Mountain-Pacific Quality Health

What Mountain-Pacific Quality Health does

Mountain-Pacific Quality Health Foundation (operating as Mountain Pacific) is a Helena, Montana-based nonprofit healthcare quality improvement organization founded in 1969. The organization delivers an integrated suite of Medicaid-related services for the Montana Department of Public Health and Human Services, spanning pharmacy services, utilization review, care management, transportation management, behavioral health (including IECMHC and SUD treatment), health quality solutions, data analytics, and system-level quality improvement. Service delivery is anchored to authenticated web portals — including the Medicaid Utilization Review Portal, the Montana Medicaid Transportation Request System (mmtr.mpqhf.org), and the Ambulance Provider Portal — that operationalize member, provider, and facility workflows across the state Medicaid program.

Mountain Pacific serves six distinct beneficiary segments: health care professionals, patients and families, hospitals and facilities, nursing homes, community partners, and state programs. Revenue is generated through managed-services government contracts (no direct consumer pricing) with the Montana Medicaid program as the dominant anchor customer, supplemented by quality improvement partnerships extending into adjacent states such as North Dakota. In May 2026, the organization refreshed its name and digital presence and established "The Foundation at Mountain Pacific" as a philanthropic subsidiary to broaden its community health mission.

The underlying technology stack combines clinical content and operational web applications rather than AI-native products. Data analytics capability is positioned as a combination of data scientists and clinical experts performing review and reporting; the organization does not disclose proprietary models, training pipelines, or AI features. With 51-100 employees, Mountain Pacific is a mid-sized nonprofit whose competitive position rests on its incumbent state contract, multi-decade operational presence, and embedded portal infrastructure across provider and member workflows.

Name

Mountain-Pacific Quality Health

Legal name

Mountain Pacific Quality Health Foundation

Website

https://mpqhf.org

Company type

Private

Founded year

1969

Operating status

Operating

Headcount range

51–100 employees

Short description

Mountain-Pacific Quality Health is a Montana-based nonprofit founded in 1969 that delivers Medicaid quality improvement, pharmacy, care management, transportation, behavioral health, and data analytics services primarily under contract with the Montana Department of Public Health and Human Services, serving providers, patients, hospitals, nursing homes, community partners, and state programs.

Ownership category

akta.pro rank

Headquarters

HQ city

Helena

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Government Healthcare Program Services: Revenue derived from contracts with government agencies, primarily the Montana Department of Public Health and Human Services, to administer and manage Medicaid-related quality improvement, utilization review, transportation management, and behavioral health services.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Mountain-Pacific Quality Health is a nonprofit healthcare quality improvement organization that administers and manages Medicaid-related services for the Montana Department of Public Health and Human Services. It delivers pharmacy services, Medicaid eligibility/utilization review, transportation management, care management, behavioral health, data analytics, and quality improvement programs for healthcare providers, patients, nursing homes, hospitals, community partners, and state programs.

Product overview

Mountain-Pacific Quality Health operates as a healthcare quality improvement organization providing a comprehensive suite of integrated services for Medicaid populations. The organization offers eight core service modules: Pharmacy Services (with drug utilization review and ADE monitoring), Medicaid Services, Care Management, Health Quality Solutions, Transportation Management, Behavioral Health Services, Data Analytics, and Quality Improvement. These services are delivered through web-based portals including the Medicaid Utilization Review Portal, Ambulance Provider Portal, and Montana Medicaid Transportation Request Portal. The company also recently expanded its impact through The Foundation at Mountain Pacific, a philanthropic entity launched in 2026.

Differentiator

Problem solved

Functional benefit

Products and services

• Pharmacy Services Licensed clinical pharmacists and pharmacy technicians ensure Medicaid members receive appropriate medication for treatments quickly and cost-effectively, including drug utilization review and adverse drug event monitoring.
• Medicaid Services Eligibility determination for Medicaid members across home care, nursing homes, skilled care facilities, and community-based settings, including utilization review and ambulance provider coordination.
• Care Management Coordination of care for Medicaid members combining physical and behavioral health interventions, health education, disease management, and preventive medicine compliance.
• Health Quality Solutions Population health improvement support including health information technology, patient/provider privacy and security, quality data reporting, care coordination, and patient experience improvement.
• Transportation Management Financial assistance for Medicaid transportation to healthcare services with appointment confirmation and service provision tracking through an online portal.
• Behavioral Health Services Mental health services including Infant and Early Childhood Mental Health Consultation (IECMHC), substance use disorder treatment, and other behavioral health condition support.
• Data Analytics Comprehensive analytics with data scientists and clinical experts producing actionable insights for organizations, stakeholders, and healthcare facilities.
• Quality Improvement System-level, data-driven approach to healthcare quality and safety improvement, reducing provider burden while achieving better patient outcomes.
• Montana Medicaid Transportation Request Portal Online application portal for Montana Medicaid transportation requests, requiring Microsoft account authentication for access, with separate access for members, facilities, and social workers/case managers.
• Medicaid Utilization Review and Ambulance Provider Portal Provider-facing authenticated web portal for Medicaid utilization review and ambulance provider services coordination.

Named customers2 records

Segments6 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Three partnerships are on record, tiered core and minor.

• Quality Health Associates of North Dakota (QHA)coreStrategic or Co-development Partner · 1 January 2026Quality Health Associates of North Dakota (QHA) is a valued partner of Mountain Pacific in quality improvement initiatives. QHA was named Grand Prize Winners of the 2026 American Cancer Society awards, recognizing excellence in healthcare quality partnership and collaboration across the region.
• Montana Department of Public Health and Human ServicescoreStrategic or Co-development PartnerMountain Pacific has a contractual relationship with the Montana Department of Public Health and Human Services to administer and manage various Medicaid services including transportation management, utilization review, pharmacy services, and quality improvement programs. The transportation request system is funded under this contract.
• The Foundation at Mountain PacificminorOthersMountain Pacific established a new philanthropic entity called The Foundation at Mountain Pacific in May 2026, designed to expand the organization's mission and community health impact through charitable programs.

Scale indicators1 record

Recent moves4 records

Expansion highlights4 records

Direct peers

• Comagine Health: QIO formed from the merger of Qualis Health and HealthInsight, serving multiple western and national state Medicaid programs with quality improvement and care transformation services — highly comparable footprint and mission.
• Health Services Advisory Group (HSAG): One of the largest QIOs in the U.S., providing Medicaid and Medicare quality improvement, utilization review, and analytics across numerous states — same operating model and customer base as Mountain Pacific.
• IPRO: Multi-state QIO delivering Medicaid utilization review, quality measurement, and healthcare improvement services for state agencies — directly overlaps with Mountain Pacific's Medicaid and quality improvement offerings.
• Telligen: Quality Improvement Organization serving multiple state Medicaid and Medicare programs with quality improvement, care coordination, and data analytics — directly comparable to Mountain Pacific's QIO model and service portfolio.
• Alliant Health Solutions: QIO delivering Medicaid and Medicare quality improvement, utilization review, and community health programs across multiple southeastern states — directly comparable state-contract QIO operations.
• MetaStar: Wisconsin-based QIO providing Medicaid utilization review, quality improvement, and health information technology adoption support — directly comparable nonprofit QIO model to Mountain Pacific.
• Stratis Health: Minnesota-based nonprofit QIO delivering healthcare quality improvement, patient safety, and population health services to Medicaid and Medicare populations — comparable mission and service architecture.
• Health Quality Innovators (HQI): Virginia-based QIO providing quality improvement, patient safety, and care coordination services for state and federal healthcare programs — directly comparable scope of work to Mountain Pacific.
• TMF Health Quality Institute: Texas-based QIO delivering quality improvement, utilization review, and population health programs for state Medicaid and federal contracts — comparable nonprofit QIO operating model.
• Great Plains Quality Innovation Network: Multi-state QIO serving the Great Plains region with quality improvement and care coordination services — comparable geographic-region QIO mission and service mix.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/MountnPacific

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Mountain-Pacific Quality Health