Trending...
- Santa Monica Businesses Push Back on Bus Stop Relocation That Threatens Access and Safety
- GreenPal Empowers Lawn Care Pros Leveraging AI, Surpasses 5 Million Transactions
- Psychedelics for Vets? CCHR Cites History of Exploitation and Failed Science
Program would give 10,000 Medi-Cal beneficiaries in Ventura County the option of enrolling in AmericasHealth Plan in the first year
CAMARILLO, Calif. - nvtip -- Gold Coast Health Plan (GCHP) and AmericasHealth Plan (AHP) announced their collaboration on a pilot program to serve Ventura County's Medi-Cal beneficiaries.
The three-year program would give up to 10,000 of GCHP's more than 200,000 members the option of choosing AHP, a subsidiary of Clinicas del Camino Real, Inc. (Clinicas), as the administrator of their health care benefits in the first year . As members of AHP, Medi-Cal beneficiaries will have access to Clinicas' network of medical, dental, optical, preventive, specialty, ancillary, and institutional providers and will benefit from having their care coordinated by one entity. Members will maintain their access to GCHP's providers for pharmacy, transportation, and mental health services, and to its 24-hour advice nurse line.
"It's important for our members to have choices when it comes to their health care and we are excited that they will continue to have an opportunity to choose who manages their care with an additional partner," said Margaret Tatar, GCHP's chief executive officer. "We are looking forward to our partnership with AmericasHealth Plan to serve Ventura County's Medi-Cal community."
The pilot program has been approved by the state regulatory agencies that oversee Clinicas and GCHP: The Department of Managed Health Care and the Department of Health Care Services.
More on nvtip.com
"We have been working on this partnership with GCHP for a very long time and now it is finally coming," said Christina Velasco, Clinicas' chief financial officer. "We will continue to offer the same high level of care that all patients deserve through this pilot program."
GCHP's governing board, the Ventura County Medi-Cal Managed Care Commission, approved the proposal on August 26, 2019.
"On behalf of the Ventura County Medi-Cal Managed Care Commission, I am delighted to see this pilot program with AmericasHealth Plan come to fruition," said Dee Pupa, chair of the commission and deputy director of managed care at the Ventura County Health Care Agency. "We are all invested in the success of this collaborative effort to continue meeting the needs of Medi-Cal beneficiaries in our community."
GCHP is mailing information about the program to its members. Members who are interested in participating in the pilot must opt in by providing their written consent on the form that is included in the mailing. Members have the right to opt out of the pilot and move back to their GCHP provider at any time by contacting GCHP's Member Services Department.
As the pilot program nears its end in 2024, GCHP's commission will review AHP's performance against predetermined quality measures and will decide whether to extend the program and increase the membership.
"Our proposal for this plan-to-plan arrangement was for GCHP to allow AHP and Clinicas to manage and coordinate the care of our Medi-Cal patients," Velasco said. "We have built a very robust network of primary care, specialty, ancillary, hospital, and institutional providers to be able to handle all of the health care needs of our patients and we are very proud of this."
More on nvtip.com
Both AHP and GCHP have plan-to-plan partnerships with other health plans. Since 2016, AHP has worked with Central Health Medicare Plan, Anthem Blue Cross, Blue Shield, SCAN, and Imperial Health to provide care to people who are covered under Medicare Advantage and commercial plans in Ventura County and the San Fernando Valley. GCHP currently has a plan-to-plan agreement with Kaiser Permanente to manage the care of more than 5,500 members.
"As the cost of care continues to increase, partnering with other health plans to coordinate care for members has been one way to create efficiencies," Tatar said. "As the health care landscape evolves, forging partnerships will be the path forward for delivering high-quality care for our members."
About Gold Coast Health Plan
Gold Coast Health Plan proudly serves nearly 240,000 Medi-Cal beneficiaries in Ventura County through its network of primary care physicians, specialists, behavioral health providers, hospitals, and pharmacies. Since it was founded in 2011, Gold Coast Health Plan has been committed to providing access to high-quality care and improving the health of its members, which include 1 in 5 county residents, 1 in 8 seniors, and 1 in 2 children up to the age of 5. To learn more, visit: www.goldcoasthealthplan.org.
About AmericasHealth Plan and Clinicas del Camino Real
AmericasHealth Plan (AHP) is a fully licensed health plan based in Ventura, CA, which serves Ventura and Los Angeles counties. AHP's Provider network is comprised of more than 3,500 physicians and 19 hospitals including some of the nation's leading health care facilities. AHP was founded by Clinicas del Camino Real, Inc. (Clinicas), a Federally Qualified Health Center (FQHC), with a system of primary care clinics delivering care more than 50 years to historically under-served communities.
The three-year program would give up to 10,000 of GCHP's more than 200,000 members the option of choosing AHP, a subsidiary of Clinicas del Camino Real, Inc. (Clinicas), as the administrator of their health care benefits in the first year . As members of AHP, Medi-Cal beneficiaries will have access to Clinicas' network of medical, dental, optical, preventive, specialty, ancillary, and institutional providers and will benefit from having their care coordinated by one entity. Members will maintain their access to GCHP's providers for pharmacy, transportation, and mental health services, and to its 24-hour advice nurse line.
"It's important for our members to have choices when it comes to their health care and we are excited that they will continue to have an opportunity to choose who manages their care with an additional partner," said Margaret Tatar, GCHP's chief executive officer. "We are looking forward to our partnership with AmericasHealth Plan to serve Ventura County's Medi-Cal community."
The pilot program has been approved by the state regulatory agencies that oversee Clinicas and GCHP: The Department of Managed Health Care and the Department of Health Care Services.
More on nvtip.com
- SeedList Launching Institutional Crypto Crowdfunding Project to Empower Retail Investors and Disrupt the VC-Dominated Crypto Fundraising Landscape
- SOCIETY OF INDUSTRIAL AND OFFICE REALTORS® ELECTS INCOMING OFFICERS
- California Family Launches Billboard to Reach "Pardon Czar" Alice Marie Johnson
- Rent Like A Champion Acquires CollegeWeekends
- Sumter Landing Dental Care Launches Summer Special on Full Mouth Reconstruction
"We have been working on this partnership with GCHP for a very long time and now it is finally coming," said Christina Velasco, Clinicas' chief financial officer. "We will continue to offer the same high level of care that all patients deserve through this pilot program."
GCHP's governing board, the Ventura County Medi-Cal Managed Care Commission, approved the proposal on August 26, 2019.
"On behalf of the Ventura County Medi-Cal Managed Care Commission, I am delighted to see this pilot program with AmericasHealth Plan come to fruition," said Dee Pupa, chair of the commission and deputy director of managed care at the Ventura County Health Care Agency. "We are all invested in the success of this collaborative effort to continue meeting the needs of Medi-Cal beneficiaries in our community."
GCHP is mailing information about the program to its members. Members who are interested in participating in the pilot must opt in by providing their written consent on the form that is included in the mailing. Members have the right to opt out of the pilot and move back to their GCHP provider at any time by contacting GCHP's Member Services Department.
As the pilot program nears its end in 2024, GCHP's commission will review AHP's performance against predetermined quality measures and will decide whether to extend the program and increase the membership.
"Our proposal for this plan-to-plan arrangement was for GCHP to allow AHP and Clinicas to manage and coordinate the care of our Medi-Cal patients," Velasco said. "We have built a very robust network of primary care, specialty, ancillary, hospital, and institutional providers to be able to handle all of the health care needs of our patients and we are very proud of this."
More on nvtip.com
- Seligson Law Launches New Website to Support Cannabis Businesses in California and New York
- RISE Festival Partners With Globally Renowned Tao Group Hospitality To Unveil "The Sanctuary"
- databahn Announces Subscription Access to Fortune 500 GenAI Deep Dive Sales Intelligence Reports
- AI startup Congero offers instant websites with 24/7 updates - aiming to replace web agencies
- Lucid, Nuro, and Uber Partner on Next-Generation Autonomous Robotaxi Program
Both AHP and GCHP have plan-to-plan partnerships with other health plans. Since 2016, AHP has worked with Central Health Medicare Plan, Anthem Blue Cross, Blue Shield, SCAN, and Imperial Health to provide care to people who are covered under Medicare Advantage and commercial plans in Ventura County and the San Fernando Valley. GCHP currently has a plan-to-plan agreement with Kaiser Permanente to manage the care of more than 5,500 members.
"As the cost of care continues to increase, partnering with other health plans to coordinate care for members has been one way to create efficiencies," Tatar said. "As the health care landscape evolves, forging partnerships will be the path forward for delivering high-quality care for our members."
About Gold Coast Health Plan
Gold Coast Health Plan proudly serves nearly 240,000 Medi-Cal beneficiaries in Ventura County through its network of primary care physicians, specialists, behavioral health providers, hospitals, and pharmacies. Since it was founded in 2011, Gold Coast Health Plan has been committed to providing access to high-quality care and improving the health of its members, which include 1 in 5 county residents, 1 in 8 seniors, and 1 in 2 children up to the age of 5. To learn more, visit: www.goldcoasthealthplan.org.
About AmericasHealth Plan and Clinicas del Camino Real
AmericasHealth Plan (AHP) is a fully licensed health plan based in Ventura, CA, which serves Ventura and Los Angeles counties. AHP's Provider network is comprised of more than 3,500 physicians and 19 hospitals including some of the nation's leading health care facilities. AHP was founded by Clinicas del Camino Real, Inc. (Clinicas), a Federally Qualified Health Center (FQHC), with a system of primary care clinics delivering care more than 50 years to historically under-served communities.
Source: Gold Coast Health Plan
0 Comments
Latest on nvtip.com
- Opteamix Launches StackRewrite.AI to Transform Enterprise Legacy Modernization
- "The Pornified Generation": Dr. Chris Samuels Exposes the Toxic Alliance Between Bro Culture and Pornography That's Rewiring a Generation
- The Modern Insurance Store Expands Medicare Help Services for Seniors in Cincinnati
- Ironside HR Named Fastest-Growing Staffing Firm for Second Year
- Inframark Continues to Build Its Community Management Capabilities and Multi-Disciplinary Presence in Arizona
- ICAST 2025: The Crystal-Clear Revolution Begins at Booth #3233
- Brindle Pet Supplies Now Carries Badlands Ranch Dog Food in Canada
- $10 Million Allocated to Establish Crypto Treasury Focused on High Value Ethereum (ETH) & Bitcoin (BTC) as Long-Term Holdings for Cybersecurity Leader
- Sing For Your Supper: A Night of Musical Comedy and Drag for a Great Cause
- Cummings Graduate Institute for Behavioral Health Studies Celebrates New DBH Graduates
- $100 to $200 Million Equity Agreement with Top Digital Advisor Bitwise to Power Major Digital Asset Initiative for Bitcoin and Solana: OFA Group
- New Collaboration Launches Corporate ESG Solution for Responsible Decommissioning and Transparent Reporting
- SlickCashLoan Launches Free Loan Calculator to Help You Plan Monthly Payments
- EigenQ and WNC Announce Strategic Collaboration to Deliver FIPS-Certified Quantum-Safe Hardware at HPE Discover 2025
- TikTok Star ArcadeFriends Attempts 24-Hour Claw Machine Marathon at Lucky Puppy Arcade in Las Vegas
- Pyro Marketing Launches New Website to Accelerate Growth for Fitness Brands
- KCON LA 2025, 106.3 RAIN FM 'Take Over' Special Event
- After 80+ Years, the National Hardware Show Transforms Itself with a Bold New Mission: Getting Products to Market Faster, Smarter, and More Profitably
- The Citizens Commission on Human Rights Annual Purple Heart Day Event will be Hosted at the Historic Fort Harrison
- Blake Harris the Leading Authority in International Asset Protection Joins Tom Hegna on "Financial Freedom with Tom Hegna"