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Member Care Pathways

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Care Pathways are pre-designed sequences of activities that are automatically scheduled for members based on timing rules or conditions (like specific responses to questions).

They’re especially helpful when you want to create a structured, repeatable workflow for common member journeys—such as post-enrollment follow-up or condition-specific care.

You can manage Care Pathways under the Templates section in Pear Suite.

Key features:

  • You can create multiple Care Pathways for different programs.
  • One Care Pathway can be set as Default, which means it will automatically begin for every new member added to the platform.
  • Each pathway consists of multiple activities scheduled in sequence.

Types of scheduling options for activities within a Care Pathway:

  • Immediately: Fires the next activity right away.
  • Interval: Allows you to specify a delay (in days, weeks, or months) after the previous step.
  • Scheduled: Lets you choose a specific date and time.

NOTE: Condition-Based Triggers - These conditions trigger an activity only if a specific answer choice is selected in a previous activity. This allows you to add decision points to the pathway. This isn't related to the scheduling options listed above, but it works on top of them. 

When building a pathway:

  1. Start with the first activity—it will be the trigger for the Care Pathway.
  2. Add subsequent activities and set their firing method.
  3. Link additional steps using logic based on conditions or timing.

Care Pathways help standardize support, reduce manual planning, and ensure members receive the right care at the right time.

 

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  • Member Care Plans
  • Creating and Managing Care Pathways
  • Creating and Managing Referral Templates
  • Member Overview
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