified and URAC accredited GuidePoint service leverages more than two decades of experience in delivering successful nurse advice programs to support access to care, close gaps, and reduce costs across the continuum.

GuidePoint empowers payers to offer their members the most effective and comprehensive multi-channel, clinically-led and analytically-backed triage, navigation, and multi-channel engagement solution available today. With GuidePoint, you can ensure your members get connected to the right level of care at the right time, anytime.

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GuidePoint Delivers:

  • Nurse triage
  • Advisory and health information interpretation services
  • Advocacy and outbound gaps in care campaigns
  • Support for HEDIS and Stars metrics
  • Navigation to other care management programs
  • Inbound and outbound engagement programs
  • Telemedicine referrals
  • PCMH support and PCP selection
  • Sophisticated analytics and targeted marketing

GuidePoint Key Benefits


Only nurse advice and guidance service that can back results with claims data

Industry-leading 82% ED redirection rate

73% of calls redirected to a more appropriate level of care

ROI of 2:1 and higher (Third-party validated)

92% caller satisfaction

99% alignment between AxisPoint Health nurse-provided and independent physician advice

NCQA certified and URAC accredited

RNs have an average of 13 years of clinical experience

Staffed 24/7 by RNs licensed in the caller’s state

Market-Leading Redirection Rate

GuidePoint’s distinct algorithm-based service is proven to be the most effective approach to accurately assess symptom severity and deliver a recommendation with the highest predictability and lowest variability in the industry. With a market-leading ED redirection rate of 82%, GuidePoint offers the greatest opportunity for payers to reduce medical expense and catch critical events before they become catastrophic.

GuidePoint is the only nurse advice service that can back up its redirection and ROI results with actual claims data – not simply member-reported intent. With GuidePoint, you can feel confident in the outcomes and savings delivered.

  • Market-leading ED redirection rate of 82%
  • AxisPoint Health nurses effectively redirect members to a more appropriate level of care 73% of the time
  • Studies confirm members trust and follow GuidePoint recommendations

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AxisPoint Health

Nurse triage

 

  • Provides symptomatic callers with immediate telephonic access to RNs, who use a distinct and proven methodology and workflow tool to assess the caller’s condition and direct them to the right level of care at the right time
  • Algorithm-based clinical assessment model accurately assesses symptom severity and delivers a recommendation with greater than 99% alignment with the triage advice given by physicians
  • Average ED redirection rate of 82% – higher than any other nurse advice vendor

Advocacy and gaps in care

 

  • RN-led support for members diagnosed with new conditions or facing major health issues
  • Comprehensive one-on-one consultation leverages evidence-based clinical content and provides shared decision-making support

Advisory services

 

  • Helps members interpret health information and navigate the healthcare system
  • Provides members access to an Audio Health Library with information on over 1,000 health-related topics, and an Online Symptom Advisor, which provides point-of-care recommendations

Navigation

 

  • Clinical extenders that provide members with after-hours support
  • Leverages robust analytics and a segmented, omni-channel marketing approach targeted to those who are most likely to respond
  • Closes gaps in care to improve HEDIS scores and Medicare Stars metrics by encouraging and supporting prescribed health regimens

Engagement programs

 

  • Directs eligible members to your care management programs for further support
  • Facilitates timely referrals and enrollment into programs

Telemedicine referrals

 

  • In- and outbound member engagement campaigns help to keep callers in-network and happy
  • Welcome new members, provide custom assessments and surveys, and encourage care management program enrollment

PCMH support and
PCP selection 

 

  • Directs eligible members to a payer’s preferred telemedicine service when clinically appropriate, using our algorithmic approach
  • Members can receive clinical care without the need for an in-person provider visit or the expense of an unnecessary ED or urgent care visit
  • By directing members to a GuidePoint nurse before self-referring to telemedicine, payers can further reduce unnecessary medical expense

Sophisticated analytics and targeted marketing

 

  • Directs callers to in-network providers to avoid leakage
  • Supports the Patient-Centered Medical Home model
  • Protects members’ relationships with their primary care physician

URAC Health Call Center Accreditation Seal              ncqa_40_hip_health_info_line_rgb

The provision of any pharmaceutical drugs, medical devices or educational materials to members shall not be construed as marketing or advertising by the manufacturers. AxisPoint Health has no financial ownership in other entities engaged in advertising, marketing, or provision of goods or services related to our chronic condition, disease, case or complex case management services.