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
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
(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
CAMARILLO, Calif., Dec. 29, 2017 – Gold Coast Health Plan’s
(GCHP) new palliative care program, MyGoldCare, launches January
1 for qualified enrollees. MyGoldCare helps relieve the pain and
suffering of those who are seriously ill.
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
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).