Focused Wellness Programs

About Focused Wellness

PrimeWest Health’s educational Focused Wellness programs are designed for members who want to do one or more of the following:

  • Better manage their chronic conditions
  • Take charge of their wellness
  • Reduce or quit tobacco

Members can enroll in one or more programs to receive educational information and support. All programs are:

  • Available at no cost to members
  • Educational and supportive
  • Built on information members already have
  • Done through phone calls and mailings—members don't need to leave their homes!

Referrals and contact information

If you would like to refer a member, please complete the Focused Wellness Program Referral Form.

If you have any questions about Focused Wellness or would like more information, call the PrimeWest Health Provider Contact Center at 1-866-431-0802 (toll free) and ask for the Focused Wellness nurse (for chronic condition management) or the LPN Community Health Specialist (for PrimeWellness or Tobacco Cessation). You can also email caremanagement@primewest.org.

Programs

Chronic Condition Management

 We offer programs for the following conditions:

  • Anxiety
  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Depression
  • Diabetes
  • Heart Disease

Members who join a Focused Wellness program to better manage their chronic condition can choose to receive educational mailings. In addition, participants can choose to receive personalized phone calls from nurses who work to empower members to become self-advocates, provide information about avoiding disease-related complications, offer self-care tips, and help with goal-setting. When a member joins this program, their primary care provider is faxed a letter that introduces the program.

PrimeWellness

PrimeWellness can help members take care of their body, mind, and life. Members choose their own goals, and we help them reach them. This program is for anyone age 18 and over who wants to feel better, live stronger, and make healthy changes. With PrimeWellness, members receive phone support from a nurse who provides education, coaching, and support specific to the member’s personal goals. 

Tobacco Cessation

The Tobacco Cessation program is delivered over the phone by a Certified Tobacco Treatment Specialist (CTTS)–trained nurse and includes the following:

  • Weekly follow-up phone calls
  • Individualized tobacco cessation counseling
  • Education on managing cravings and triggers
  • Support with stress management, relapse prevention, and identifying support systems
  • Education about tobacco cessation medications and products, when appropriate. These may be covered with a prescription from the member’s health care provider.

More about Focused Wellness

PrimeWest Health identifies members eligible for our Focused Wellness programs in a variety of ways, including claims or encounter data; pharmacy data; health risk assessments; member, caregiver, or provider referral; utilization management; and care coordination activities.

The backbone of Focused Wellness is the COACH model, which was developed by the Camden Coalition of Healthcare Providers as a way to improve outcomes for people with complex health and social needs. COACH stands for: Create a care plan, Observe the normal routine, Assume a coaching style, Connect tasks with vision and priorities, and Highlight effort with data. As part of this framework, members can choose to receive a set of 15 “action cards” that can be used to set goals and identify areas where help is needed.

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Updated_03/24/2026