In today's world, from groceries to gadgets, we can have almost anything delivered to our doorstep within an hour. So why should healthcare be any different? Priority Health believes that access to quality healthcare should be just as easy and convenient. No more waiting months for appointments or compromising on care because of where you live. Our mission is to bring accessible care to everyone.
Improving quality is the path to delivering value
Page last updated on: 7/18/25
Balancing cost and quality for better care
One way we are improving quality is by paying providers based on the quality, equity and cost of care they deliver. This supports the quadruple aim– reducing the cost of care, enhancing patient and provider experiences, and improving overall population health. By focusing on quality over quantity, providers can spend more time on what's best for their patients, such as more preventive care and fewer readmissions, driving significant savings.
Trusted support wherever you are
Another way we are improving quality is through our partnership with Cigna for out of state employers and their employees. Our strategic alliance with Cigna is only one of four like it in the United States, giving members access to nearly 2 million providers nationwide. This means your employees get consistent, high-quality care wherever they live, work and travel.
Bringing high-quality care within reach
Chronic pain continues to be a challenge for employers and their families. On average, 15% of high-cost claims exceeding $50,000 are MSK related1 and untreated MSK conditions can lead to lower productivity which increases costs for employers and employees. Our Musculoskeletal (MSK) Centers of Excellence rider provides access to carefully curated physician groups who achieve the highest quality outpatient surgical outcomes. We selected the highest quality, most cost-efficient providers for hips, knees and spinal surgeries based on internal and third-party quality data. This helps members achieve better care, cost savings, and a streamlined surgical journey.
Simplifying pharmacy benefits for better outcomes
Our pharmacy benefits prioritize quality and safety, drive clinical excellence, and deliver a simple, supported experience for members. Through intentional formulary design focused on clinical efficacy and cost-effectiveness, we ensure members receive the best possible care without unnecessary expenses. Members receive proactive outreach to support them in their health care journey including outreach regarding positive formulary changes, transition fills, and more.
Optimize your benefits program to fit the needs of your workforce and your budget
1As reported by Large Employers in 2023, BGoH