ORANGE, Calif. (September 20, 2016) — CalOptima is California’s top-rated Medi-Cal plan, according to the NCQA’s Medicaid Health Insurance Plan Ratings 2016–2017. It is the third year in a row that NCQA has named CalOptima best overall in the state.
CalOptima received a score of 4 out of 5 — the highest score awarded to any Medi-Cal plan in California. Further, only 15 Medicaid plans of the 171 reviewed nationwide scored higher. The NCQA ratings are based on standardized, plan-reported data regarding health care quality and customer satisfaction.
(French Camp, CA) – Health Plan of San Joaquin (HPSJ) CEO Amy Shin has joined the executive committee of the Association for Community Affiliated Plans (ACAP), a national trade association representing 57 not-for-profit safety net health plans in 26 states, which collectively serve more than 17 million people enrolled in Medicaid (called Medi-Cal in California), Medicare, Marketplaces, the Children’s Health Insurance Program (CHIP), and other health programs. HPSJ is a long-time ACAP member and Shin also serves on the ACAP board of directors.
Alameda Alliance for Health is a public, not-for-profit managed care health plan committed to making high quality health care services accessible and affordable to lower-income people of Alameda County. Established in January 1996, the Alliance was created by and for Alameda County residents. The Alliance currently provides health care coverage to over 250,000 children and adults through their programs: Medi-Cal and Alliance Group Care.
Alameda Alliance for Health
1240 South Loop Road
Alameda, CA 94502
CalOptima is a county organized health system that administers health insurance programs for more than 550,000 members in Orange County, including low-income families, children, seniors and people with disabilities. CalOptima was created in 1993 by the Orange County Board of Supervisors to ensure the delivery of quality health care services to local residents. As the second largest health insurer in Orange County, CalOptima offers three main programs: Medi-Cal, OneCare (a Medicare Advantage Special Needs Plan) and a Program of All-Inclusive Care for the Elderly (PACE).
CalViva Health is a managed care health plan operated by the Fresno-Kings-Madera Regional Health Authority (a governmental entity) for the tri-county service area. CalViva Health is dedicated to improving access to care and providing quality health care to families in the Fresno, Kings, and Madera County area with a current enrollment of over 355,000 Medi-Cal beneficiaries. The plan is governed by a Board of Commissioners representing county government, health care providers, and at-large members of the communities.
7625 North Palm Avenue, Suite 109
Fresno, CA 93721
CenCal Health administers Medi-Cal (California’s version of Medicaid), which is a publicly-funded health care program for the low income residents of Santa Barbara and San Luis Obispo counties. CenCal Health is a public entity that is governed by a 13 member Board of Directors appointed by the Santa Barbara and San Luis Obispo county boards of supervisors. Our Board of Directors is composed of local government representatives, physicians, hospital representatives, member representatives, other health care provider representatives, and business representatives.
4050 Calle Real
Santa Barbara, CA 93110
The Alliance is an award-winning regional non-profit health plan, established in 1996, with over 18 years of successful operation. Using the State’s County Organized Health System (COHS) model, we currently serve over 300,000 members in Santa Cruz, Monterey and Merced counties. We work in partnership with our contracted providers to promote prevention, early detection and effective treatment, and improve access to quality health care for lower income residents.
Central California Alliance for Health
1600 Green Hills Road, Suite 101
Scotts Valley, CA 95066-4981
Community Health Group serves over 206,000 members and is dedicated to providing exceptional customer service to the Medi-Cal, Cal MediConnect, and Medicare Special Needs Plan members in San Diego County. Community Health Group has achieved NCQA accrediation for Medi-Cal and participates in several state quality initiatives.
Community Health Group
2420 Fenton Street, Suite 100
Chula Vista, CA 91914
Contra Costa Health Plan (CCHP) was the first federally qualified, state licensed, county sponsored HMO in the United States. CCHP has been serving the health needs of people in Contra Costa County for over 40 years, and now serves over 145,000 people.
Contra Costa Health Plan
525 Center Street, Suite 100
Martinez, CA 94553
Gold Coast Health Plan delivers health care services in Ventura County with a member-first focus that reflects a commitment to our members and our providers. We understand the necessity of having a local presence in the cities we serve, and we are committed to establishing and strengthening relationships in those communities.
Gold Coast Health Plan
711 East Daily Drive, Suite 106
Camarillo, CA 93010
Health Plan of San Joaquin (HPSJ) is a publicly sponsored, not-for-profit health plan. Licensed as a Health Maintenance Organization (HMO) under the State of California Knox-Keene Act, HPSJ contracts with the Department of Health Care Services (DHCS) to arrange and coordinate care for Medi-Cal program participants in California’s Northern Central Valley.
Health Plan of San Joaquin
7751 South Manthey Road
French Camp, CA 95231
Founded in 1987 by the San Mateo Health Commission, the Health Plan of San Mateo (HPSM) is a local non-profit health care plan that offers health coverage and a provider network to San Mateo County’s underserved population. HPSM currently serves more than 100,000 county residents through six health programs: Medi-Cal, San Mateo ACE (Access and Care for Everyone), HealthWorx, Healthy Kids, and CareAdvantage — a Medicare Advantage plan.
Health Plan of San Mateo
801 Gateway Boulevard, Suite 100
South San Francisco, CA 94080
Organized as a Joint Powers Agency, Inland Empire Health Plan (IEHP) is a local, not-for-profit, public health plan. We serve over 804,000 residents of Riverside and San Bernardino counties through government-sponsored programs including Medi-Cal (families, adults, seniors and people with disabilities), Healthy Kids, Cal MediConnect, and a Medicare Advantage Special Needs Program.
Inland Empire Health Plan
10801 6th Street, Suite 120
Rancho Cucamonga, CA 91730
Kern Health Systems (KHS), the Local Initiative for Medi-Cal Managed Care, is the largest health plan in Kern County. Through our Kern Family Health Care product, KHS began providing medical care to our members in July of 1996. KHS is committed to our mission of improving the health of our members with an emphasis on prevention and access to quality healthcare. KHS strives to be a leader in developing innovative partnerships with the safety net and community providers to elevate the health status of all community members.
Kern Health Systems
9700 Stockdale Highway
Bakersfield, CA 93311
L.A. Care Health Plan is a public entity and community-accountable health plan serving residents of Los Angeles County through a variety of health coverage programs including Medi- Cal, L.A. Care Covered™, L.A. Care Cal MediConnect Plan, L.A. Care Health Plan Medicare Advantage HMO, L.A. Care’s Healthy Kids 0-5, and PASC-SEIU Homecare Workers Health Care Plan. L.A. Care is a leader in developing new programs through innovative partnerships designed to provide health coverage to vulnerable populations and to support the safety net.
L.A. Care Health Plan
1055 West Seventh Street, 10th Floor
Los Angeles, CA 90017
Partnership HealthPlan is a county organized health system that provides cost effective health care delivery to over 500,000 low-income recipients through Medi-Cal, Healthy kids, and PartnershipAdvantage. The HealthPlan’s goals are to improve access, quality and cost effectiveness, through a managed care system and operate with a $2.3 billion annual budget.
Partnership HealthPlan of California
4665 Business Center Drive
Fairfield, CA 94534
San Francisco Health Plan (SFHP) is a licensed community health plan providing affordable health coverage to over 100,000 low- and moderate-income San Franciscans. SFHP was designed for and by the residents it serves – many of whom would not be able to otherwise obtain health care for themselves or their families. Through SFHP, members have access to a full spectrum of medical services including preventive care, hospitalization, prescription drugs, family planning, and substance abuse programs.
San Francisco Health Plan
50 Beale Street, 12th Floor
San Francisco, CA 94105
Santa Clara Family Health Plan (SCFHP) is a local, public, not-for-profit health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Since 1997, SCFHP has partnered with providers to deliver high-quality health care to our members. We offer comprehensive, affordable medical, dental and vision coverage through our health insurance programs: Medi-Cal, Cal MediConnect and Healthy Kids. We currently serve over 250,000 residents of Santa Clara County.
Santa Clara Family Health Plan
210 East Hacienda Avenue
Campbell, CA 95008