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  1. Home
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  3. GuidingCare Care Management 
Logo of GuidingCare Care Management 

GuidingCare Care Management 

byAltruista Health
in U.S. Healthcare Payer Care Management Workflow Applications
4.0

Overview

Product Information on GuidingCare Care Management 

Updated 13th October 2025

What is GuidingCare Care Management ?

GuidingCare Care Management software is designed to support care coordination, case management, and population health management for healthcare organizations. The software facilitates workflows for member engagement, assessments, care planning, utilization management, and reporting. It integrates with electronic health records and other data sources to provide a unified view of member information. GuidingCare Care Management software aims to help organizations manage tasks related to member outreach, care team collaboration, and compliance with regulatory requirements. The software is intended to address the needs of health plans and provider organizations seeking to improve operational efficiency, care quality, and health outcomes for the populations they serve.

GuidingCare Care Management  Pricing

GuidingCare Care Management software from this provider employs a subscription-based pricing model, typically structured according to the number of users, volume of enrolled members, or scale of deployment within an organization. Additional pricing tiers may be offered based on specific modules or features required, with implementation and support services often incurring separate charges.

Overall experience with GuidingCare Care Management 

VP
3B - 10B USD, Healthcare and Biotech
FAVORABLE

“Well position product for managing population health”

4.0
Jul 9, 2020
Vendor productive is highly customizable, it has certain areas that need further maturity and automation but overall its on the right path. Vendor is very responsive
Director IT
<50M USD, Healthcare and Biotech
CRITICAL

“Good Functionality, poor vendor execution”

1.0
Oct 16, 2018
The GuidingCare platform demos well and has good functionality for a care and utilization management system. The biggest issue is the delivery, implementation, and support for the product is underwhelming. The products releases are plagued with defects, upgrades require a new statement of work, and the overall support is lackluster.

About Company

Company Description

Updated 24th March 2025

Altruista Health is a technology solutions company that contributes to managing population health. Incorporated in 2007, the company offers technologies intended to facilitate collaborative, data-informed, and patient-oriented health management. Altruista Health developed GuidingCare, an online population health management system that helps health plans to optimally utilize their data and enhance care quality for high-risk individuals. GuidingCare integrates data from numerous systems, such as medical and pharmacy claims, EMR/EHR, eligibility, HIEs etc., to deliver role-optimized workflow management tools that cater to care coordination, care transitions management, quality improvement, and utilization management among others.

Company Details

Updated 29th April 2025
Company type
Private
Head office location
Reston, United States
Number of employees
1001 - 5000
Website
http://www.healthedge.com

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Key Insights

A Snapshot of What Matters - Based on Validated User Reviews

Reviewer Insights for: GuidingCare Care Management 
Performance of GuidingCare Care Management  Across Market Features

GuidingCare Care Management  Likes & Dislikes

Like

Its customizable, has all the core modules

Like

I really like the functionality of the product, except it usually doesn't work. I feel Integration with this cloud based system is non-existent. The system is intuitive and easy to use for the most part.

Like

I feel product its a great experience using it payer care management workflow applications is the payer-employed care manager doing the work of utilization management , case management , disease management.Care management workflow occurs in the larger context of a population health management program.

Dislike

Some modules are more mature than others

Dislike

I dislike the required conversions and costs associated with major upgrades. It's not as simple as upgrading the system, you need to convert data from one version to another.

Dislike

I don't feel any dislike when compared to product I feel service

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Peer Discussions

GuidingCare Care Management  Reviews and Ratings

4.0

(5 Ratings)

Rating Distribution

5 Star
40%
4 Star
20%
3 Star
20%
2 Star
0%
1 Star
20%
Why ratings and reviews count differ?

Customer Experience

Evaluation & Contracting

3.8

Integration & Deployment

3.2

Service & Support

3.4

Product Capabilities

4.2

Filter Reviews
Sort By:
Most helpful
Last 12 Months
Star Rating
Reviewer Type
Reviewer's Company Size
Reviewer's Industry
Reviewer's Region
Reviewer's Job Function
  • VP
    1B-10B USD
    Healthcare and Biotech
    Review Source

    Well position product for managing population health

    4.0
    Jul 9, 2020
    Vendor productive is highly customizable, it has certain areas that need further maturity and automation but overall its on the right path. Vendor is very responsive
  • Sr Appeals Rep
    <50M USD
    Healthcare and Biotech
    Review Source

    i feel it was great now

    5.0
    Dec 12, 2019
    I appreciated the ease of use of the system. its a great experience working learning , health care industry has many more points to view and and learn many more things . I am enjoying with the vendor
  • Regulation
    <50M USD
    Healthcare and Biotech
    Review Source

    Amazing platform, really facilitate our quality improvement

    5.0
    Apr 25, 2019
    It turns out that with Guidingcare we can achieve efficiently what we are looking for in terms of a health care platform. A little bit confused in the beginning.
  • Director IT
    <50M USD
    Healthcare and Biotech
    Review Source

    Good Functionality, poor vendor execution

    1.0
    Oct 16, 2018
    The GuidingCare platform demos well and has good functionality for a care and utilization management system. The biggest issue is the delivery, implementation, and support for the product is underwhelming. The products releases are plagued with defects, upgrades require a new statement of work, and the overall support is lackluster.
  • Sr. Business Architect
    10B+ USD
    Healthcare and Biotech
    Review Source

    Solid technology support requires proper resourcing

    3.0
    Apr 23, 2018
    Vendor resources are stretched, expectation is for better scaling and resource availability -- they are often resource challenged
Showing Result 1-5 of 5

Recommended Gartner Research

  • Market Guide for U.S. Healthcare Payer Care Management Workflow Applications

Gartner Peer Insights content consists of the opinions of individual end users based on their own experiences, and should not be construed as statements of fact, nor do they represent the views of Gartner or its affiliates. Gartner does not endorse any vendor, product or service depicted in this content nor makes any warranties, expressed or implied, with respect to this content, about its accuracy or completeness, including any warranties of merchantability or fitness for a particular purpose.

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