Prime West Health System - Neighbor carying for Neighbor

Providers & Counties

• Introduction
• Coverage Areas
• Products Overview
• Joint Powers Board
• Mission and Vision
• PrimeWest History
• Job Postings
• Internal News
• Participating County Information
• How PrimeWest Works
• Prime West Goals
• Compliance

Prime West Goals

A. To ensure access to quality health care services for the Medicaid and low-income population by:

1. Preserving enrollee choice of local health care providers.
2. Enabling enrollees to continue existing relationships with local service providers.
3. Using integration and improved service coordination to encourage greater continuity and timeliness of care, and eliminate costly redundancies in services.
4. Facilitating the development of a local delivery system centered around local health care needs by stimulating referral and wise resource-use relationships among local public health, social services, and private sector providers.
5. Ensuring appropriate utilization of health care resources by enrollees and health care providers.
6. Applying new resources created by the efficiencies of a more integrated system toward developing and preserving essential local health care services.

B. To improve the health status of low income residents by:

1. Integrating and coordinating social services, public health, and medical services around the health improvement and treatment needs of people on Medicaid.
2. Instilling a sense of provider ownership in PrimeWest, its vision, and the health of the Medicaid population by encouraging local provider participation in its Care Coordination program.
3. Providing private and public health care providers with a structure in which they can interact meaningfully. This will encourage these providers to access the most appropriate local resources for meeting enrollees' needs.
4. Targeting resources at prevention and early intervention. This is done by improving access to essential and often less expensive health services. This is also done by encouraging appropriate and timely utilization of health services. These services include primary care, mental health, public health, and dental care.
5. Addressing the social, economic, environmental, and behavioral risk factors affecting enrollee health at the individual and community health levels.

C. To operate PrimeWest as a model business while embracing and fulfilling the public service responsibilities of a government agency:

1. Pursuing the highest standards and practices of business management and ethics.
2. Understanding, serving, and safeguardinig the interests of the community.
3. Exercising loyalty, due care, and diligence to ensure effective use of public resources.
4. Maximizing opportunities created by having local control of public resources. Because the member counties are sensitive to the needs of their local populations, PrimeWest is in a position to better serve and satisfy those needs.
5. Ensuring access to services by enhancing the viability of our fragile rural health care systems.
6. Reinvesting any surplus resources (in compliance with State and Federal laws) back into the community for the purposes of increasing geographic and economic access and fostering greater integration of services to improve the health status and quality of life of people on Medicaid.