CultureGuide® for Marketplaces
CultureGuide from SameSky Health delivers personalized member healthcare journeys, guiding members to the tools, resources, and care they need. Read an overview of CultureGuide.
For members who choose coverage from a Marketplace, navigating both the healthcare system as well as healthcare benefits can be challenging, even under the best of circumstances. While we might all be working toward the same objective, each of us will do so in our own, unique way — shaped by our environment, health conditions, life experiences, and our unique cultural backgrounds.
How do you get members on the right path? CultureGuide from SameSky Health delivers an individualized member experience that considers all these challenges and more.
CultureGuide enables you to build trusted, long-term relationships with Marketplace members. Additionally, it enables you to create a unique member experience, guiding members to the tools, resources, and care available to them through their health benefit plans.
CultureGuide Pathways
With CultureGuide, each member’s personalized health journey is created and tailored based on the information we know (as provided by the health plan), or that we discover along the way (through our interactions with a member). These interactions are also shaped by Pathways — each one representing a specific set of health engagement objectives.
The Core Pathway is a standard component of CultureGuide and is focused on collecting health-equity-related data, driving compliance with essential screenings, and other fundamental objectives that are common to nearly every implementation. Our optional Focus Pathways allow additional health objectives to be incorporated, based on the health plan’s specific priorities.
Featured Focus Pathways
Core Pathway
A standard component of CultureGuide, the Core Pathway helps augment member data (including race, ethnicity, and language preferences), while helping surface barriers to care, ensuring PCP selection, and driving preventative care visit completion.
Women’s Health Pathway
Addressing the unique health needs of women, the Women’s Health Pathway helps members overcome barriers to care, while educating women on key screenings and healthy lifestyles, plus promotes plan benefits, and reminding members about key health visits.
Diabetes Care Pathway
Leveraging known member data and gaps, the Diabetes Care Pathway directs diabetic members to plan programs and services, while providing educational resources on controlling their condition and proper channels for care, and driving important screenings and exams.
SDOH Screening and Navigation Pathway
The Social Determinants of Health Screening and Navigation Pathway helps surface challenges through SDOH screening, while directing members to plan resources or care management services, and gauging satisfaction and success.
Prenatal/Postpartum Pathway
The Prenatal/Postpartum Pathway provides guidance before and after delivery, ensuring that members are given information and guided throughout the process, while addressing health disparities among prenatal and postpartum members.
Behavioral Health Pathway
Designed to support the behavioral health needs of members, the Behavioral Health Pathway provides holistic education, while destigmatizing and driving awareness, and promoting seeking help when needed.
Learn more about CultureGuide and the CultureGuide Pathways. Contact us today.
Children’s Health Pathway
Children and their parents have unique needs, and the Children’s Health Pathway helps them overcome barriers to care, educating parents and promoting plan benefits and services, while helping members understand when and where to seek care.
Learn more about how CultureGuide® works within specific lines of business
The systems used to provide CultureGuide have achieved HITRUST Risk-based, 2-year (r2) Certified status.