Reduce PAC Costs While Improving Outcomes
CareGuide helps health plans optimize post-acute spending through intelligent placement, quality metrics, and real-time network management.
Post-Acute Care Challenges
Health plans face mounting pressure to control PAC costs while maintaining quality and member satisfaction.
Uncontrolled PAC Spending
PAC costs consume 20-25% of Medicare Advantage medical spend, often with limited visibility into placement decisions.
Misaligned Placements
Members placed at facilities that don\'t match clinical needs or quality standards, driving poor outcomes and readmissions.
Limited Network Visibility
No real-time data on facility availability, quality metrics, or star ratings to guide care management teams.
Readmission Risk
30-day SNF-to-hospital readmissions average 18-22%, creating quality penalties and increased medical costs.
Manual Authorization Burden
Care managers spend hours reviewing paper documentation and coordinating placements without decision support tools.
Member Complaints
Families frustrated by lack of placement options, delays in authorizations, and poor communication during care transitions.
The CareGuide Advantage
A comprehensive platform that reduces PAC costs, improves outcomes, and enhances member satisfaction.
18% Cost Reduction
Average PAC cost savings through optimized placement matching and preferred network utilization.
Quality-Based Network
Only facilities meeting quality thresholds (star ratings, outcomes, compliance) participate in your network.
Reduced Readmissions
Clinical matching algorithms reduce 30-day readmission rates by 24% through better facility-patient fit.
Real-Time Visibility
Live bed availability, census trends, and quality metrics across your entire PAC network.
Faster Authorizations
Automated clinical documentation review and pre-auth workflows reduce auth time from 48 hours to 4 hours.
Member Satisfaction
Families receive transparent facility options, virtual tours, and real-time placement status updates.
Intelligent Network Management
Our proprietary ValueSync™ platform helps you build, manage, and optimize a high-performing PAC network.
Quality Scoring
Automated quality scorecards combining CMS star ratings, state inspection data, readmission rates, and member feedback.
- 5-Star rating minimum threshold
- Continuous compliance monitoring
- Outcome-based facility rankings
- Automated network alerts
Cost Analytics
Transparent pricing data, utilization patterns, and ROI tracking across your entire PAC network.
- Per-member-per-month PAC spend tracking
- Market rate benchmarking
- Length-of-stay optimization
- Readmission cost avoidance
Clinical Matching
AI-powered algorithms match member clinical profiles to optimal facility capabilities and specializations.
- Diagnosis-specific matching
- Acuity-level appropriateness
- Therapy capability alignment
- Member preference consideration
Seamless Integration
CareGuide integrates directly with your care management workflows and claims systems.
Care Management Systems
Direct integration with leading care management platforms and utilization review systems.
Security & Compliance
Enterprise-grade security with bank-level encryption and robust data protection.
Rapid Deployment
Go live in weeks, not months, with our proven implementation methodology.
Measurable ROI
CareGuide customers see significant cost savings and quality improvements within the first 90 days.
Average savings on post-acute care spend
Decrease in 30-day SNF readmissions
Reduction in pre-auth processing time
Flexible, Value-Based Pricing
We succeed when you succeed. Our pricing aligns with your goals: lower costs and better outcomes.
Pay only when we successfully place a member. No setup fees, no monthly minimums.
Share in cost savings with performance-based pricing tiers
Scaled pricing based on annual placement volume
Platform access, training, and support included at no extra cost
90-day money-back guarantee if you don\'t see measurable cost savings
"CareGuide reduced our SNF costs by 22% in the first year while actually improving member satisfaction scores. The ValueSync™ platform gives our care managers real-time visibility they\'ve never had before."
Ready to Optimize Your PAC Network?
Schedule a demo to see how CareGuide can reduce costs and improve outcomes for your members.