Priority Health Disease Management

PriorityMOM is Priority Health’s program supporting expectant mothers through pregnancy.

Priority Health describes PriorityMOM as a program that supports expectant mothers through their pregnancy. This page is the Priority Health provider manual, so it is written for physicians and office staff and not for employers.

Ask What Your Carrier Offers

What It Is

What the program is and what members do.

What the program is

The carrier says PriorityMOM supports expectant mothers in their pregnancy journey. It states goals of reducing OB costs, preterm births and postpartum readmissions while improving health outcomes for mom and baby. Those are the carrier’s stated goals, not results the page reports.

How members use it

The provider manual does not describe the format. It does not say whether support comes by phone, app or visits, or how a member joins. Those are questions for the carrier.

What it covers and does not

The page describes pregnancy support and care coordination in general terms. It does not list services, devices, incentives or benefit changes, and it does not state any measured results.

Who Can Use It

Eligibility, funding and plan design.

Who the carrier says it is for

This page is the Priority Health provider manual, so it is written for physicians and office staff and not for employers. It states the program is for pregnant members and does not name a line of business.

How it is funded or sold

The page does not state a price or say whether it is included in premium. We would ask the carrier whether there is any cost to the group or member.

Where it fits in plan design

It sits alongside maternity coverage as a support program. It does not change what the plan pays. For employers with younger workforces, it is worth confirming and including in employee communications.

What To Ask

What to settle before relying on it.

Is PriorityMOM part of our plan?

The page does not name a line of business. We would ask Priority Health to confirm in writing that the group has access.

How does a pregnant member enroll?

Enrollment is not described. We would ask who contacts the member, when in pregnancy, and what the first touch looks like.

What does the carrier report about results?

The page lists goals only. We would ask whether Priority Health can share group-level reporting, and how it is measured, before we repeat any outcome.

Questions We Get

Common questions about this program.

What is PriorityMOM?

Priority Health says it is a program that supports expectant mothers in their pregnancy journey.

What goals does the carrier state?

Reducing OB costs, preterm births and postpartum readmissions while improving health outcomes for mom and baby. These are goals, not reported results.

Who is eligible?

Pregnant members, per the carrier. Confirm group availability directly.

Sources

Where these details come from.

This page summarizes what Priority Health publishes. Programs change, so confirm current details with the carrier before relying on them.

priorityhealth.com →

Let’s Get to Work

Send us your renewal.

We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.

What to send

The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier

Four documents — two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.

CFH Insurance Consultants

An independent employee benefits consulting firm. We look at the entire benefits program: cost, plan performance, risk and administration.

Switch to CFH. Unhappy with your broker? Your employees won’t notice. You will. →

Michigan41000 Woodward Avenue, Suite 350 East
Bloomfield Hills, MI 48304
248.370.8853
Colorado13540 Northgate Estates, Suite 100
Colorado Springs, CO 80921
719.425.2649
Texas16365 Park Ten Place, Suite 182
Houston, TX 77084
281.404.5670


Book a 30-minute call