Enhance health outcomes with leading clinical support 

Our boundary-pushing clinical solutions target the entire health care journey to deliver best-in-class experiences to our customers and their members. 
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Better medication management decisions 

GuidedHealth® identifies opportunities to improve medication safety and address gaps in care, unsafe use and potential misuse. Taking a 360-degree view of a member’s clinical profile, GuidedHealth delivers actionable clinical intelligence to providers, patients and plans. 

Next-level cardiometabolic support

Conditions like obesity, diabetes, hypertension and high cholesterol can compound if left unchecked, causing serious and costly health problems. KeepWell™ offers a personalized path to wellness for your members, driving better outcomes across the cardiometabolic spectrum.
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Identifying high-impact savings opportunities

We combine integrated data, actionable insights and pharmacist outreach in one innovative product. HighTouchRx® uses exclusive clinical predictive modeling applied to medical and pharmacy data, making it easy to quickly locate high-cost patients and offer interventions.

Star Ratings & HEDIS quality

We’ll help you implement innovative clinical programs to achieve and maintain high-performing Stars programs and improve your performance measures. Our dedicated leadership team of providers, pharmacists and clinicians stays ahead of quality measure developments to help you improve member care.
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Medication Therapy Management

We offer a comprehensive Medication Therapy Management (MTM) program to help you improve therapeutic outcomes, medication use, quality of care and overall costs.

Superior care management

Our integrated care management program, Navigate, integrates case management and utilization management to elevate care coordination. Prime’s team of clinical professionals work together to understand each member’s unique needs and provide better care through education, empowerment and personalized support.
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Close up of person pouring prescription pills into hand

Whole-person health care

We address complex behavioral health and opioid management challenges with one innovative solution. Through advanced clinical expertise and pharmacist-to-provider outreach, Whole Health Rx provides high-touch education for providers and members and identifies opportunities to improve quality of care.