ORANGE, Calif. (February 8, 2018) — Dedicated to serving frail seniors, CalOptima’s Program of All-Inclusive Care for the Elderly (PACE) is expanding through new partnerships with selected Community-Based Adult Services (CBAS) centers. With access to these centers, more seniors may join PACE and existing PACE participants will gain more options to receive adult day health care that suits their culture, location or medical condition.
ORANGE, Calif. (February 2, 2018) — CalOptima’s Member Health Needs Assessment (MHNA) is the agency’s most comprehensive study to date quantifying for the first time significant health care and social challenges. The MHNA provides data critical to ensuring that health care providers and the community can continue to address issues faced by CalOptima members.
In a time when the future of healthcare coverage may seem uncertain, what is certain is that our community can be proud of the quality of healthcare experienced by CenCal Health’s nearly 180,000 members.
(Alameda, CA, January 4, 2018) - The California Department of Health Care Services (DHCS) recently published the Medi-Cal Managed Care Dashboard, which showed that Alameda Alliance for Health (Alliance) continued to expand on quality gains.
Santa Barbara and San Luis Obispo counties, Calif., Dec. 12, 2017 – CenCal Health is reaching out to keep its nearly 180,000 members and over 1,500 providers and the community informed with important information and resources as the region faces unprecedented impacts from the Thomas Fire.
Updates include critical information about medication prescriptions and refills for members, providers and pharmacies.
CAMARILLO, Calif., December 5, 2017 – Gold Coast Health Plan (GCHP) is alerting its members that during the Thomas Fire, members can get their prescriptions filled, receive necessary oxygen and have their transportation needs met.
The Plan, which has more than 200,000 Medi-Cal members throughout Ventura County, has lifted any restrictions on refills so that those who evacuated their homes without their medications can have their prescriptions filled. More information is available by calling the Plan’s pharmacy benefit manager, OptumRx, at 1-855-297-2870 / TTY 711.
Campbell, CA – November 27, 2017 – Santa Clara Family Health Plan (SCFHP) announced today that it has been awarded an Accreditation status of “Interim” by the National Committee for Quality Assurance (NCQA), a private, not-for-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations.
RANCHO CUCAMONGA, Calif., Nov. 20, 2017 — Inland Empire Health Plan (IEHP) is the first of 65 Medicare-Medicaid Plans (MMP) in the nation to reach 25,000 members. MMPs serve people who have low income and are over 65 or have a disability.
“This milestone is the result of our commitment to serving our members, and working with our providers and the community to help them fully understand the benefits of our program,” said IEHP Chief Executive Officer Bradley P. Gilbert, MD.
Campbell, CA – November 20, 2017 – Santa Clara Family Health Plan (SCFHP), a local, public, not-for-profit health plan serving over 270,000 Santa Clara County residents, announced today that it received the 2017 award for Greatest Improvement in Quality Strategy Focus Areas from the California Department of Health Care Services (DHCS). The annual DHCS quality awards recognize Medi-Cal managed care plans that have excelled in improving health care quality for beneficiaries.
SANTA BARBARA — CenCal Health rated in the top 5 percent of Medicaid plans nationally for 2 important areas of care, and in the top 10 percent for an additional 12 areas of care according to the most recent state quality measurement ratings. For CenCal Health’s Santa Barbara County managed care product, these exceptional results rated fourth statewide among Medi-Cal health plans.
SAN FRANCISCO, Oct. 17, 2017 – San Francisco Health Plan (SFHP), a community health plan serving over 145,000 San Francisco residents, announced today that it is the recipient of the 2017 Outstanding Performance in Quality Care from the California Department of Health Care Services (DHCS) for the Medi-Cal program.
Santa Barbara and San Luis Obispo counties, Calif., October 4, 2017 — In an effort to raise awareness about the numerous services available to people in need through health centers, CenCal Health joined organizations across the nation in recognizing the many services America’s health centers have provided over the last 50 years during National Health Center Week August 13th through the 19th.
ORANGE, Calif. (September 25, 2017) — CalOptima is California’s top-rated Medi-Cal plan, according to the NCQA’s Medicaid Health Insurance Plan Ratings 2017–2018. It is the fourth year in a row that NCQA has named CalOptima best overall in the state.
The NCQA ratings are based on standardized, plan-reported data regarding health care quality and customer satisfaction.
CAMARILLO, Calif., September 25, 2017 – Gold Coast Health Plan has awarded $50,000 to the Ventura County Area Agency on Aging’s Fall Prevention Program through its Community Health Investments initiative. The award supports supervisor John C. Zaragoza and the county Board of Supervisors’ proclamation of September 22 to 28 as Fall Prevention Awareness Week.
Medicaid – called Medi-Cal in California – is the backbone of health coverage for more than 74 million Americans. Nearly 20 million receive services through Safety Net Health Plans such as Santa Clara Family Health Plan, where we provide health coverage for 270,000 of our neighbors, friends and loved ones here in Santa Clara County.
Medicaid is not a distant program that benefits only one group of people. It helps Americans across all demographics – economic, ethnic, racial and generational.
ORANGE, California (September 18, 2017) — After being nominated by CalOptima, Jacqueline Ruddy, a member since 2009, won a national scholarship from the Association for Community Affiliated Plans (ACAP). Jacqueline’s compelling story about being a mother, full-time student and two-time breast cancer survivor helped her achieve this national honor and a $5,000 scholarship. She is pursuing a master’s degree in social work at USC.
NCQA Health Plan Accreditation evaluates how well a health plan manages all parts of its delivery system — physicians, hospitals, other providers and administrative services — in order to continuously improve the quality of care and services provided to its members.
ORANGE, Calif. (August 24, 2017) — Honoring the role of CalOptima in Santa Ana, City Councilman Jose Solorio presented the agency with a Certificate of Recognition for Outstanding Outreach in the Latino Community. CalOptima provides Medi-Cal coverage for Orange County residents, including 43 percent of Santa Ana’s citizens.
(Alameda, CA, August 11, 2017) – Beginning in January 2014, Alameda Alliance for Health (Alliance) was one of nine health plans in California to participate in the Department of Health Care Services (DHCS) quality improvement collaborative, in coordination with the Million Hearts initiative dedicated to improving hypertension control for Medi-Cal members. The United States Department of Health and Human Services established the Million Hearts initiative, co-lead by the Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS).
It’s time for your child’s Wellness visit! The Well Child visit is for members from the age of 12 months to 19 years old. During this visit doctors can make a record of your family’s health, give health exams and do lab work. The American Academy of Pediatrics says children should visit their doctor at least once a year for a Well Child visit. These yearly exams help make sure children are growing at the right pace. At your Child’s Wellness visit you can expect the doctor to: