Mountain-Pacific Quality Health
Mountain Pacific is a nonprofit organization dedicated to improving health care quality, supporting population health, and fostering innovation in health care systems across the United States. With over 50 years of experience, they collaborate with health care providers, organizations, and communities to connect services, support quality improvement, and promote healthier populations. Their mission is partnering within communities to provide solutions for better health, and their vision is to be a recognized leader in health care innovation.
Industries
Nr. of Employees
medium (51-250)
Mountain-Pacific Quality Health
Products
Medicaid utilization review portal
Web portal for Medicaid utilization review and provider interactions related to utilization management.
Medicaid transportation request platform
Online system for submitting and managing Medicaid transportation requests and reimbursements.
Ambulance provider portal
Provider portal for ambulance and emergency transport providers to interact with Medicaid transportation and utilization processes.
Medicaid utilization review portal
Web portal for Medicaid utilization review and provider interactions related to utilization management.
Medicaid transportation request platform
Online system for submitting and managing Medicaid transportation requests and reimbursements.
Ambulance provider portal
Provider portal for ambulance and emergency transport providers to interact with Medicaid transportation and utilization processes.
Services
Licensed clinical pharmacists and pharmacy technicians provide medication review, clinical pharmacy services and support to ensure appropriate and cost-effective medication use for Medicaid members.
Services to support Medicaid members' eligibility determinations and access to appropriate care settings including home- and community-based services and nursing/skilled care placement support.
Coordination of care, health education, integration of physical and behavioral health interventions, and preventive care adherence support to improve disease management and patient outcomes.
Support for population health improvement, HIT optimization, privacy and security, quality data and reporting, cross-setting care coordination and improving patient experience.
Administration of transportation assistance and reimbursement processes for eligible Medicaid members and confirmation of appointment attendance.
Programmatic support and clinical services for mental health needs, including early childhood mental health consultation and support for substance use disorder treatment.
Licensed clinical pharmacists and pharmacy technicians provide medication review, clinical pharmacy services and support to ensure appropriate and cost-effective medication use for Medicaid members.
Services to support Medicaid members' eligibility determinations and access to appropriate care settings including home- and community-based services and nursing/skilled care placement support.
Coordination of care, health education, integration of physical and behavioral health interventions, and preventive care adherence support to improve disease management and patient outcomes.
Support for population health improvement, HIT optimization, privacy and security, quality data and reporting, cross-setting care coordination and improving patient experience.
Administration of transportation assistance and reimbursement processes for eligible Medicaid members and confirmation of appointment attendance.
Programmatic support and clinical services for mental health needs, including early childhood mental health consultation and support for substance use disorder treatment.
Expertise Areas
- Care coordination and care management
- Medicaid program administration and utilization management
- Clinical pharmacy services and medication management
- Behavioral health services and substance use disorder support
Key Technologies
- Health information technology (HIT) systems and optimization
- Data analytics and visualization platforms
- Quality measurement and reporting systems
- Utilization management and authorization systems
News & Updates
Mountain Pacific has been selected as a subcontractor to support quality improvement services, education and training across 14 states in the Midwest region, supporting the CMS QIN-QIO contract.
Supporting quality health care services for the U.S. military.
Announcement about the relocation of Mountain Pacific's corporate office.
Continuing efforts to improve health care for American Indian and Alaska Native communities through CMS programs.
Feature on Heidi Caldwell, wellness director at Hale Ola Kino, highlighting resident engagement and activity programs.
Mountain Pacific has been selected as a subcontractor to support quality improvement services, education and training across 14 states in the Midwest region, supporting the CMS QIN-QIO contract.
Supporting quality health care services for the U.S. military.
Announcement about the relocation of Mountain Pacific's corporate office.
Continuing efforts to improve health care for American Indian and Alaska Native communities through CMS programs.
Feature on Heidi Caldwell, wellness director at Hale Ola Kino, highlighting resident engagement and activity programs.