Priority Health Advances Whole-Person Care Model with Integrated Digital Health Partnerships
Priority Health, a nonprofit health plan serving over 1.3 million members, is shifting its focus from traditional single-condition treatment to a comprehensive whole-person care model. This approach integrates physical, mental, emotional health, and social determinants, aiming to offer holistic wellness support beyond symptom treatment. The transition is driven by employer demands for cost-effective insurance solutions and the goal of enhancing member health outcomes.
To facilitate this shift, Priority Health actively engages with its Agent Advisory Council and Employer Product Advisory Council to better understand employer pain points through claims data and employee feedback. This market insight informs the addition of benefits that are clinically effective and financially prudent. Priority Health has partnered with digital health providers like Ayble Health, which offers virtual gastrointestinal care, and Virta Health, which supports weight management and diabetes care, addressing high-spend conditions and comorbidities.
The insurer further expands its portfolio with services targeting reproductive and hormonal health via Carrot Fertility and virtual physical therapy through Sword Health, complemented by Musculoskeletal Centers of Excellence for managing costly MSK conditions. These programs align with evidence indicating whole-person care decreases hospitalizations and emergency visits, leading to significant cost savings.
Recognizing the complexity of navigating numerous health benefits, Priority Health introduced PriorityGPS, a personalized concierge service with dedicated Care Navigators who help members understand and access the appropriate health solutions. This service aims to simplify healthcare interactions and improve member engagement.
Priority Health’s ongoing commitment to innovation prioritizes member needs over business margins, ensuring new partnerships and growth strategies enhance comprehensive care delivery. This evolution highlights a broader industry movement towards integrated wellness management that aligns with employer and member expectations in a competitive health insurance market.