PPO Select Narrow Hospital Network
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. -
Performance Network Plan Medical Groups
Performance Network Plan medical groups The Performance Network offers more choice for people A plan medical group (PMG) is a designated group living in the North County area of San Diego. In addition of doctors, hospitals, specialty care and urgent care to our regional partners, we offer affordable access to centers associated with a network. It is important to Sharp’s award-winning medical groups, all dedicated to keep in mind that referrals and prior authorizations do 1 meeting your health care needs. not transfer between PMGs. You have access to only one PMG at a time. Your PMG will be listed on the front of your member ID card.2 1,700+ Doctors Sharp Rees-Stealy Medical Group This PMG includes more than 500 primary care 13 Hospitals physicians and specialists. Admitting hospitals are Sharp HealthCare facilities and Rady Children’s Hospital. Sharp Rees-Stealy Medical Group 7 Medical Groups physicians serve: • Carmel Valley • Mt. Helix • Chula Vista • Murphy Canyon 40 Urgent Care Centers • Del Mar • Otay Ranch • Downtown San Diego • Point Loma • El Cajon • Rancho Bernardo 450+ Pharmacies • Frost Street / • San Carlos Frost Street North • San Diego • Genesee • Scripps Ranch 15 MinuteClinics® • La Mesa / • Sorrento Mesa La Mesa West • Mira Mesa Find a doctor Visit sharphealthplan.com and click “Find a doctor” to see if your current doctor is in one of the listed plan medical groups, or to find one that fits your needs. 1 The data shown here reflects the Performance Network as of March 31, 2019. Coverage area includes but is not limited to the locations in this document. -
Curriculum Vitae Yu-Jui Yvonne Wan, Phd Professor and Vice Chair of Research Department of Medical Pathology & Laboratory Medicine University of California, Davis
Curriculum Vitae Yu-Jui Yvonne Wan, PhD Professor and Vice Chair of Research Department of Medical Pathology & Laboratory Medicine University of California, Davis Contact Information: Department of Medical Pathology & Laboratory Medicine University of California Davis Health 4645 2nd Avenue, Research III, Room 3400B Sacramento, CA 95817 Office: (916) 734-4293 E-mail: [email protected] Education: 1981 - 1983 Ph.D. Experimental Pathology, Drexel University, Philadelphia, PA 1979 - 1981 M.S. Experimental Pathology, Drexel University, Philadelphia, PA 1975 - 1979 B.S. Taipei Medical University, School of Pharmacy, Taipei, Taiwan Professional Experience: 2012 - Present Professor and Vice Chair of Research, Department of Medical Pathology & Laboratory Medicine, University of California, Davis Health System 2012 - 2017 Scientific Director of Biorepository, University of California, Davis Health System 2012 - 2015 Visiting Professor, Institute of Chinese Meteria Medica, Shanghai University of Traditional Chinese Medicine, Shanghai, China 2009 - Present Visiting Professor, Guangzhou Medical College, Guangzhou, China 2007 - 2012 Director, Liver Center, University of Kansas Medical Center (KUMC), KS 2007 - 2012 Leader, Cancer Biology Program, the University of Kansas Cancer Center, KS 2007 - 2010 Joy McCann Professor, KUMC 2006 - 2009 Adjunct Professor, Department of Pathology, KUMC 2003 - 2012 Professor, Department of Pharmacology, Toxicology & Therapeutics, KUMC 2002 - Present Visiting Professor, Taipei Medical University, Taipei, Taiwan 2001 -
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 -
Hospital Networks: Perspective from Four Years of the Individual Market Exchanges Mckinsey Center for U.S
Hospital networks: Perspective from four years of the individual market exchanges McKinsey Center for U.S. Health System Reform May 2017 Any use of this material without specific permission of McKinsey & Company is strictly prohibited Key takeaways The proportion of narrowed The trend toward managed Narrowed networks continue to 1 networks continues to rise 2 plan design also continues. In 3 offer price advantages to (53% in 2017, up from 48% in the 2017 silver tier, more than consumers. In the 2017 silver 2014). In the 2017 individual 80% of narrowed network plans, tier, plans with broad networks market, both incumbent carriers and over half of the broad were priced ~18% higher than and new entrants carriers network plans, had managed narrowed network plans offered narrow networks designs predominantly Consumer choice is becoming Consumers who select narrowed In both 2014 and 2015 (most 4 more limited. In 2017, 29% of 5 networks in 2017 may have less 6 recent available data), narrowed QHP-eligible individuals had choice of specialty facilities network plans performed only narrowed network plans (e.g., children’s hospitals) but, in better financially, on average, available to them in the silver the aggregate, have access to than broad network plans did tier (up from 10% in 2014) hospitals with quality ratings similar to those in broad networks Definitions of "narrowed networks" and other specialized terms can be found in the glossary at the end of this document. McKinsey & Company 2 1 The proportion of narrowed networks continues to rise Network breadth by carrier status Ultra-narrow Narrow Tiered Broad N = number of networks1,2 Incumbents are using more narrowed networks New entrants2 primarily used narrowed More than half of networks are narrowed networks in 2017 1,883 1,703 37 2,410 2,782 2,524 1,740 19 21 24 20 18 18 21 25 21 23 25 28 28 4 38 6 5 5 4 4 0 52 47 53 54 53 47 38 2016 2017 2017 2014 2015 2016 2017 Carriers that remained in the market New entrants National view in both years 1 Networks were counted at a state rating area level. -
The Impact of a Birth Clerk Training Program on California Birth Data Quality 1998-2009
THE IMPACT OF A BIRTH CLERK TRAINING PROGRAM ON CALIFORNIA BIRTH DATA QUALITY 1998-2009 By Linda L Remy, MSW PhD Geraldine Oliva, MD MPH Ted Clay, MS Geraldine Oliva, MD MPH, Director UCSF Family Health Outcomes Project 500 Parnassus Ave. Room MU-337 San Francisco, California 94143-0900 Phone: 415-476-5283 Fax: 415-476-6051 Web: http://www.ucsf.edu/fhop January 2013 Blank page intentionally inserted UCSF Family Health Outcomes Project Page ii TABLE OF CONTENTS Executive Summary 1 Background 3 Study Design and Methods 4 Results 9 Discussion 29 Recommendations 31 Appendix A: Hospital Crosswalk 35 Appendix B: Hospitals Combined Due to Consolidations or Moves 37 Appendix C: Trainings 38 Appendix D: Excluded Hospitals 40 Appendix E: Hospitals Carried Forward 42 Appendix F: Dependent Variables Prepared for Analysis 46 Endnotes 50 This work was carried out under Contract A107398, with the California Department of Public Health. The authors particularly appreciate the support of Gwyn Doebbert and Scott Fujimoto at California’s Office of Health Informatics and Research, Alan Oppenheim at the California Center for Health Statistics, and Joyce Martin and her staff at the Centers for Disease Control, National Center for Health Statistics. Suggested Citation: Remy LL, Oliva G, Clay T (2013). The impact of a birth clerk training program on California birth data quality 1998-2009. Family Health Outcomes Project, University of California, San Francisco. Available at: fhop.ucsf.edu/ UCSF Family Health Outcomes Project Page iii ACRONYMS AVSS Automated -
CAREER GUIDE for RESIDENTS
Winter 2017 CAREER GUIDE for RESIDENTS Featuring: • Finding a job that fits • Fixing the system to fight burnout • Understanding nocturnists • A shift in hospital-physician affiliations • Taking communication skills seriously • Millennials, the same doctors in a changed environment • Negotiating an Employment Contract Create your legacy Hospitalists Legacy Health Portland, Oregon At Legacy Health, our legacy is doing what’s best for our patients, our people, our community and our world. Our fundamental responsibility is to improve the health of everyone and everything we touch–to create a legacy that truly lives on. Ours is a legacy of health and community. Of respect and responsibility. Of quality and innovation. It’s the legacy we create every day at Legacy Health. And, if you join our team, it’s yours. Located in the beautiful Pacific Northwest, Legacy is currently seeking experienced Hospitalists to join our dynamic and well established yet expanding Hospitalist Program. Enjoy unique staffing and flexible scheduling with easy access to a wide variety of specialists. You’ll have the opportunity to participate in inpatient care and teaching of medical residents and interns. Successful candidates will have the following education and experience: • Graduate of four-year U.S. Medical School or equivalent • Residency completed in IM or FP • Board Certified in IM or FP • Clinical experience in IM or FP • Board eligible or board certified in IM or FP The spectacular Columbia River Gorge and majestic Cascade Mountains surround Portland. The beautiful ocean beaches of the northwest and fantastic skiing at Mt. Hood are within a 90-minute drive. The temperate four-season climate, spectacular views and abundance of cultural and outdoor activities, along with five-star restaurants, sporting attractions, and outstanding schools, make Portland an ideal place to live. -
Access+ HMO 2021Network
Access+ HMO 2021Network Our Access+ HMO plan provides both comprehensive coverage and access to a high-quality network of more than 10,000 primary care physicians (PCPs), 270 hospitals, and 34,000 specialists. You have zero or low copayments for most covered services, plus no deductible for hospitalization or preventive care and virtually no claims forms. Participating Physician Groups Hospitals Butte County Butte County BSC Admin Enloe Medical Center Cohasset Glenn County BSC Admin Enloe Medical Center Esplanade Enloe Rehabilitation Center Orchard Hospital Oroville Hospital Colusa County Butte County BSC Admin Colusa Medical Center El Dorado County Hill Physicians Sacramento CalPERS Mercy General Hospital Mercy Medical Group CalPERS Methodist Hospital of Sacramento Mercy Hospital of Folsom Mercy San Juan Medical Center Fresno County Central Valley Medical Medical Providers Inc. Adventist Medical Center Reedley Sante Community Physicians Inc. Sante Health Systems Clovis Community Hospital Fresno Community Hospital Fresno Heart and Surgical Hospital A Community RMCC Fresno Surgical Hospital San Joaquin Valley Rehabilitation Hospital Selma Community Hospital St. Agnes Medical Center Glenn County Butte County BSC Admin Glenn Medical Center Glenn County BSC Admin Humboldt County Humboldt Del Norte IPA Mad River Community Hospital Redwood Memorial Hospital St. Joseph Hospital - Eureka Imperial County Imperial County Physicians Medical Group El Centro Regional Medical Center Pioneers Memorial Hospital Kern County Bakersfield Family Medical -
Program Notes Agenda | April 20Th, 2021
PROGRAM NOTES AGENDA | APRIL 20TH, 2021 TIME SESSION LOCATION 6:30 AM - 7:00 AM BREAKFAST AND REGISTRATION NORTH FOYER/ LH 2222 7:15 AM - 7:30 AM WELCOME AND INTRODUCTION LH 2222 7:30 AM - 9:00 AM ORAL PRESENTATIONS SESSION 1 LH 2222 9:00 AM - 9:15 AM BREAK 9:15 AM - 10:15 AM QUICK SHOT SESSION 1A LH 2222 9:15 AM - 10:15 AM QUICK SHOT SESSION 1B LH 1222 10:15 AM - 10:30 AM BREAK 10:30 AM - 12:00 PM ORAL PRESENTATIONS SESSION 2 LH 2222 12:00 PM - 12:30 PMPROGRAMLUNCH SCHEDULE | APRIL NORTH FOYER TH 12:30 PM - 1:30 PM KEYNOTE20 SPEAKER, 2021 PRESENTATION LH 2222 DR. JULIE ANN SOSA 1:30 PM - 3:00 PM ORAL PRESENTATION SESSION 3 LH 2222 3:00 PM - 3:15 PM BREAK 3:15 PM - 4:25 PM QUICK SHOT SESSION 2A LH 2222 3:15 PM- 4:25 PM QUICK SHOT SESSION 2B LH 1222 4:30 PM - 4:45 PM FINAL REMARKS LH 2222 5:00 PM - 6:00 PM AWARDS ANNOUNCEMENT LH 2222 3 PROGRAM SCHEDULE | SESSIONS IN LH 2222 6:30 AM - 7:00 AM BREAKFAST AND REGISTRATION 7:15 AM - 7:30 AM WELCOME AND INTRODUCTION ORAL PRESENTATIONS SESSION 1 LH 2222 | 7:30 AM - 9:00 AM MODERATORS - DR. KATHLEEN ROMANOWSKI & DR. BETHANY CUMMINGS 7:30 AM - 7:45 AM CHRISTINA THEODOROU - Efficacy of Clinical-Grade Human Placental Mesenchymal Stromal Cells in Fetal Ovine Myelomeningocele Repair 7:45 AM - 8:00 AM JOHN ANDRE - Major Psychiatric Illness and Substance Use Disorder influence mortality in major burn injury: a secondary analysis of the Transfusion Requirement in Burn Care Evaluation (TRIBE) study 8:00 AM - 8:15 AM SYLVIA CRUZ - Natural Killer and Cytotoxic T Cell Immune Infiltrates are Associated with -
Critical Information Could Your Patients Benefit
To view this email as a web page, go here. September 30, 2018 Critical Information Everything you need to know Could your Patients Benefit from a Medicare Advantage Plan Powered by Hartford HealthCare? Hartford HealthCare and Tufts Health Plan have launched CarePartners of Connecticut, a new health insurance company that brings together the healthcare expertise of HHC with the insurance plan experience of Tufts Health Plan. CarePartners of Connecticut will offer Medicare Advantage plans to eligible beneficiaries, starting with the Open Enrollment period that begins Oct. 15. Recently, Dr. Jim Cardon explained the joint venture and the benefits for patients in an article in Network News. Read the Q&A here. Drs. Yu, Lawrence to Lead Tweeting for CME’s on Breast Cancer Discussion on Oct. 1 We’ve created a new way for you to earn Continuing Medical Education (CME) hours to keep abreast of the latest innovations in healthcare: Tweeting for CME’s. This unique partnership between the Hartford HealthCare Office of Continuing Education and the Planning & Marketing Department allows you to take part in a Twitter chat led by Hartford HealthCare experts and apply for CMEs as a result. "Each onehour chat discusses a deidentified patient case and/or peerreviewed journal article," said Hillary Landry, professional education manager with Hartford HealthCare's Office of Experience, Engagement & Organizational Development. "Participants wishing to earn CMEs would review the case or article in advance, then attend and participate in the chat by providing their insights using a specific Twitter hashtag: #CMEHHC." The next chat takes place tomorrow, Oct. -
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