Priority Health Choice Inc.

Filing Period

Jan 1, 2012 to Dec 31, 2012

Signed

Nov 11, 2013

Return Version

2012v2.1

Gross Receipts

$193,563,130

Mission

Major Activities

Activity 2

Michild - offered by priority health government programs (phgp): phgp enrolled michigan's first michild members may 1, 1998. Michild is a health plan for uninsured children of michigan's working families. Michild coverage is provided in 8 counties in west michigan. The children's healthcare access program (chap) is a community collaborative benefiting all phgp medicaid children including, michild members. Through chap, phgp pays pediatricians a higher rate for service in exchange for their agreement to open their practices to additional medicaid members. Chap is in its fifth year of serving kent county. In late 2012, an independent evaluation by sra international of this project (which is supported by major in-kind efforts, medical leadership and participation of the helen devos children's hospital general pediatric unit and priority health) concluded that the model worked. The program resulted in a 35% decrease in emergency department use and a 46% decrease in avoidable hospitalizations for clients after one year in the program. A social cost-benefit analysis also showed an average annual cost benefit of $1.16 for every $1 spent on chap. Additionally, the project resulted in 1,445 new primary care practice openings for children on medicaid and increased hours of service. Phgp is the only health plan involved and is the payer for the program's services. (access to primary care is a great challenge for this population. In fact, the inability to find a primary care provider accepting michild members leads to a high number of michild enrollees accessing routine care through an emergency room vs. In a primary care setting.)

Filer

EIN

32-0016523