Compared with 93.3% across Colorado RAEs
What is PRIME?
PRIME (Payment Reform Initiative for Medicaid Enrollees) is a well-established, primary care-driven program that provides better support for people, providers, and community organizations in rural Colorado. It builds upon community strengths to deliver high-quality care at lower total costs.
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Improving Member Experience
PRIME’S commitment to connecting members to high-quality, coordinated care results in an improved experience.
RMHP PRIME Care Experience for Adults, 2024-2025
94.3% of members are pleased with their provider's communication.
84.4% of members get the kind of care they need.
Compared with 79.8% across Colorado RAEs
84.3% of members get care when they need it.
Compared with 80.3% across Colorado RAEs
+5.4 percentage points more members like their provider.
73.5% RMHP PRIME | 68.1% Colorado RAEs
+2.7 percentage points more members enjoy their health plan.
60.8% RMHP PRIME | 58.1% Colorado RAEs
The Colorado RAE Aggregate results were weighted based on the eligible population for each RAE.
PRIME’s Proven Impact
Through community reinvestments, enhanced provider payments, and substantial savings, PRIME delivers meaningful impact both in local communities and across the state.
$0.7M/year
savings for Colorado taxpayers
$0.8M/year
in community reinvestments
0.8% total
state and community savings
Primary care APM
~0% higher
than Medicaid FFS
PRIME & RAE: Collaborative Efforts for Coordinated, Cost-Effective Care
Every Health First Colorado (Colorado’s Medicaid Program) member is assigned to a regional accountable entity (RAE), sometimes called a regional organization. Rocky Mountain Health Plans is the RAE for Region 1.
PRIME is available to eligible Health First Colorado members in Delta, Garfield, Gunnison, Mesa, Montrose, Ouray, Pitkin, Rio Blanco, and San Miguel counties.
Get Started with PRIME
Your enrollment in PRIME is based on your application for Health First Colorado coverage.
After you apply for Health First Colorado coverage and your eligibility is confirmed, you will be automatically enrolled in PRIME if:
Learn More About PRIME
If you have questions or want to learn more about the program, please contact us.
Learn More About Our Commitment to Colorado
Discover more about Rocky Mountain Health Plans and how we’re working to improve health care for all Coloradans.
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