Health Models 

Th​​​​​​​is is a pay-for-performance project that seeks to link or re-engage HIV patients to care and encourage viral suppression by providing financial incentives.  Patients can earn financial rewards (mostly gift cards) by attending primary care medical appointments, lab appointments, achieving and/or maintaining viral suppression. Patients who achieve and maintain <200 copies/ml are considered virally suppressed for purposes of receiving financial rewards under the Health Models project.

​​​​​​​Priority Health Care obtained a 94.3% Patient Viral Suppression Rate as a result of it's HIV Care. (12/31/2025).

​​​​​​​Medical Case Management

Is the provision of a range of client–centered services that link clients with health care, psychosocial, and other services that improve overall health. An essential component of Medical Case Management includes the coordination and follow-up of medical treatment, as well as treatment adherence counseling.

The primary goal of medical case management is to work with the primary care provider to assist a client to maintain and improve health status, which is reflected in a client’s health indicators (CD4, viral load, acuity). Client empowerment and monitoring of service utilization (including medical appointment adherence) and health indicators are crucial elements of the medical case management.

Enrollment in Medical Case Management may not be permanent; a client’s level of need may change over time and require a different level of service to fit their present circumstances. On-going and frequent assessment by a medical case manager and a medical case management supervisor should occur to ensure that clients receive the level of care that is appropriate.

Non-Medical Case Management

Provides advice and assistance to empower clients to access a variety of necessary services (including medical, social, community, legal and financial) that support medically related outcome measurements.

Due to the episodic nature of HIV, it is expected that clients will have varying levels of need throughout their enrollment in services. Some clients may demonstrate a low level of need and would therefore benefit from Non-medical Case Management.
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Enrollment in either medical case management (active) or non-medical case management (direct services only) is not permanent; a client may move from one type of case management to the other depending on current circumstances. On-going and frequent assessment by a non-medical case manager and a medical case management supervisor occur to ensure that clients receive the level of care that is appropriate.

This may include client–specific advocacy and/or review of utilization of services.

Transportation

These direct or vouched conveyance services provide transportation to a client so that he or she may access health care services. Services are provided routinely or on an emergency basis.

Medical Transportation Services include conveyance services provided, directly or through voucher, to a client so that he or she may access health care services. Services may be provided routinely or on an emergency basis.

Services may include the following modes of transportation: distribution of vouchers, such as public transit tokens and/or passes, gasoline vouchers, van and taxi services.