Steve Yedlin, MD Chief Medical Officer. Lenda Townsend-Williams, MBA Chief Operating Officer

Size: px
Start display at page:

Download "Steve Yedlin, MD Chief Medical Officer. Lenda Townsend-Williams, MBA Chief Operating Officer"

Transcription

1 2015 ANNUAL REPORT

2 Steve Yedlin, MD Chief Medical Officer Lenda Townsend-Williams, MBA Chief Operating Officer

3 2015 Annual Report Shareholder s Meeting May 3, 2016 To Our Shareholders, 2015 has been a great year. We celebrated our 21st year of success. We will continue to focus on the success of our physicians and supporting them to provide quality care and to improve the health and wellness of the foundation of our community, our pediatric members. As your Independent Practice Association (IPA), we are dedicated to providing support and to operate an effective, well-managed organization with a focus on quality and cost containment. This report highlights some of the accomplishments made possible by the outstanding employees of Children First Medical Group, Inc. We value our physician shareholders who continue to serve as a choice for pediatric well care and specialty care services in the local community, and surrounding counties and states. Thank you for your feedback, support and the exemplary care provided to your patients. Steve Yedlin, MD Chief Medical Officer Lenda Townsend-Williams, MBA Chief Operating Officer Arnold Blustein, MD Board President Table of Contents 2015 Highlights...1 Financial Review...2 Independent Auditor s Report...3 Administrative Services...5 Medical Management...9 Board of Directors & Committees...11

4 2015 Highlights We increased our provider network in Alameda, Contra Costa, and San Francisco counties by adding primary care physicians from Roots Community Health Center, specialists from San Francisco Oculofacial Plastic Surgery, and UCSF Physicians in Nephrology, Otolaryngology and Plastic Surgery. Eighty-three (83) new physicians joined our network. Primary Care Physicians and Specialty Care Physicians expressed continued high satisfaction with the services provided by CFMG. Successfully met and exceeded financial solvency requirements for the Department of Managed Care. We received 100% on the following audits: 1) Claims 2) Credentialing 3) Utilization Management Excellent Member Satisfaction results with the physician practices rating of 96%. Successfully met National Committee for Quality Assurance and Department of Health Care Services requirements for all delegated activities. The Provider Relations Department received 3,359 calls on the customer service line compared to 3,654 calls in 2014, an 8% decrease. The Medical Management Department processed 7,091 authorizations compared to 6,768 in 2014, a 4.8% increase. We hosted two (2) Provider Education & Training Workshops. We maintained credentialing delegation authority with 19 payors. The Claims Department processed 209,001 paper and EDI claims. The Claims Error Ratio was <1% compared to the industry standard of 5% Strategic Focus 1) Improve operating systems and upgrade technology 2) Continued financial stability 3) Expand physician network 1 Children First Medical Group, Inc.

5 Financial Review In 2015, Children First Medical Group, Inc. continued its course of stable financial growth. Our total revenue increased 7.8%. Our operating expenses remain at approximately 11%, a ratio well within industry standard. Our physician membership increased to 534. We continue to add UCSF faculty who have partnered with our physicians to provide clinic and ED coverage at UCSF Benioff Children s Hospital Oakland. As most know, we also have primary care and specialty physician members who are associated with Stanford and Packard Children s Hospital. For the calendar year 2015, our surplus was a new high of $4.8 Million. About $900,000 was distributed in September. The remainder was distributed in March. This year we faced system challenges with incorrect member counts resulting in over payments of capitation. These were corrected with the surplus distribution to prevent any financial disruption for our providers. We again provided funding to the Children s Specialty Care Coalition (CSCC), a statewide group of California Children Services (CCS) providers that works to ensure continued support for our most at risk patients. The state decided not to renew the waiver that ensures CCS funding as a separate entity last year. It has not committed to any specific plan but clearly is planning to incorporate CCS into managed care. This makes the work of CSCC even more important. The surplus was first determined by providing a participation bonus to both primary care physicians and specialists open to providing services to our Medi-Cal members. A member-month bonus was distributed to our PCPs. The remaining funds were distributed based on services provided by all participating physicians. The healthcare industry (which we clearly are) continues to change with further consolidation of facilities and physicians. The hope is that emphasis on Don Berwick s [former Administrator of the Centers for Medicare and Medicaid Services (CMS) and former CEO of the Institute for Health Care Improvement] goals of better health and better health care will prevail. We continue to provide administrative support services to UCSF Benioff Children s Physicians to which many of our physicians belong. We maintain strong relationships with our two Medi-Cal Managed Care plans, Anthem Blue Cross and Alameda Alliance for Health. We continue to successfully meet and exceed financial solvency requirements for the Department of Managed Health Care Annual Report to Shareholders 2

6 Independent Auditor s Report 3 Children First Medical Group, Inc.

7

8 Administrative Services Lenda Townsend-Williams, MBA Chief Operating Officer Michael McCarty Claims Manager Membership CFMG currently serves over 60,000 enrollees who are participants through Alameda Alliance for Health and Anthem Blue Cross. Provider Network Our provider network is comprised of 534 physicians, with 176 Primary Care Physicians (PCPs) and 358 Specialty Care Physicians (SCPs). Contract Management HMO Commercial Contracts We maintain contracts for Specialty services with the following payors: Brown & Toland Medical Group CIGNA Healthcare Hill Physicians Medical Group John Muir Physician Network Marin Sonoma IPA Palo Alto Medical Foundation Sutter Gould Medical Group Sutter Medical Foundation Medi-Cal Contracts We manage contracts with the following state-sponsored plans: Alameda Alliance for Health Anthem Blue Cross Medi-Cal HMO Specialist Contracts We manage contracts with the following state-sponsored plans: Contra Costa Health Plan Community Health Center Network Health Plan of San Joaquin PPO Contracts We currently maintain Preferred Provider Organization (PPO) contracts with the following payors: Aetna Benefit Risk Management CIGNA Healthcare Coventry First Health Care Healthsmart (Interplan) Hometown Health Humana/ChoiceCare Network MultiPlan Pacific Health Alliance Pacific Foundation for Medical Care Prime Health Services, Inc. Provider Select Sutter Redwoods Medical Foundation Three Rivers Provider Network USA Managed Care Organization 5 Children First Medical Group, Inc.

9 Children First Medical Group, Inc. Contracts To view CFMG contracts, please access our website at Claims Management Processed Claims 209, ,805 Errors Ratio <1% <1% We processed 9,000 more claims in 2015 than in Quarterly claims review meetings were held to continually educate and train staff. A Claims Tip Sheet for billing agents and providers is posted on the CFMG website and is updated as needed. Provider and billing agents in-service trainings performed on request for new office staff through our Provider Outreach Program. Extensive claims adjudication and eligibility reports are reviewed to ensure accuracy. Claims processing timeline continues to be 30 calendar days or less (which is lower than the industry standard of 45 working days). CFMG experienced a successful implementation of ICD-10 codes on October 1, Our claims processing errors ratio maintained a standard of less than 1%. We continually remain below the industry standard of 5%. Electronic Data Interchange (EDI) We processed and adjudicated 197,107 professional claims through the EDI system compared to 189,058 in 2014, 4% more than last year. Majority of electronic claims are paid within 10 business days from date of receipt. Our department remains compliant in meeting claims acknowledgement and timeliness processing standards Annual Report to Shareholders 6

10 Credentialing The Credentialing Department received 100% on all health plan annual audits. Our provider network continues to steadily increase, with the addition of eighty-three (83) new physicians. Provider Network Credentialing # of PCPs # of Specialists # Total Physicians Total CFMG Physicians New Recredentialed Terminated/ Retired We maintained delegation authority for credentialing with the following payors: Aetna Alameda Alliance for Health Anthem Blue Cross Benefit Risk Management Service Brown & Toland Medical Group Humana ChoiceCare Network CIGNA Healthcare Contra Costa Health Plan Coventry First Health Care Health Plan of San Joaquin Healthsmart (Interplan) Hill Physicians Medical Group Marin-Sonoma IPA Multiplan/Private Health Care Systems Pacific Foundation for Medical Care Provider Select, Inc. Prime Health Services, Inc. Sutter Redwoods Medical Foundation USA Managed Care Organization 7 Children First Medical Group, Inc.

11 Member Services We received 320 calls from Anthem Blue Cross and Alameda Alliance for Health Managed Medi-Cal enrollees. Provider Relations/Customer Services In 2015, we handled 3,359 customer service calls compared to 3,654 in 2014 and returned all calls within 2-3 hours. Utilization Management handled 1,175 calls from providers and and returned all calls within 24 hours. We continue to educate and assist physician office staff and billers through our Provider Outreach Program. As new providers join, training sessions are scheduled to ensure the staff are properly trained on billing guidelines and the Messenger Model contracting process. Customer Service Calls 6000 Utilization Management Calls 5000 Provider Relations Calls Annual Report to Shareholders 8

12 Medical Management Steve Yedlin, MD Chief Medical Officer The Medical Management Department processed 7,091 authorizations, compared to 6,768 authorizations in We underwent an annual health plan audit by Anthem Blue Cross. The Department successfully met National Committee for Quality Assurance and Department of Health Care Services requirements for all delegated activities: Utilization Management 100% Medi-Cal Specific Activities 100% Credentialing 100% Claims 100% Marie Barrett Director of Utilization & Quality Management Hospital Utilization Overall, hospital utilization for the Medi-Cal program was higher compared to Admits/ 1000 = % higher than 2014 ALOS = 2.47 days 6% higher than 2014 Days/ 1000 = % higher than 2014 UCSF Benioff Children s Hospital Oakland ER Utilization Overall, ED utilization for the Medi-Cal program was higher compared to ED Visits/ 1000 = % higher than 2014 The UM / QM Committees met quarterly to review utilization data, member grievances, satisfaction surveys, quality improvement reports, and to approve policies and procedures. Note: At the end of 2015, Sylvia Herrick, RN, our Director of Utilization & Quality Management for 15 years, retired. We are pleased to announce we have hired Marie Barrett, effective February 2016, who is the new Director of Utilization & Quality Management. 9 Children First Medical Group, Inc.

13 Quality Improvement Studies CFMG conducted the following quality improvement studies in 2015: Access to Care Telephone Answer Survey The median telephone response time for the Primary Care offices was 30 seconds and 36 seconds for the Specialty offices. Average Wait for new Specialty Appointments The average wait for a non-urgent, new patient appointment ranged from 1-4 weeks. Appropriate Utilization of Emergency Services CFMG notified the PCP s of members with 3 or more ED visits per quarter. Pediatric Advice Line Utilization and Quality Report Claims Input Error Report The claims error ratio was <1%, which is well below the industry standard of 5%. The QM Department provides support to Alameda Alliance in resolving member grievances. There were no member grievances in Provider Satisfaction Survey CFMG conducted its annual Provider Satisfaction Survey in the fall of Providers expressed continued satisfaction with services provided by CFMG. The overall satisfaction ratings for 2015 continue to be positive. Member Satisfaction Survey CFMG conducted its annual Member Satisfaction Survey in the fall. Surveys were distributed in English, Spanish, Vietnamese and Chinese. Once again, members reported a high level of satisfaction with the care provided by CFMG physicians. The overall member satisfaction ratings for 2015 were: Primary Care Physicians 96% Specialists 92% 2015 Annual Report to Shareholders 10

14 Board of Directors & Committees Board of Directors Arnold Blustein, MD, President Robert Watts, MD, Secretary Richard Ash, MD Theodore Chaconas, MD Jonathan Clarke, MD Kenneth Ducker, MD Carol Glann, MD Amit Gupta, MD Robert Haining, MD Caroline Hastings, MD R. Scott Heidersbach, MD Mika Hiramatsu, MD Thomas Hui, MD Lawrence Ng, MD Stephen Santucci, MD Lloyd Takao, MD Michael Usem, MD Robin Winokur, MD Steven Yedlin, MD Credentialing Committee Steve Yedlin, MD, Chair Stephen Daane, MD R. Scott Heidersbach, MD David Kittams, MD Kathleen Newkumet, MD Robert Nicholson, MD Miriam Rhew, MD Elizabeth Salsburg, MD Compensation Committee Steve Yedlin, MD, Chair Arnold Blustein, MD Jonathan Clarke, MD Caroline Hastings, MD Robert Watts, MD Robin Winokur, MD Contracting Committee Steve Yedlin, MD, Chair Jonathan Clarke, MD Robert Watts, MD Robin Winokur, MD Nominating Committee Jonathan Clarke, MD, Chair Kenneth Ducker, MD Thomas Hui, MD Utilization Management Committee Robert Nicholson, MD, Chair Mindy Benson, PNP Theodore Chaconas, MD Jose Enz, MD Carol Glann, MD David Kittams, MD Gena Lewis, MD Steve Yedlin, MD 11 Children First Medical Group, Inc.

15 2015 Annual Report to Shareholders 12

16 (510) (510) fax

Steve Yedlin, MD Chief Medical Officer. Lenda Townsend-Williams, MBA Chief Operating Officer

Steve Yedlin, MD Chief Medical Officer. Lenda Townsend-Williams, MBA Chief Operating Officer 2016 ANNUAL REPORT Steve Yedlin, MD Chief Medical Officer Lenda Townsend-Williams, MBA Chief Operating Officer 2016 Annual Report Shareholder s Meeting April 25, 2017 To Our Shareholders, As your Independent

More information

2011 ANNUAL REPORT. SHAREHOLDERS MEETING April 24, Arnold Blustein, MD Board President. Steven Yedlin, MD Chief Medical Officer

2011 ANNUAL REPORT. SHAREHOLDERS MEETING April 24, Arnold Blustein, MD Board President. Steven Yedlin, MD Chief Medical Officer 2011 ANNUAL REPORT SHAREHOLDERS MEETING April 24, 2012 CHILDREN FIRST MEDICAL GROUP Arnold Blustein, MD Board President Steven Yedlin, MD Chief Medical Officer Lenda Townsend-Williams, MBA Chief Operating

More information

Presented to: The Sacramento Medi-Cal Managed Care Stakeholder s Advisory Committee

Presented to: The Sacramento Medi-Cal Managed Care Stakeholder s Advisory Committee The Health Plan/ IPA Relationship: P Partners in i Health H l h Care C Delivery D li Presented to: The Sacramento Medi-Cal Managed Care Stakeholder s Advisory Committee By: Anthem Blue Cross Health Net

More information

San Francisco Health Service System (SFHSS) Trio HMO Plan Frequently Asked Questions

San Francisco Health Service System (SFHSS) Trio HMO Plan Frequently Asked Questions San Francisco Health Service System (SFHSS) Trio HMO Plan Frequently Asked Questions Frequently Asked Questions (FAQs) If you have any questions about your health plan benefits, call your dedicated Shield

More information

HEALTHY FAMILIES PROGRAM TRANSITION TO MEDI-CAL

HEALTHY FAMILIES PROGRAM TRANSITION TO MEDI-CAL HEALTHY FAMILIES PROGRAM TRANSITION TO MEDI-CAL NETWORK ADEQUACY ASSESSMENT REPORT PHASE 1 November 1, 2012 Submitted by the California Department of Managed Health Care in Fulfillment of the Requirements

More information

Kaiser Foundation Hospital Antioch

Kaiser Foundation Hospital Antioch Custodian: Compliance Officer Page: 1 of 17 1.0 Policy Statement 1.1. Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals, The Permanente Medical Group, and the Southern California Permanente

More information

1.5. Health Plan provides alternative format materials in accordance with ADA Alternative Formats Policy.

1.5. Health Plan provides alternative format materials in accordance with ADA Alternative Formats Policy. Page: 1 of 19 1.0 Policy Statement 1.1. Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals, The Permanente Medical Group, Inc., and the Southern California Permanente Medical Group are

More information

COMPARING FULL SERVICE CALIFORNIA HMO ENROLLMENT FOR MARCH 31, 2014 AND MARCH 31, 2015 (see Notes, pg 8)

COMPARING FULL SERVICE CALIFORNIA HMO ENROLLMENT FOR MARCH 31, 2014 AND MARCH 31, 2015 (see Notes, pg 8) COMPARING FULL SERVICE CALIFORNIA HMO ENROLLMENT FOR MARCH 31, 2014 AND MARCH 31, 2015 (see Notes, pg 8) ALL HMO PRODUCT LINES ENROLLMENT HMO Plans 2014 HMO Plans 2015 Difference Percent Chg Commercial

More information

Evolution of ACOs in California. Accountable Care Congress Los Angeles November 11, 2014 Jill Yegian, Ph.D.

Evolution of ACOs in California. Accountable Care Congress Los Angeles November 11, 2014 Jill Yegian, Ph.D. Evolution of ACOs in California Accountable Care Congress Los Angeles November 11, 2014 Jill Yegian, Ph.D. Integrated Healthcare Association Statewide multi stakeholder leadership group that promotes quality

More information

Last Name: First Name: Middle Initial: City: State: Zip Code: City: State: Zip Code:

Last Name: First Name: Middle Initial: City: State: Zip Code: City: State: Zip Code: 1240 South Loop Road Alameda, CA 94502 1-877-585-PLAN (7526) TTY 1-800-735-2929 8 a.m. - 8 p.m., 7 days a week www.alliancecompletecare.org I wish to enroll in the Alliance CompleteCare (HMO SNP) Medicare

More information

101 Grove Street, Room 308 San Francisco, California (415) MANAGED CARE UPDATE FY

101 Grove Street, Room 308 San Francisco, California (415) MANAGED CARE UPDATE FY 101 Grove Street, Room 308 San Francisco, California 94102 (415) 554-2610 www.sfdph.org MANAGED CARE UPDATE FY 2013-14 TABLE OF CONTENTS 1. DPH Enrollment 1 2. Low Income Health Program Transition 3 3.

More information

Health Care Reform 1

Health Care Reform 1 Health Care Reform 1 Health Care Reform Covered California (Health Benefit Exchange) Medi-Cal Expansion Bridge Plan Proposal Gold Coast Readiness Outreach to the Eligible 2 Health Care Reform: What is

More information

FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction

FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction Meaghan McCamman Assistant Director of Policy California Primary Care Association 1 Agenda Incentives in PPS: what does

More information

10/6/2017. FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction. Agenda. Incentives in PPS: what does excludable mean?

10/6/2017. FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction. Agenda. Incentives in PPS: what does excludable mean? FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction Meaghan McCamman Assistant Director of Policy California Primary Care Association Agenda Incentives in PPS: what does excludable

More information

Transforming Physician Practices: Evolution of ACOs in California. National Association of ACOs - Washington, DC October 2015

Transforming Physician Practices: Evolution of ACOs in California. National Association of ACOs - Washington, DC October 2015 Transforming Physician Practices: Evolution of ACOs in California National Association of ACOs - Washington, DC October 2015 Integrated Healthcare Association Statewide multi-stakeholder leadership group

More information

Understanding the Initiative Landscape in Medi-Cal. IHA Stakeholder Meeting September 23, 2016 Sarah Lally, Project Manager

Understanding the Initiative Landscape in Medi-Cal. IHA Stakeholder Meeting September 23, 2016 Sarah Lally, Project Manager Understanding the Initiative Landscape in Medi-Cal IHA Stakeholder Meeting September 23, 2016 Sarah Lally, Project Manager Agenda Welcome / Introduction Sarah Lally, Project Manager Inland Empire Health

More information

Chapter 4 Health Care Management Unit 5: Quality Management

Chapter 4 Health Care Management Unit 5: Quality Management Chapter 4 Health Care Management Unit 5: Quality Management In This Unit Topic See Page Unit 5: Quality Management Quality Management Program 2 Prevention and Wellness 4 Clinical Quality 5 Network Quality

More information

SECTION 9 Referrals and Authorizations

SECTION 9 Referrals and Authorizations SECTION 9 Referrals and Authorizations General Information The PAMF Utilization Management (UM) Program is carried out by the Managed Care department. The UM Program is designed to ensure that all Members

More information

ICE 2016 Annual Conference December 5, 2016

ICE 2016 Annual Conference December 5, 2016 ICE 2016 Annual Conference December 5, 2016 The Coded Division of Financial Responsibility (DOFR) Stephen J. Linesch S. Linesch and Associates Carol Wanke Vice President, Managed Care Operations Sharp

More information

Community Based Adult Services (CBAS) Manual

Community Based Adult Services (CBAS) Manual Community Based Adult Services (CBAS) Manual Revised October 2016 TABLE OF CONTENTS Policies and Procedures CBAS Initial Assessment and Reassessment... 3 CBAS Authorization Requests... 5 CBAS Claim Procedures...

More information

WHAT IS PACE? A TRAINING GUIDE FOR OUTREACH & REFERRAL ORGANIZATIONS

WHAT IS PACE? A TRAINING GUIDE FOR OUTREACH & REFERRAL ORGANIZATIONS PACE is a health plan exclusively for individuals over 55 years of age. Our programs have been operating for over 40 years and are located throughout California. PACE is for individuals who are living

More information

Inland Empire Health Plan Quality Management Program Description Date: April, 2017

Inland Empire Health Plan Quality Management Program Description Date: April, 2017 Inland Empire Health Plan Quality Management Program Description Date: April, 2017 Page 1 of 35 Table of Contents Introduction.....3 Mission and Vision........3 Section 1: QM Program Overview........4

More information

Cindy Cameron Senior Director of Finance & Reimbursement LightBridge Hospice, LLC

Cindy Cameron Senior Director of Finance & Reimbursement LightBridge Hospice, LLC Cindy Cameron Senior Director of Finance & Reimbursement LightBridge Hospice, LLC Kristina Runnels Director Patient Financial Services VITAS Healthcare Corp Medi-Cal Managed Care Program The 3 models of

More information

Quality Improvement Committee Minutes

Quality Improvement Committee Minutes Quality Improvement Committee Minutes Date: February 9, 2017 Meeting Place: San Francisco Health Plan, 50 Beale Street 13 th floor, San Francisco, CA 94105 Meeting Time: 7:30AM - 9:00AM Members Present:

More information

2018 Northern California HMO Provider Manual Kaiser Foundation Health Plan, Inc.

2018 Northern California HMO Provider Manual Kaiser Foundation Health Plan, Inc. 2018 Northern California HMO Provider Manual Kaiser Foundation Health Plan, Inc. Welcome from Kaiser Permanente It is our pleasure to welcome you as a contracted provider (Provider) participating under

More information

Delegation Oversight 2016 Audit Tool Credentialing and Recredentialing

Delegation Oversight 2016 Audit Tool Credentialing and Recredentialing Att CRE - 216 Delegation Oversight 216 Audit Tool Review Date: A B C D E F 1 2 C3 R3 4 5 N/A N/A 6 7 8 9 N/A N/A AUDIT RESULTS CREDENTIALING ASSESSMENT ELEMENT COMPLIANCE SCORE CARD Medi-Cal Elements Medi-Cal

More information

Mariposa County Behavioral Health and Recovery Services QUALITY IMPROVEMENT WORKPLAN

Mariposa County Behavioral Health and Recovery Services QUALITY IMPROVEMENT WORKPLAN Mariposa County Behavioral Health and Recovery Services QUALITY IMPROVEMENT WORKPLAN Fiscal Year 2016-2017 Quality Assurance Program Required Elements for the Quality Assurance Program Mariposa County

More information

MEDI-CAL MANAGED CARE OVERVIEW

MEDI-CAL MANAGED CARE OVERVIEW MEDI-CAL MANAGED CARE OVERVIEW July 2018 Sandy Damiano, PhD Deputy Director DHS Primary Health Eligibility & Enrollment Apply for Medi-Cal year round: County Department of Human Assistance (DHA) Online,

More information

Enrollment Just Got Easier With Four Simple Steps

Enrollment Just Got Easier With Four Simple Steps Enrollment Just Got Easier With Four Simple Steps 2 A Focus on Prevention Sutter Health Plus members have access to a variety of no-cost preventive care services. These services may help you and your family

More information

Sutter-Yuba Mental Health Plan

Sutter-Yuba Mental Health Plan Sutter-Yuba Mental Health Plan Quality Improvement Work Plan Fiscal Year 2016/2017 TABLE OF CONTENTS Title Page.....1 Table of Contents... 2 Description of Quality Improvement... 3 Quality Improvement

More information

Practices of High Performers: Patient Experience of Ambulatory Care

Practices of High Performers: Patient Experience of Ambulatory Care Practices of High Performers: Patient Experience of Ambulatory Care Giovanna Giuliani, MBA, MPH Senior Manager, California Quality Collaborative ggiuliani@pbgh.org March 23, 2011 THE LANDSCAPE Public reporting

More information

HEALTH PLANS FOR PARTICIPANTS

HEALTH PLANS FOR PARTICIPANTS Kern County 2018 Retiree HEALTH PLANS FOR PARTICIPANTS OVER AGE 65 (Must have BOTH Medicare Parts A & B) For current participating physician information, please contact each plan directly. This summary

More information

SECTION 7. The Changing Health Care Marketplace

SECTION 7. The Changing Health Care Marketplace SECTION 7 The Changing Health Care Marketplace This section provides an overview of the health care markets in and the, including data on HMO enrollment, trends and information about hospitals and nursing

More information

we re proud to be provider-owned

we re proud to be provider-owned GETTING CARE WITH WHA: access & eligibility NETWORK A advantage we re proud to be provider-owned We support the doctor-patient relationship and offer access to quality doctors and hospitals. Our Advantage

More information

2016 Community Health Improvement Plan

2016 Community Health Improvement Plan 2016 Community Health Improvement Plan Table of Contents 1. EXECUTIVE SUMMARY... 2. ABOUT OUR JOHN MUIR HEALTH... Mission, Vision, Values... Community Commitment... About Community Benefit... Communities

More information

Sutter Health. Steven Lane, MD, MPH, FAAFP Sutter EHR Ambulatory Physician Director

Sutter Health. Steven Lane, MD, MPH, FAAFP Sutter EHR Ambulatory Physician Director Interoperability @ Sutter Health Steven Lane, MD, MPH, FAAFP Sutter EHR Ambulatory Physician Director Main Points Secure health information exchange is happening in Northern California Sutter Health utilizes

More information

California Children s Services Program Redesign:

California Children s Services Program Redesign: California Children s Services Program Redesign: Vision, Goals and Groundwork for the Stakeholder Process September 26, 2014 Agenda 9:30-9:35 Welcome and Introductions Dylan Roby, UCLA 9:35-9:45 Opening

More information

Covered Employee Notification of Rights Materials

Covered Employee Notification of Rights Materials Covered Employee Notification of Rights Materials Regarding Victor Valley Community College District administered by Keenan & Associates PRIME Advantage Medical Provider Network ( MPN ) This pamphlet contains

More information

presenter David Melendez Senior Project Manager, Language Assistance Program Blue Shield of California

presenter David Melendez Senior Project Manager, Language Assistance Program Blue Shield of California 1 presenter David Melendez Senior Project Manager, Language Assistance Program Blue Shield of California 2 Blue Shield s new Blue Shield s new Language Assistance Program Beginning January 1, 2009 Language

More information

Whole Person Care Pilots & the Health Home Program

Whole Person Care Pilots & the Health Home Program Whole Person Care Pilots & the Health Home Program Molly Brassil, MSW Director of Behavioral Health Integration, Harbage Consulting December 13, 2016 Presentation Overview Delivery System Reform in California

More information

Accountable Care Organization in California: Lessons for the National Debate on Delivery System Reform

Accountable Care Organization in California: Lessons for the National Debate on Delivery System Reform Accountable Care Organization in California: Lessons for the National Debate on Delivery System Reform James Robinson Professor and Director, Berkeley Center for Health Technology University of California,

More information

UC SF Medical Group & Medical Center Active Contracts Report and LOA Training

UC SF Medical Group & Medical Center Active Contracts Report and LOA Training UC SF Medical Group & Medical Center and LOA Training April 18, 2012 Agenda Letter of Agreement (LOA) Questions 1 2 Health Plans 3 Health Plans Column A contains all of the Health Plans that are contracted

More information

Policy and Procedure. Government Programs and Commercial DHMO

Policy and Procedure. Government Programs and Commercial DHMO Policy and Procedure Policy Name: Facility and Chart Reviews Policy ID: QM.008.01 Approved By: Dental Director (signature on file) Effective Date: 02/17/2012 States: All Revision Date: 11/19/2013 Application:

More information

A. Encounter Data Submission Requirements

A. Encounter Data Submission Requirements A. Encounter Data Submission Requirements APPLIES TO: A. This policy applies to all IEHP Medi-Cal Providers. POLICY: A. As of October 1, 2015, IEHP has transitioned to ICD-10 diagnosis and procedure coding

More information

Anthem Blue Cross Provider Operations and Technology

Anthem Blue Cross Provider Operations and Technology Termination of Provider Enrollee Notification Initial Policy Approval Date: 12/17/2001 Policy Review/Revision Approval Date(s): 06/17/2002, 6/16/2003, 3/29/2004, 06/19/2007 Filed DMHC, 1/17/2014 Products:

More information

Alameda Alliance for Health invites you to apply for its Health Home Pilot: An Intensive Case Management Program

Alameda Alliance for Health invites you to apply for its Health Home Pilot: An Intensive Case Management Program Alameda Alliance for Health invites you to apply for its Health Home Pilot: An Intensive Case Management Program In order to evaluate your organization s interest in partnering on this opportunity, please

More information

Care Coordination Work Group

Care Coordination Work Group Meeting Minutes May 22, 2017, 3:00 PM 5:00 PM DHHS Administration 7001-A East Parkway Sacramento, CA 95823 Conference Room 1 COMMITTEE MEMBERS X Advocate Jenni Gomez (LSNC) X Health Plan Steve Soto (Molina)

More information

Patient Assessment Survey (PAS) 2014

Patient Assessment Survey (PAS) 2014 August 8, 2013 Dear Physician Group: We are writing to invite your physician group s participation in the 2014 California Patient Assessment Survey (PAS) project, a statewide effort to produce comparative

More information

CA Duals Demonstration: Bringing Coordination to a Fragmented System

CA Duals Demonstration: Bringing Coordination to a Fragmented System CA Duals Demonstration: Bringing Coordination to a Fragmented System Martha Smith Health Net s Chief Dual Eligible Program Officer Integrated Healthcare Association & California Association of Physician

More information

DELEGATION - MEDICAL GROUP/IPA OPERATIONS

DELEGATION - MEDICAL GROUP/IPA OPERATIONS DELEGATION - MEDICAL GROUP/IPA OPERATIONS This section contains information specific to medical groups, Independent Practice Associations (IPA), and Vendors contracted with Molina to provide medical care

More information

14. Health Care Options (HCO)/Managed Care

14. Health Care Options (HCO)/Managed Care Medi-Cal Handbook page 14-1 14. 14.1 Fee-For-Service Health care is provided to certain Medi-Cal beneficiaries through Fee-For-Service benefits. This means that some Medi-Cal clients may receive medical

More information

CARE1ST HEALTH PLAN POLICY & PROCEDURE QUALITY IMPROVEMENT

CARE1ST HEALTH PLAN POLICY & PROCEDURE QUALITY IMPROVEMENT CARE1ST HEALTH PLAN POLICY & PROCEDURE QUALITY IMPROVEMENT Policy Title: Access to Care Standards and Monitoring Process Policy No: 70.1.1.8 Orig. Date: 10/96 Effective Date: 12/14 Revision Date: 05/06,

More information

ENVISIONING THE FUTURE OF THE CALIFORNIA CHILDREN S SERVICES PROGRAM (CCS) IMPROVING CARE COORDINATION WHILE PRESERVING ACCESS TO HIGH QUALITY CARE

ENVISIONING THE FUTURE OF THE CALIFORNIA CHILDREN S SERVICES PROGRAM (CCS) IMPROVING CARE COORDINATION WHILE PRESERVING ACCESS TO HIGH QUALITY CARE ENVISIONING THE FUTURE OF THE CALIFORNIA CHILDREN S SERVICES PROGRAM (CCS) IMPROVING CARE COORDINATION WHILE PRESERVING ACCESS TO HIGH QUALITY CARE California Children s Hospital Association March 2015

More information

Integrated Healthcare Association White Paper

Integrated Healthcare Association White Paper Integrated Healthcare Association White Paper Accountable Care Organizations in California 1 TABLE OF CONTENTS EXECUTIVE SUMMARY 1 INTRODUCTION 5 ORGANIZATIONAL STRUCTURE 6 PAYMENT METHODS 12 RELATIONSHIPS

More information

A. This policy applies to all IEHP DualChoice Cal MediConnect Plan (Medicare Medicaid Plan) Providers.

A. This policy applies to all IEHP DualChoice Cal MediConnect Plan (Medicare Medicaid Plan) Providers. A. Primary Care Physician (PCP) 1. Affiliation Numbers APPLIES TO: A. This policy applies to all IEHP DualChoice Cal MediConnect Plan (Medicare Medicaid Plan) Providers. POLICY: A. PCPs may have a maximum

More information

Annual KPCA Meeting October 2014

Annual KPCA Meeting October 2014 Annual KPCA Meeting October 2014 Background Precision Healthcare Delivery, LLC (PHD) Louisville, Kentucky based company 12 years of operations as independent company (team has over 100 years of medical

More information

Understanding and Leveraging Continuity of Care

Understanding and Leveraging Continuity of Care Understanding and Leveraging Continuity of Care Cal MediConnect Providers Summit January 21, 2015 Moderator: Jane Ogle, Consultant, Harbage Consulting www.chcs.org An Overview of Continuity of Care in

More information

MEDI-CAL MANAGED CARE OVERVIEW

MEDI-CAL MANAGED CARE OVERVIEW MEDI-CAL MANAGED CARE OVERVIEW September 2016 Sandy Damiano, PhD Deputy Director DHHS Primary Health Eligibility & Enrollment Open year round Based on income and family size Simplified procedures Income

More information

NetworkNotes. U.S. Behavioral Health Plan, California (USBHPC) News for Clinicians and Facilities Fall 2009

NetworkNotes. U.S. Behavioral Health Plan, California (USBHPC) News for Clinicians and Facilities Fall 2009 CALIFORNIA NetworkNotes U.S. Behavioral Health Plan, California (USBHPC) News for Clinicians and Facilities Fall 2009 Update Your Expertise Clearly identifying your areas of expertise facilitates appropriate

More information

Provider Relations Training

Provider Relations Training Cal MediConnect Provider Relations Training Presented by Victor Gonzalez and George Scolari Provider Relations Training Agenda Overview of Cal MediConnect Eligibility & Exclusions Enrollment & Disenrollment

More information

Quality Improvement Committee Minutes

Quality Improvement Committee Minutes Quality Improvement Committee Minutes Date: February 11, 2016 Meeting Place: San Francisco Health Plan, 50 Beale Street 13 th Floor, San Francisco, CA 94105 Meeting Time: 7:30-9:00 am Present: Edwin Batongbacal,

More information

Santa Clara Family Health Plan New Provider Orientation

Santa Clara Family Health Plan New Provider Orientation Santa Clara Family Health Plan New Provider Orientation 2017 SCFHP Overview Santa Clara Family Health Plan (SCFHP) was established in 1996 by the Santa Clara County Board of Supervisors in response to

More information

Accepted Health Plans

Accepted Health Plans Accepted Health Plans Lakeland Regional Health Medical Center While the hospital contracts with the following health plans, the hospital may not be included in all of the products (i.e. HMO, PPO, Behavioral

More information

Welcome! The webinar will begin at 1:30 PM

Welcome! The webinar will begin at 1:30 PM Welcome! The webinar will begin at 1:30 PM Connect to the audio via your computer or call-in Use the Chat function to ask questions - Questions will be managed through the Chat and will be answered at

More information

Anthem HealthKeepers Medicare-Medicaid Plan (MMP), a Commonwealth Coordinated Care plan, provider orientation presentation

Anthem HealthKeepers Medicare-Medicaid Plan (MMP), a Commonwealth Coordinated Care plan, provider orientation presentation Anthem HealthKeepers Medicare-Medicaid Plan (MMP), a Commonwealth Coordinated Care plan, provider orientation presentation Anthem HealthKeepers MMP HealthKeepers, Inc. participates in the Virginia Commonwealth

More information

Office manual for health care professionals

Office manual for health care professionals Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Office manual for health care professionals West Regional Section www.aetna.com 23.20.804.1 F (7/17) Welcome

More information

Final Report. PrimeWest Health System

Final Report. PrimeWest Health System Minnesota Department of Health Compliance Monitoring Division Managed Care Systems Section Final Report PrimeWest Health System Quality Assurance Examination For the period: July 1, 2008 May 31, 2011 Final

More information

2019 Health Net Seniority Plus Amber I (HMO SNP) H0562: 055 Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco

2019 Health Net Seniority Plus Amber I (HMO SNP) H0562: 055 Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco 2019 Health Net Seniority Plus Amber I (HMO SNP) H0562: 055 Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco and Tulare Counties, CA H0562_19_7837SB_055_M_Accepted

More information

PROVIDER TRAINING NOTICE OF MEDICARE NON-COVERAGE (NOMNC)

PROVIDER TRAINING NOTICE OF MEDICARE NON-COVERAGE (NOMNC) PROVIDER TRAINING NOTICE OF MEDICARE NON-COVERAGE (NOMNC) 2015 NOMNC OVERVIEW In this training module, you will learn about: What a Notice of Medicare Non-Coverage (NOMNC) is When you are required to deliver

More information

Value Based P4P High Performers

Value Based P4P High Performers Value Based P4P High Performers Marnie Baker, MD, MemorialCare Medical Foundation George Christides, MD, AppleCare Medical Management Melissa Gerdes, MD, John Muir Health Moderated by: Diane Stewart, Pacific

More information

Standardizing Medi-Cal Pay for Performance Advisory Committee Meeting. November 3, 2016

Standardizing Medi-Cal Pay for Performance Advisory Committee Meeting. November 3, 2016 Standardizing Medi-Cal Pay for Performance Advisory Committee Meeting November 3, 2016 Agenda Welcome & Introductions Core Measure Set MY 2017 EAS Measure Set Update Benchmarks Core Measure Set Adoption

More information

A. Utilization Management Delegation and Monitoring

A. Utilization Management Delegation and Monitoring A. Utilization Management Delegation and Monitoring APPLIES TO: A. This policy applies to all IEHP DualChoice Cal MediConnect Plan (Medicare Medicaid Plan) Members. POLICY: A. As of October 1, 2015, IEHP

More information

CHAPTER 4: CARE MANAGEMENT AND QUALITY IMPROVEMENT

CHAPTER 4: CARE MANAGEMENT AND QUALITY IMPROVEMENT CHAPTER 4: CARE MANAGEMENT AND QUALITY IMPROVEMENT UNIT 8: QUALITY IMPROVEMENT IN THIS UNIT TOPIC SEE PAGE 4.8 QUALITY IMPROVEMENT AND MANAGEMENT 2 4.8 HIGHMARK QUALITY PROGRAM COMMITTEES 4 4.8 THE CASE

More information

2018 LEAD PROGRAM PACKET INSTRUCTIONS

2018 LEAD PROGRAM PACKET INSTRUCTIONS 2018 LEAD PROGRAM PACKET INSTRUCTIONS In this packet you will find all the trainings and signature forms required to participate in AGA's lead program. Please follow the instructions below: Complete Lead

More information

Physician Participation in Medi-Cal,

Physician Participation in Medi-Cal, Physician Participation in Medi-Cal, 1996 1998 February 2002 Andrew B. Bindman, M.D. William Huen Karen Vranizan, M.A. Jean Yoon, M.H.S. Kevin Grumbach, M.D. Center for California Health Workforce Studies

More information

DHCS Update: Major Initiatives and Strategies Towards Standardization

DHCS Update: Major Initiatives and Strategies Towards Standardization DHCS Update: Major Initiatives and Strategies Towards Standardization Javier Portela, Division Chief Managed Care Operations Department of Health Care Services ICE 2016 Annual Conference December 2016

More information

The PES Crisis Stabilization and Evaluation for All

The PES Crisis Stabilization and Evaluation for All The PES Crisis Stabilization and Evaluation for All Regional Dedicated Psychiatric Emergency Services (PES) Dedicated Psychiatric/Substance Use Disorder Emergency Department Too often, individuals with

More information

Member Services Director

Member Services Director Central Coast Alliance for Health September 2006 Duty Statement page 1 Member Services Director 1. Responsible for senior management and strategic planning for the Member Services Department, including

More information

2018 Evidence of Coverage

2018 Evidence of Coverage Los Angeles, Riverside and San Bernardino Counties 2018 Evidence of Coverage SCAN Connections (HMO SNP) Y0057_SCAN_10165_2017F File & Use Accepted DHCS Approved 08232017 08/17 18C-EOC006 January 1 December

More information

Health Center Staff Documents Checklist

Health Center Staff Documents Checklist Health Center Program Site Visit Protocol Health Center Staff Documents Checklist NOTE: This consolidated checklist contains documents used to assess multiple program requirements during Operational Site

More information

THE UTILIZATION OF MEDICAL ASSISTANTS IN CALIFORNIA S LICENSED COMMUNITY CLINICS

THE UTILIZATION OF MEDICAL ASSISTANTS IN CALIFORNIA S LICENSED COMMUNITY CLINICS THE UTILIZATION OF MEDICAL ASSISTANTS IN CALIFORNIA S LICENSED COMMUNITY CLINICS Tim Bates and Susan Chapman UCSF Center for the Health Professions Overview Medical Assistants (MAs) play a key role as

More information

AmeriHealth Michigan Provider Overview. April, 2014

AmeriHealth Michigan Provider Overview. April, 2014 AmeriHealth Michigan Provider Overview April, 2014 Who We Are Our Mission Dual Demonstration of Michigan AmeriHealth VIP Care Plus Agenda Our Record of Success Integrated Care Management Provider Partnerships

More information

Evidence of Coverage

Evidence of Coverage January 1 December 31, 2018 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Kaiser Permanente Senior Advantage Medicare Medi-Cal Plan North

More information

Shasta County Health and Human Services Agency Mental Health Plan Quality Management Work Plan. Introduction

Shasta County Health and Human Services Agency Mental Health Plan Quality Management Work Plan. Introduction Introduction As required by the California State Department of Health Care Services and the Medi Cal Managed Care Plan, the Shasta County Health and Human Services Agency through its Mental Health Plan

More information

Agenda Information Item Memo

Agenda Information Item Memo Agenda Information Item Memo April 20, 2018 TO: FROM: Board of Trustees Ishwari Venkataraman/ VP Strategy and Business Planning Donna Carey/ Interim Chair, Department of Pediatrics SUBJECT: Agenda Item:

More information

Contracted Insurance Plans and Episodic Programs Accepted at NCHS

Contracted Insurance Plans and Episodic Programs Accepted at NCHS FQHC CHDP/FQHC Contracted Insurance Plans and Episodic Programs Accepted at Newborn FQHC 3 161 186 Medi-Cal Medi-Cal Fee-For-Service (FFS) 14 Medi-Cal (straight Medi-Cal) - eligibility is issued from the

More information

SANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery

SANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery SANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery P age 11 of 5 Department Policy and Procedure Section Sub-section Policy Policy# Quality Care Management General Contracted

More information

Certificate of Compliance

Certificate of Compliance Certificate of Compliance CITY AND COUNTY OF Edwin M. Lee Mayor November 2, 2017 Dr. Warren S. Browner, MD, MPH, CEO California Pacific Medical Center 633 Folsom Street, 1 st Floor San Francisco, CA 94107

More information

Same Disease, Different Care: How Patient Health Coverage Drives Treatment Patterns in California. The analysis includes:

Same Disease, Different Care: How Patient Health Coverage Drives Treatment Patterns in California. The analysis includes: Same Disease, Different Care: How Patient Health Coverage Drives Treatment Patterns in California C A L I FOR N I A HEALTHCARE FOUNDATION Introduction As shown in The 2005 Dartmouth Atlas of Health Care,

More information

SFHN Primary Care. Update for the Community and Public Health Subcommittee of the San Francisco Health Commission December 20, 2016

SFHN Primary Care. Update for the Community and Public Health Subcommittee of the San Francisco Health Commission December 20, 2016 SFHN Primary Care Update for the Community and Public Health Subcommittee of the San Francisco Health Commission December 20, 2016 HALI HAMMER DIRECTOR OF SFHN PRIMARY CARE 2 3 SFHN Primary Care Active

More information

Innovative and Outcome-Driven Practices and Systems Meaningful Prevention and Early Intervention Wellness, Recovery, & Resilience Focus

Innovative and Outcome-Driven Practices and Systems Meaningful Prevention and Early Intervention Wellness, Recovery, & Resilience Focus Our Mission: To provide a culturally competent system of care that promotes holistic recovery, optimum health, and resiliency. Our Vision: We envision a community where persons from diverse backgrounds

More information

Important Information about Medical Care if you have a Work-Related Injury or Illness

Important Information about Medical Care if you have a Work-Related Injury or Illness CITY AND COUNTY OF SAN FRANCISCO MEDICAL PROVIDER NETWORK MPN Identification Number - 1258 Important Information about Medical Care if you have a Work-Related Injury or Illness Complete Written Employee

More information

California s Coordinated Care Initiative: An Update

California s Coordinated Care Initiative: An Update California s Coordinated Care Initiative: An Update Background On April 1, 2014, health plans in selected counties began enrolling beneficiaries as part of the Coordinated Care Initiative. This fact sheet

More information

ALLIED PHYSICIAN IPA ADVANTAGE HEALTH NETWORK IPA ARROYO VISTA MEDICAL IPA GREATER ORANGE MEDICAL GROUP IPA GREATER SAN GABRIEL VALLEY PHYSICIANS IPA

ALLIED PHYSICIAN IPA ADVANTAGE HEALTH NETWORK IPA ARROYO VISTA MEDICAL IPA GREATER ORANGE MEDICAL GROUP IPA GREATER SAN GABRIEL VALLEY PHYSICIANS IPA ALLIED PHYSICIAN IPA ADVANTAGE HEALTH NETWORK IPA ARROYO VISTA MEDICAL IPA GREATER ORANGE MEDICAL GROUP IPA GREATER SAN GABRIEL VALLEY PHYSICIANS IPA QUALITY IMPROVEMENT PROGRAM 2010 Overview The Quality

More information

INFORMATION ABOUT YOUR OXFORD COVERAGE REIMBURSEMENT PART I OXFORD HEALTH PLANS OXFORD HEALTH PLANS (NJ), INC.

INFORMATION ABOUT YOUR OXFORD COVERAGE REIMBURSEMENT PART I OXFORD HEALTH PLANS OXFORD HEALTH PLANS (NJ), INC. OXFORD HEALTH PLANS (NJ), INC. INFORMATION ABOUT YOUR OXFORD COVERAGE PART I REIMBURSEMENT Overview of Provider Reimbursement Methodologies Generally, Oxford pays Network Providers on a fee-for-service

More information

Profits & Patients. the financial strength and Charitable Contributions of San Francisco Hospitals

Profits & Patients. the financial strength and Charitable Contributions of San Francisco Hospitals Profits & Patients the financial strength and Charitable Contributions of San Francisco Hospitals Prepared for The good neighbor Coalition Coalition for Health Planning - San Francisco Jobs with justice

More information

Medi-Cal Managed Care: Continuity of Care

Medi-Cal Managed Care: Continuity of Care California s Protection & Advocacy System Toll-Free (800) 776-5746 Medi-Cal Managed Care: Continuity of Care February 2017, Pub #5545.01 If you have regular Medi-Cal 1 and you are now being told that you

More information

Outreach & Sales Division Business Development Unit Introduction to the Outreach & Sales Division Field Team Webinar

Outreach & Sales Division Business Development Unit Introduction to the Outreach & Sales Division Field Team Webinar Outreach & Sales Division Business Development Unit Introduction to the Outreach & Sales Division Field Team Webinar Tuesday, August 18, 2015 11am to 12noon Webinar Housekeeping Webinar link: http://hbex.coveredca.com/stakeholders/webinar/

More information

PATIENT ASSESSMENT SURVEY (PAS) METHODOLOGY <REPORTING YEAR 2017, MEASUREMENT YEAR 2016>

PATIENT ASSESSMENT SURVEY (PAS) METHODOLOGY <REPORTING YEAR 2017, MEASUREMENT YEAR 2016> PATIENT ASSESSMENT SURVEY (PAS) METHODOLOGY PROJECT OVERVIEW The Patient Assessment Survey (PAS) program is a multi-stakeholder collaborative activity to produce

More information

2017 Quality Improvement Work Plan Summary

2017 Quality Improvement Work Plan Summary Project Member Service and Satisfaction Commercial Products: Commercial Project Description: To improve member service and satisfaction and increase member understanding of how the member s plan works.

More information