Access+ HMO 2021Network
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Blue Shield of California PPO Specialties: All Physicians and Specialists Medical Groups: County: Butte
October 1, 2015 Search Criteria: Plan name: Blue Shield of California PPO Specialties: All Physicians and Specialists Medical Groups: County: Butte Prepared For: City of Oroville PPO Participants 1735 Montgomery St., Oroville, CA, 95965 Prepared By: Liz Ehrenstrom Phone #: (530) 538-2407 Visit us at blueshieldca.com 1 An Independent Member of the Blue Shield Association INTRODUCTION This regional directory lists the physicians and healthcare facilities in the Blue Shield of California PPO network and the Blue Shield Life Provider Network. All of the providers in this directory have agreed to accept our payment, plus any applicable coinsurance or co payments for which you may be responsible, as payment-in-full for the covered services described in your plan's Evidence of Coverage or Certificate of Insurance. Making quality part of the equation We have made quality measures an essential part of how we categorize hospitals. We use quality data compiled from two leading independent performance initiatives: the Leapfrog Group survey, which focuses on hospital quality and safety practices, and the hospital performance ratings used by the California Hospital Assessment and Reporting Taskforce (CHART). The Leapfrog Group is an initiative driven by organizations that buy health care who are working to initiate breakthrough improvements in healthcare safety, quality and affordability. The Leapfrog Group's growing consortium of major companies and other large private and public healthcare purchasers provide health benefits to more than 37 million Americans in all 50 states. The Leapfrog Group survey is a voluntary program in which hospitals report on the quality and safety practices they have implemented. -
(OHCA) ARKANSAS St. Vincent Infirmary L
Organizations participating in the CommonSpirit Health Organized Health Care Arrangement (OHCA) ARKANSAS St. Vincent Infirmary Little Rock St. Vincent North Sherwood St, Vincent Hot Springs Hot Springs St. Vincent Morrilton Morrilton CHI St. Vincent Medical Group Little Rock CHI St. Vincent Medical Group Hot Springs GEORGIA CHI Memorial Georgia Hospital Fort Oglethorpe CHI Memorial - Parkway Ringgold IOWA CHI Health Mercy Council Bluffs Council Bluffs CHI Health Missouri Valley Missouri Valley CHI Health Mercy Corning Corning KENTUCKY Flaget Memorial Hospital Bardstown Saint Joseph Hospital Lexington, Nicholasville Saint Joseph - Berea Berea Saint Joseph East Lexington Saint Joseph London London Saint Joseph Mount Sterling Mount Sterling Continuing Care Hospital Lexington CHI Saint Joseph Medical Groups Central & Eastern Kentucky MINNESOTA CHI LakeWood Health Baudette CHI St. Francis Health Breckenridge CHI St. Joseph's Health Park Rapids CHI St.Gabriel's Health Little Falls CHI St. Francis Home Breckenridge CHI Health at Home All locations NEBRASKA CHI Health Lakeside Omaha CHI Health Midlands Papillion CHI Health Plainview Plainview Nebraska Spine Hospital Omaha CHI Health Creighton University Medical Center - Bergen Omaha Mercy Lasting Hope Recovery Center Omaha CHI Health Immanuel Omaha CHI Health Schuyler Schuyler CHI Health Good Samaritan Kearney CHI Health Richard Young Behavioral Health Kearney CHI Nebraska Heart Lincoln CHI Health St. Elizabeth Lincoln CHI Health St. Francis Grand Island CHI Health St. Mary's Nebraska City The Physician Network ( including Nebraska Specialty Network, and Lincoln Physician Network) All locations NORTH DAKOTA CHI St. Alexius Medical Center Bismarck CHI St. Alexius Health Carrington & Clinics Carrington CHI St. Alexius Carrington Urgent Care Carrington CHI Lisbon Health Lisbon CHI St. -
Round 3 & All Grantees
ROUND 3 & ALL GRANTEES In response to the COVID-19 Pandemic, a consortium of organizations – Charitable Ventures, OC Grantmakers, Orange County Community Foundation and St. Joseph Community Partnership Fund – organized quickly to raise and swiftly deploy funds to nonprofits. The Orange County Community Resilience Fund (OCCRF) raised $4.18M from generous organizations, foundations and individuals in under three months. In three rounds of funding, the OCCRF provided rapid- response grants to 162 organizations. Funding decisions were guided by several factors and priorities including: · Immediate and current provision of essential services such as shelter, food distribution, childcare, medical and mental health services to vulnerable residents · Ability to distribute emergency funding to vulnerable individuals · Organizational capacity to reach the most underserved · Opportunity to leverage other streams of revenue and coordinated support efforts With this Round 3 distribution, the OC Community Resilience Fund has now completed its initial purpose, which was to provide rapid response to a sudden surge in community need amid the COVID-19 pandemic. At this juncture, we are no longer accepting proposals – however, we do intend to continue supporting relief efforts through our communications, website, webinars, and other means. Additionally, we intend to tailor the Fund’s response and investments as we move into this next phase of the crisis; from here on out, we’ll seek to support ongoing recovery efforts and rebuilding of capacity to serve -
Savings Plus OA Managed Choice® POS Network Overview
Savings Plus OA Managed Choice® POS network overview The Savings Plus service area consists of all of Los Angeles, Orange, San Diego and Ventura counties and portions of Riverside and San Bernardino counties (excluding ZIP codes that begin with 922 and 923). All nonemergency services performed outside of the California Savings Plus OA Managed Choice POS network of doctors and hospitals will be paid at the out-of-network benefits level. Information updated June 2020 and is subject to change without notice. For a list of doctors and hospitals that participate in the Savings Plus OA Managed Choice POS network, log in to your member website on Aetna.com and use our provider search. Adventist Health Glendale Good Samaritan Hospital (Los Angeles) Adventist Health Simi Valley Healthbridge Children’s Hospital Adventist Health White Memorial Hemet Global Medical Center AHMC Anaheim Regional Medical Center Henry Mayo Newhall Memorial Hospital Alhambra Hospital Medical Center Hoag Hospital Irvine Alvarado Hospital Medical Center Hoag Memorial Hospital Presbyterian Anaheim Global Medical Center Hoag Orthopedic Institute Antelope Valley Hospital Hollywood Presbyterian Medical Center Beverly Hospital Huntington Beach Hospital Centinela Hospital Medical Center Huntington Memorial Hospital Chapman Global Medical Center Keck Hospital of USC CHOC Children’s at Mission Hospital La Palma Intercommunity Hospital Children’s Hospital Los Angeles Laguna Beach Campus of Mission Hospital CHOC Children’s Lakewood Regional Medical Center Chino Valley Medical Center -
Californiachoice® Small Group Advantage PPO Three-Tier Hospital Network
CaliforniaChoice® Small Group Advantage PPO three-tier hospital network With the CaliforniaChoice Advantage PPO plans, you have a choice of tiers (or levels) of hospitals to visit. Tier one hospitals offer the greatest savings to you. Tier two hospitals have the second best level of savings. Tier three hospitals — or out-of-network hospitals — offer the least out-of-pocket savings, but you’ll still be covered. Keep in mind that the tier levels aren’t based on the quality of care given at each hospital. They’re based on which hospitals have shown they’re better able to give quality care that’s also cost effective. Our three-tier levels* are: }}Tier 1 — PPO network hospitals with lower-negotiated hospital reimbursement rates. }}Tier 2 — the remaining PPO network hospitals. }}Tier 3 — non-network hospitals. * The tier levels are not based on the quality of care given at each hospital. Instead, each level stands for the hospitals that show 19685CABENABC 08/15 the best use of health care dollars. CaliforniaChoice® Small Group Advantage PPO three-tier hospital network Here is a list of the Tier-1 and Tier-2 hospitals included in the network. Any hospital not listed is considered out of network. Hospital County Tier St Rose Hospital Alameda 1 Alameda Hospital Alameda 1 Children’s Hospital Oakland Alameda 2 Valleycare Medical Center Alameda 2 Washington Hospital Alameda 2 Sutter Amador Health Center Pioneer 1 Sutter Amador Health Center Plymouth 1 Sutter Amador Hospital Amador 1 Oroville Hospital & Medical Center Butte 1 Feather River Hospital -
Flex Networks
Flex Networks The Flex product stratifies and bundles UnitedHealthcare’s full network of providers into distinct subnetworks (Flex Network 1, Network 2 and, in some areas, Network 3) based on evaluation of cost and quality metrics. Flex Network 1 is the preferred network of choice, as it maintains quality standards while offering the most cost-effective premiums. Although, Flex Networks 2 and 3 also include recognized quality providers, the higher associated premiums will allow members to make informed spending decisions based on their specific health care needs. Network 1 Group Name DEC # Group Name DEC # KERN COUNTY Lakeside Medical Group/East/Glendora 024674 Bakersfield Family Medical Center 004209 Lakeside Medical Group/Central/Burbank/North Hollywood 024664 GEMCare/Delano Regional Medical Group 025188 Lakeside Medical Group/Central/Central Valley 024670 Heritage Physician Network 007665 Lakeside Medical Group/Central/Glendale 024662 LOS ANGELES COUNTY Lakeside Medical Group/Central/North Valley 024671 Alamitos IPA 010217 Lakeside Medical Group/Central/Santa Clarita 024677 Allied Physicians of California 012244 Lakeside Medical Group/Central/Verdugo Hills 024681 AppleCare Medical Group/Downey Region 015967 Lakeside Medical Group/East/San Gabriel Valley 024686 AppleCare Medical Group/Select Region 025327 Lakeside Medical Group/East/West Covina 024675 AppleCare Medical Group/St. Francis 014692 Lakeside Medical Group/West/Tarzana 024684 AppleCare Medical Group/Whittier Region 021736 Lakeside Medical Group/West/West Hills/Canoga Park -
California Statewide Trauma System Triage and Transfer Resource Guide 2019
California Statewide Trauma System Triage and Transfer Resource Guide 2019 Emergency Medical Services Authority State Trauma Advisory Committee Howard Backer, MD, MPH, FACEP Director EMS Authority Daniel R. Smiley Chief Deputy Director EMS Authority Thomas McGinnis Chief, EMS Systems Division EMS Authority Elizabeth Winward State Trauma Systems Coordinator EMS Authority x For an electronic copy of this publication, please visit California Emergency Medical Services Authority’s website (http://www.emsa.ca.gov/XXXXX ii January 2019 CONTENTS INTRODUCTION 1 CALIFORNIA STATUTORY/REGULATORY AUTHORITY 2 Article 1. Local EMS Agency 2 Article 3. Transfer Agreements 2 Code of Regulations, Title 22, Division 9, Chapter 7 2 BACKGROUND 3 RE-TRIAGE AGREEMENTS, GUIDELINES, AND POLICIES 4 PERFORMANCE IMPROVEMENT 5 EDUCATION 6 REFERENCES 7 APPENDICES INTRODUCTION 8 Appendix 1: Hospital Council of Northern & Central California Patient 9 Transfer Agreement Appendix 2: Central California Regional Trauma System 18 Suggested Criteria for Consideration of Transfer to a Trauma Center Appendix 3: Riverside County EMS Agency Continuation of Trauma Care 20 Appendix 4: City and County of San Francisco Trauma Re-Triage 23 Appendix 5: Contra Costa EMS 24 iii CONTENTS Appendix 6: Inland Counties EMS Agency Continuation of Care 27 Appendix 7: Los Angeles County EMS Agency Trauma Triage 32 Appendix 8: North Regional Trauma Coordinating Committee 33 Guidelines for Transfer to a Trauma Center Appendix 9: Routine Follow-up Communication Form 37 iv INTRODUCTION This resource is designed to assist the local EMS agencies (LEMSA) in the development of transfer and triage policies, guidelines and processes throughout California.1 In particular, this resource focuses on the concept of emergency transfer of critical trauma patients also commonly called re-triage. -
Los Angeles County: 2015 Data
Using Data to Drive Change: California Continues to Increase In-hospital Exclusive Breastfeeding Rates A Policy Update on California Breastfeeding and Hospital Performance Produced by California WIC Association and the UC Davis Human Lactation Center Los Angeles County: 2015 Data Exclusive breastfeedng protects California’s success is driven by mothers' and babies' health evidence Breast milk provides all the nutrients infants need For more than 15 years, decision-makers and as well as specific factors needed to build a strong advocates in California have used hospital-level immune system.1 surveillance data to coordinate and monitor efforts to improve the quality of perinatal care. In-hospital support is crucial to breastfeeding mothers’ success.2-4 The greatest health benefits are Data show that mothers who experience more seen when exclusive breastfeeding continues for 6 supportive practices (such as early breastfeeding months. It is estimated that $3.0 billion in medical initiation and limited supplementation) are more costs would be saved if all U.S. infants were fed likely to breastfeed exclusively in the hospital and according to the current guidelines.5 beyond.6 Hospitals that have instituted Baby-Friendly policies California has the most Baby-Friendly Hospitals have high rates of breastfeeding, no matter where they in the nation and legislation requiring that all are located or what populations they serve.4,6 As more maternity hospitals adopt these or similar policies California hospitals have adopted these evidence- by -
California Hospital Medical Center 2019 Community Health
California Hospital Medical Center 2019 Community Health Implementation Strategy Adopted October 2019 Table of Contents At-a-Glance Summary 3 Our Hospital and the Community Served 5 About California Hospital Medical Center 5 Our Mission 5 Financial Assistance for Medically Necessary Care 5 Description of the Community Served 5 Community Need Index 7 Community Assessment and Significant Needs 8 Community Health Needs Assessment 8 Significant Health Needs 8 2019 Implementation Strategy 9 Creating the Implementation Strategy 10 Strategy by Health Need 11 Program Digests 35 Hospital Board and Committee Rosters 46 2019 Community Health Implementation Strategy California Hospital Medical Center | 2 At-a-Glance Summary Community CHMC is located in a federally designated Medically Underserved Area and serves Served a Medically Underserved Population (MUA/P ID #04011) (Census tract 2240.10). While CHMC is located in Service Planning Area (SPA) 4 or Metro Los Angeles, its service area also includes parts of SPA 6 (South), SPA 7 (East) and SPA 8 (South Bay). CHMC serves 1,576,013 racially diverse residents with a median income of $40,705. 8% of adults in the hospital’s service area are homeless; the service area includes Skid Row that has the largest concentration of homeless in LA County. Significant The significant community health needs the hospital is helping to address and that Community form the basis of this document were identified in the hospital’s most recent Health Needs Community Health Needs Assessment (CHNA). Needs being addressed by Being strategies and programs are: Addressed 1. Housing & homelessness 6. Substance use and misuse 2. -
The Imperial Valley Is Located About 150 Miles Southeast of Los Angeles
The Imperial Valley is located about 150 miles southeast of Los Angeles. It is a section of a much larger geologic structure -- the Salton Trough -- which is about 1,000 miles in length. The structure extends from San Gorgonio Pass southeast to the Mexican border, including the Gulf of California and beyond the tip of the Baja California Peninsula. The surrounding mountains are largely faulted blocks of the Southern California batholith of Mesozoic age, overlain by fragments of an earlier metamorphic complex. The valley basin consists of a sedimentary fill of sands and gravels ranging up to 15,000 feet in thickness. The layers slope gently down-valley, and contain several important aquifers. The valley is laced with major members of the San Andreas Fault system. Minor to moderate earthquake events are common, but severe shocks have not been experienced in recorded history. The entire trough, including the Gulf is an extension of the East Pacific Rise, a zone of separation in Earth's crust. Deep sea submergence instruments have observed many phenomena of crustal formation. The axis of the Rise, hence of the Salton Valley as well, is a great transform fault that is having the effect of separating an enormous slab of North America, consisting of the Baja Peninsula and coastal California away from the mainland, with movement to the northwest and out to sea as a terranne. Table of Contents Chapter 1 The San Jacinto and Santa Rosa Mountains Chapter 2 The Eastern Mountains Chapter 3 San Gorgonio Pass Chapter 4 The Hills Chapter 5 Desert Sand -
Hospital Organ Donation Campaign Recognition for Outreach
Hospital Organ Donation Campaign Recognition for Outreach The hospitals listed below reached gold, silver, and bronze recognition levels for their organ, eye, and tissue donation and registration efforts between August 1, 2014, and April 30, 2015. The hospitals worked closely with their organ procurement organizations and Donate Life America affiliates to educate and register new donors. In many states, the participation of state hospital associations was pivotal to the hospitals’ efforts. DLA and hospital association participation is indicated in the title line for each state. OPO participation is listed in the OPO recogni- tion list at the end of the document. SEARCH BY STATE: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z OPO RECOGNITION ALABAMA • Donate Life Alabama 1 0 0 East Alabama Medical Center Y ARIZONA • Donate Life Arizona 3 11 28 • Arizona Hospital and Healthcare Association Abrazo Arizona Heart Hospital Y Abrazo Central Campus Y Abrazo Scottsdale Campus Y Abrazo West Campus Y American Liver Foundation Y Banner Boswell Medical Center Y Banner Casa Grande Regional Medical Center Y Banner Del E. Webb Medical Center Y Banner Desert Medical Center and Cardon Children’s Medical Center Y Banner Estrella Medical Center Y Banner Gateway Medical Center and Banner MD Anderson Cancer Center Y Banner Goldfield Medical Center Y Banner Ironwood Medical Center Y Banner Thunderbird Medical Center Y Banner University Medical Center—Tucson and South Campus* Y Barnet Dulaney Perkins Eye Center Y Carondelet St. Mary’s Hospital Y Chandler Regional Medical Center Y Cobre Valley Regional Medical Center Y Flagstaff Medical Center Y * denotes transplant centers 1 HonorHealth Deer Valley Medical Center Y HonorHealth John C. -
Sacramento County Mercy Hospital of Folsom Mercy San Juan Medical Center Mercy General Hospital Methodist Hospital of Sacramento
Dignity Health – Sacramento County Mercy Hospital of Folsom Mercy San Juan Medical Center Mercy General Hospital Methodist Hospital of Sacramento 2019 Community Health Needs Assessment – Main Report Acknowledgements We are deeply grateful to all those who contributed to this community health needs assessment. Many dedicated healthcare practitioners, community health experts, and members of social-service organizations working with the most vulnerable members of the Sacramento County community gave their expertise and insights to help guide and inform the findings of this assessment. Further, many community residents volunteered their time to provide valuable information as well. We also appreciate the collaborative spirit of the consultants at Harder+Company and their willingness to share the information they gathered while conducting a health assessment in the Sacramento area for Kaiser Permanente. Last, we especially acknowledge the sponsors of this assessment, Dignity Health, Sutter Health, and UC Davis Medical Center, who, using the results of these CHNAs, continuously work to improve the health of the communities they serve. To everyone who supported this important work, we extend our deepest, heartfelt gratitude. Community Health Insights (www.communityhealthinsights.com) conducted the health assessment. Community Health Insights is a Sacramento-based research-oriented consulting firm dedicated to improving the health and well-being of communities across Northern California. This joint report was authored by: Dale Ainsworth, PhD, MSOD, Managing Partner of Community Health Insights and Assistant Professor of Health Science at California State University, Sacramento Heather Diaz, DrPH, MPH, Managing Partner of Community Health Insights and Professor of Health Science at California State University, Sacramento Mathew C.