Corrections
The Growth Of Comprehensive Prison Healthcare.
The United States Supreme Court ruled in Estelle v Gamble, 429 U.S. 97, 97 S.Ct. 285 (1976) that prison inmates had a “constitutional right” to health care access. Inmates at that time were the only people in the United States to be guaranteed health care, and thus an industry was born. In 2009, the nationwide prison healthcare market was estimated to be in excess of 9.3 billion dollars annually.
For state prisons and large county jails, comprehensive prison healthcare companies generally provide on-site (staffing) and off-site health care. But county jails across the country serve a large number of inmates that are entitled to quality health care as well and they do not have as many resources as larger facilities.
Prime Health Services, a leader in managed care, has a mission to control the ever growing health care costs experienced in the United States and has a solution for the corrections industry to help decrease inmate / prisoner medical costs. Our ability to offer comprehensive programs for jails and prisons of any size is what puts Prime Health Services on the cutting edge of the healthcare sector.
Corporate Partnerships
INMATE MEDICAL COST CONTAINMENT PROGRAM
A seamless solution for reference based pricing, the PRIME physician only network (PRIMEpon) allows our clients flexibility and increased network coverage.
INMATE MEDICAL CLAIM EDITS
Prime Health Services offers advanced, seamless claims review software that delivers maximum savings on medical claims and full alignment with industry-recognized guidelines and ever-changing compliance requirements.
MEDTRAC
Prime Health can offer a fully bundled or unbundled program for reference based pricing to self-insured employer groups who are looking for a cost containment strategy.
OFFSITE INMATE MEDICAL SAVINGS PROGRAM
Prime Health can offer a fully bundled or unbundled program for reference based pricing to self-insured employer groups who are looking for a cost containment strategy.
Outcome Based Metrics
The claims adjudication software “scrubs” the bills to prevent duplication of claims, ensure proper medical coding, and to confirm only appropriate claim charges on the bills are reimbursed which lowers the actual cost of the bill by a factor. We also offer outcomes-based metrics for the corrections population, which drives the medical costs down further by identifying the best outcomes at the best price.
Outcome Based Metrics
Prime Health Services is in the position to work with facilities in any of the following ways:
- contract for off-site health care directly
- contract for off-site health care working with an on-site prison healthcare provider
- lease the PHS provider network to other contractors or prison owners/management companies
Because we are a national PPO network, we are able to provide coverage in any state and can break the network down to the county level so you know how many physicians and other medical providers are “in-network” in your area. If there are providers you like to work with that are currently not in-network then our Provider Contracting Department gets to work negotiating directly with the provider(s) to achieve the deepest possible discount for the sheriff’s office or prison facility.
We Bring You Savings.
Prime Health Services is in a distinctive position to provide savings on inmate off-site medical services by leveraging its preferred provider (PPO) network and overall healthcare cost containment experience to lower the costs of off-site inmate medical bills.
