About PrimeWest Health
Welcome to a greater Minnesota health plan! PrimeWest Health is a unique and innovative health plan option for residents in our service area counties who are eligible to enroll in Minnesota’s Families and Children, MinnesotaCare, Minnesota Senior Health Options (MSHO), Minnesota Senior Care Plus (MSC+), or Special Needs BasicCare (SNBC) programs.
PrimeWest Health solely exists to help our members achieve healthier, fuller lives by cost-effectively improving their health care experience and advancing health equity. In fulfilling that purpose, we strive to achieve four goals for our members, which we call “4D” (four dimensions of optimal health care): improving our members’ health care experience (care outcomes, care quality, member satisfaction); improving member population health; achieving health equity across our entire member population; and improving the value of health care provided to our members. We pursue these goals within a set of organizational core values and guiding principles that put our members first, respect and support the providers who care for our members, and ensure public accessibility to and the integrity of our organization through operational transparency and accountability.
What makes PrimeWest Health unique rests in our ownership and governance structure. PrimeWest Health is owned by 24 counties, with two county commissioners from each county making up our governing board: Beltrami, Big Stone, Chippewa, Clearwater, Cottonwood, Douglas, Grant, Hubbard, Jackson, Kandiyohi, Lac qui Parle, Lincoln, Lyon, McLeod, Meeker, Nobles, Pipestone, Pope, Redwood, Renville, Stevens, Swift, Traverse, and Yellow Medicine. Because we are a county-owned health plan, residents of these counties are represented by their publicly elected officials who serve on our governing board—the PrimeWest Health Joint Powers Board of Directors. This local governance ensures PrimeWest Health remains closely in touch with and highly responsive to the needs of our members and the providers who care for them. Further, our local government ownership ensures that PrimeWest Health operations are publicly transparent and that we are directly accountable to the public for the resources we are entrusted with by the State and Federal governments. Also important is that the counties we serve are all rural. This means our operations are specifically designed to help our members overcome the barriers to optimal health and timely access to high quality care that are unique to rural areas. Living and working in the counties we serve gives PrimeWest Health a ground-level view of local health care access challenges and how we can best combine and coordinate our resources with other local resources to benefit the health and well-being of our members.
PrimeWest Health's innovation stems from our local ownership structure that drives our neighbor-caring-for-neighbor culture and approach to serving our members. Because we are owned by counties, PrimeWest Health is organizationally integrated with county Public Health and Social Services agencies—agencies that play key roles in addressing our members’ social determinants of health, behavioral health, and community health needs; improving member population health; and providing case management services. This integration enables PrimeWest Health to readily integrate and coordinate public health, social services, and behavioral health services with medical and allied health care services provided by the more than 15,000 contracted health care and human services providers that make up the PrimeWest Health provider network. The result is timely access to coordinated, high quality, and cost-effective care for our members.
PrimeWest Health’s innovation also extends to our customer service practices and our efforts to improve local health care infrastructure to benefit our members. PrimeWest Health has long been known for putting our members first. The most widely regarded examples of this are our Member Services and Provider Contact Centers, where our members and providers are not greeted by a computerized recording and a list of directory options, but by friendly and highly experienced member and provider customer service professionals who quickly address any concerns or questions our members and providers may have. Our member-first approach also extends to helping providers offer our members local access to a greater range of services and special health care programs. PrimeWest Health does this through our Community Reinvestment Program (CRP). Our CRP was the first of its kind in Minnesota and involves using surplus dollars gained through our efficient operations to provide grants to providers and community organizations for programs and projects designed to improve the health and well-being of our members. Since 2007, PrimeWest Health has awarded millions of dollars in CRP grants and funding and we will continue these investments as future surpluses allow.
PrimeWest Health also continually develops new programs designed to help our members enjoy healthier and fuller lives while reducing unnecessary health care costs. Most notable among these programs is our Accountable Rural Community Health (ARCH) program. ARCH was the first provider accountable care and value-based payment model in rural Minnesota, and it has resulted in significant improvements in quality of care and population health and a reduction in unnecessary health care costs. PrimeWest Health’s innovations and performance achievements, including ARCH, have been recognized by multiple organizations over the years, and we encourage you to visit the PrimeWest Health History and Mission pages as well as other sections of our website to learn more about what made and makes PrimeWest Health a greater Minnesota health plan.