Priority Health

Priority health senior markets (medicare advantage and medicare supplement):priority health began offering medicare advantage plans in july 2005 and medicare advantage plans with prescription drug coverage in january 2006. Its medicare advantage plans vary in price based on where members live and what benefits they need. More than 251,500 michiganders have a priority health medicare advantage plan, and nearly 17,500 chose a priority health medicare supplement plan, also known as medigap. As a result of priority health's work with the community and dedication to delivering high quality coverage, its medicare advantage hmo-pos and ppo plans were accredited with the national center for quality assurance (ncqa), with our hmo-pos plans earning a 4.5 rating out of 5. Priority health's medicare advantage plans with prescription drug coverage were also awarded 5 out of 5 stars by the centers for medicare and medicaid services (cms). The medicare star ratings indicate how well a health plan performs overall; the better the star rating, the higher quality care and experience is delivered. Of the 42 quality and improvements metrics used to determine our overall quality rating of 4.0, approximately 75% of the metrics were either 4 or 5 stars. Priority health is able to provide its members high quality medicare advantage plans while remaining among the lowest cost plans in the country.medicare advantage members can enroll either individually, or through an employer group. During the 2024 medicare annual enrollment period (aep). Priority health's medicare advantage enrollment includes about 251,500 individual advantage members of the total individual medicare advantage market, making priority health the leader in michigan.chronic conditions are leading contributors to rising health care costs nationwide. To address this, priority health launched the medication therapy management (mtm) pilot program with its medicare members. The mtm pilot program offered priority health medicare members the opportunity to meet one-on-one with pharmacists to review all of their medications including prescriptions, over-the-counter drugs, and herbal and vitamin supplements. Complex medication regimens create significant challenges for patients living with chronic illness, their caregivers, health care providers and the health care system as a whole. The impact of medication-related problems can be minimized through a structured mtm program that uses pharmacists collaborating with the patient and the patient's health care providers. Retail and office-based pharmacists will collaborate with patients and providers to address drug-related problems and complete comprehensive medication reviews.

Priority health wellness:prevention and wellness have been the foundation of priority health's approach to health care. Priority health provides wellness tools and resources via an online wellbeing platform within its commercial standard health plans. It also offers a standardized, best-in-class wellbeing engagement program named prioritywell to empower their employees to pursue healthier lifestyles. In addition to the health plan offerings, priority health participates in, and sponsors, wellness programs for the community at large to improve the health of all people, not just members.priority health's wellness programs address the overall wellbeing of its members. Employers are able to support the overall wellbeing of their employees and improve engagement, satisfaction and productivity, ultimately resulting in improved talent retention and a healthier workforce. Priority health partners with employers to help them deliver targeted, smart programs that effectively improve employee physical and emotional health while also improving workplace morale and reducing overall health costs with a personalized wellbeing approach. Additionally, disease prevention and intervention programs are available to members through a digital engagement environment.priority health offers a wellbeing hub, which offers a personalized online wellness experience tailored to each employee's individual needs. The wellbeing hub, available to all priority health members, offers members access to content and tools centered on supporting stress management, nutrition, weight loss, quitting tobacco, chronic condition management, financial support, sleep health and more.priority health sponsors many community education programs, health fairs, walks/runs/rides and newsletters. In 2024 for the first time, priority health sponsored the detroit kids marathon which provided programming and shoes for 250 kids in detroit public schools and encouraged them to complete 26.2 miles of walking/running between august and october. Additionally, priority health for good funds the statewide exclusive priority health fitness court program. To date, there are 24 outdoor fitness courts across the state of michigan in easily accessible parks and public spaces. Because of the fitness courts, more than 530,000 michiganders are now within a 10-minute bike ride to access low-barrier equipment. Additionally, priority health sponsored free outdoor fitness classes in grand rapids and detroit, which provided free access for nearly 14,000 participants.priority health has developed an innovative digital member outreach program that relies on thousands of datasets and predictive analytics to help educate and inform our members. Using this data-driven approach, priority health is able to gain insights into challenges our members may face and identify actions they can take to improve or protect their health. Based on this information, priority health delivers personalized messaging on a variety of platforms to help members get the most from their plan. As an example, during the covid-19 pandemic, priority health targeted unvaccinated members to encourage them to get the vaccine, resulting in a significant increase in vaccinations for those who received the message. Additionally, the health plan delivered educational news through printed pieces to medicare members, the medicare quick start guide and the health journal.