Buckley Prime Service Area (PSA) Pilot
Managing health care and maintaining health is important, now more than ever. Beginning Jan. 1, 2021, Health Net Federal Services, LLC (HNFS) will enhance our partnership with you to help you accomplish both. Under the direction of the Defense Health Agency, TRICARE Prime civilian-enrolled beneficiaries living in the Buckley AFB. Colorado Prime Service Area (PSA) will become part of a value-based care pilot known as the Buckley PSA Pilot.
The Pilot’s aim is to maximize the use of value-based care practices, while providing next-level customer service and enhanced care programs. HNFS will monitor beneficiary care through quality indicators to help keep patients healthy while partnering with primary care managers and network health care providers to:
- Promote value-based care initiatives.
- Direct beneficiaries to high value care to help produce and maintain healthy and balanced outcomes.
There is no beneficiary enrollment or action required, and the TRICARE benefit remains the same. Beneficiaries who live in the Buckley PSA, are enrolled in TRICARE Prime and have a civilian primary care manager will automatically be a part of the Pilot.
HNFS’ concierge-type customer service will help Pilot participants get to the right provider, at the right time, for the right care.
This includes:
- help with locating providers and scheduling appointments
- reminders about preventive care
- chronic care education and support
The Buckley PSA Pilot is expected to run through Dec. 31, 2022.
Contacting HNFS
Beneficiaries and providers will continue to use the same HNFS West Region customer service line and our online self-service tools.
Locating High Value Providers
High value providers are recognized for thoughtful and appropriate use of tests and procedures. Learn more on our directory ratings page.
Use the “Quality Score” sort order option when viewing search results from our online Network Provider Directory.
Providers rated as high value according to RowdMap criteria will have a blue star icon next to their name. Additional high value provider ratings may be added to our directory during the Pilot.
Online Tools
Secure, online tools to assist in patient management (log in required):
- TRICARE Provider Connect – Patient View
- TRICARE Provider Connect – Patient Medication List
- Nominate a Beneficiary for Case or Care Management
- PCM Enrollee Roster
Coming Soon
HNFS will be introducing technology and resources to allow for:
- Identification of patients who are frequent users of the health care system
- Early intervention with patients and providers to steer patients toward clinical and non-clinical interventions
- Prevention of avoidable emergency department visits and hospital readmissions
- Streamlined communication between beneficiaries, providers and the care team
Health and Wellness
Care Management
Care management programs are specifically designed for patients who would benefit from more extensive medical management assistance.
Case Management
Learn more about how case management can help your patients determine their health needs and help them reach their health goals.
Choosing Wisely®
Promoting conversations between clinicians and patients to choose care which is supported by evidence, not duplicative of other tests or procedures already received, free from harm, and necessary.
Chronic Care/Disease Management
Learn more about our Chronic Care/Disease Management Program, which specific conditions it targets through education-based management programs and what evidence-based guidelines it uses.
Health Risk Assessment
Learn more about the health risk assessment tool available to all TRICARE West Region beneficiaries.
Provider Toolkit
Resources and materials you can print for use in your office or with your patients.