DOCSLIB.ORG

Californiachoice® Small Group Advantage PPO Three-Tier Hospital Network

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
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 Butte 1 Enloe Medical Center Inc Butte 2 Biggs Gridley Memorial Hospital Butte 1 Mark Twain St Joseph’s Hospital Calaveras 1 Colusa Regional Medical Center Colusa 1 Doctors Medical Center – San Pablo/Pinole Contra Costa 1 San Ramon Regional Medical Center Contra Costa 1 John Muir Medical Center – Walnut Creek Contra Costa 2 John Muir Medical Center – Concord Campus Contra Costa 2 Sutter Coast Health Center Del Norte 1 Sutter Coast Hospital Del Norte 1 Marshall Medical Center El Dorado 1 Barton Memorial Hospital El Dorado 2 Sierra Kings District Hospital Fresno 1 Coalinga Regional Medical Center Fresno 1 San Joaquin Valley Rehabilitation Hospital Fresno 1 Fresno Surgical Hospital Fresno 1 Fresno Heart Hospital Fresno 1 St Agnes Medical Center Fresno 1 Clovis Community Hospital Fresno 1 Kingsburg District Hospital Fresno 2 Community Medical Center – Fresno Fresno 1 Glenn Medical Center Glenn 1 Mad River Community Hospital Humboldt 1 St Joseph Hospital – Eureka Humboldt 2 Jerold Phelps Community Hospital Humboldt 2 Redwood Memorial Hospital Humboldt 2 El Centro Regional Medical Center Imperial 1 Pioneers Memorial Healthcare District Imperial 1 Southern Inyo Hospital Inyo 1 Northern Inyo Hospital Inyo 1 Healthsouth Bakersfield Rehabilitation Hospital Kern 1 Tehachapi Hospital Kern 2 Hospital County Tier Good Samaritan Hospital Kern 1 Kern Valley Healthcare District Kern 1 San Joaquin Community Hospital Kern 1 Bakersfield Memorial Hospital Kern 2 Mercy Healthcare Bakersfield Kern 2 Delano Regional Medical Center Kern 2 Ridgecrest Regional Hospital Kern 2 Central Valley General Hospital Kings 1 Hanford Community Medical Center Kings 1 Corcoran District Hospital Kings 1 St Helena Hospital Clearlake Lake 1 Sutter Lakeside Community Clinic Lake 1 Sutter Lakeside Family Medicine Clinic Lake 1 Sutter Lakeside Hospital Lake 1 Banner Lassen Medical Center Lassen 1 Bellflower Medical Center Los Angeles 1 Pacifica Hospital Of The Valley Los Angeles 1 Pacific Alliance Medical Center Los Angeles 1 Alhambra Hospital Medical Center Los Angeles 1 Verdugo Hills Hospital Los Angeles 1 Mission Community Hospital – Panorama Campus Los Angeles 1 Barlow Hospital Los Angeles 1 Beverly Hospital Los Angeles 1 Hollywood Presbyterian Medical Center Los Angeles 1 Doctors Hospital Of West Covina Los Angeles 1 Greater El Monte Community Hospital Los Angeles 1 Orthopaedic Hospital Los Angeles 1 Downey Regional Medical Center Los Angeles 1 Providence Little Company Of Mary Medical Ctr Los Angeles 1 Valley Presbyterian Hospital Los Angeles 1 Olympia Medical Center Los Angeles 1 Monterey Park Hospital Los Angeles 1 White Memorial Medical Center Los Angeles 1 Tri-City Regional Medical Center Los Angeles 1 Lancaster Community Hospital Los Angeles 1 Whittier Hospital Medical Center Los Angeles 1 Good Samaritan Hospital Los Angeles 1 Kindred Hospital Of La Mirada Los Angeles 2 Providence Little Company Of Mary Medical Los Angeles 1 Childrens Hospital Los Angeles Los Angeles 1 Citrus Valley Med Ctrs – Queen Of The Valley Los Angeles 1 Citrus Valley Med Ctrs – Inter-Community Campus Los Angeles 1 Henry Mayo Newhall Memorial Hospital Los Angeles 1 Antelope Valley Hospital Los Angeles 1 Foothill Presbyterian Hospital Los Angeles 1 AHMC Garfield Medical Center Los Angeles 2 Hospital County Tier Torrance Memorial Medical Center Los Angeles 1 Marina Del Rey Hospital Los Angeles 1 Lakewood Regional Medical Center Los Angeles 1 Glendale Memorial Hospital & Health Center Los Angeles 2 St John’s Hospital And Health Center Los Angeles 1 Huntington Memorial Hospital Los Angeles 2 Miller Children’s Hospital Los Angeles 2 West Hills Hospital & Medical Center Los Angeles 1 Long Beach Memorial Medical Center Los Angeles 1 Providence Holy Cross Medical Center Los Angeles 1 Glendale Adventist Medical Center Los Angeles 1 Motion Picture & Television Hospital Los Angeles 2 St Mary Medical Center Los Angeles 2 Providence Saint Joseph Medical Center Los Angeles 2 Ronald Reagan UCLA Medical Center Los Angeles 2 St Francis Medical Center Los Angeles 2 San Gabriel Valley Medical Center Los Angeles 2 Providence Tarzana Medical Center Los Angeles 2 Santa Monica UCLA Medical Center Los Angeles 2 Kenneth Norris Jr Cancer Hospital Los Angeles 2 Presbyterian Intercommunity Hospital Los Angeles 2 Northridge Hospital Medical Center Los Angeles 2 Community And Mission Hospital Of Huntington Los Angeles 2 LAC Olive View Med Ctr Mid Valley Los Angeles 2 LAC Rancho Los Amigos Natl Rehabilitation Ctr Los Angeles 2 St Vincent Medical Center Los Angeles 2 USC University Hospital Los Angeles 2 City Of Hope National Medical Center Los Angeles 2 LAC USC Medical Center Los Angeles 2 California Hospital Medical Center Los Angeles 2 Cedars-Sinai Medical Center Los Angeles 2 Temple Community Hospital Los Angeles 2 LAC Harbor UCLA Med Ctr Los Angeles 2 East Los Angeles Doctors Hospital Los Angeles 2 Promise Hosp Of East Los Angeles – Suburban Los Angeles 2 Pacific Hospital Of Long Beach Los Angeles 2 Catalina Island Medical Center Los Angeles 2 Brotman Medical Center Los Angeles 1 Madera Community Hospital Madera 1 Children’s Hospital Central California Madera 1 Kentfield Rehabilitation And Specialty Hospital Marin 2 Marin General Hospital Marin 2 Novato Community Hospital Marin 1 John C Fremont Healthcare District Mariposa 1 Ukiah Valley Medical Center Mendocino 1 Frank R Howard Memorial Hospital Mendocino 1 Hospital County Tier Mendocino Coast District Hospital Mendocino 2 Mercy Medical Center Merced Merced 2 Surprise Valley Community Hospital Modoc 1 Modoc Medical Center Modoc 1 Mammoth Hospital Mono 1 Community Hospital Of Monterey Peninsula Monterey 1 George L Mee Memorial Hospital Monterey 2 Salinas Valley Memorial Healthcare District Monterey 2 St Helena Hospital & Health Center Napa 1 Queen Of The Valley Medical Center Napa 2 Novato Community Hospital Novato 1 Sierra Nevada Memorial Hospital Nevada 1 Tahoe Forest Hospital District Nevada 2 Healthsouth Tustin Rehabilitation Hospital Orange 1 Anaheim General Hospital Orange 1 Placentia Linda Hospital Orange 1 Coastal Communities Hospital Orange 1 South Coast Medical Center Orange 1 Anaheim Memorial Medical Center Orange 1 Los Alamitos Medical Center Orange 1 Western Medical Center – Anaheim Orange 1 Chapman Medical Center Orange 1 UC Irvine Medical Center Orange 1 Orange Coast Memorial Medical Center Orange 1 Children’s Hospital At Mission Orange 1 Saddleback Memorial Medical Center Orange 1 Fountain Valley Regional Hospital And Med Ctr Orange 2 Healthbridge Childrens Hospital – Orange Orange 1 Western Medical Center – Santa Ana Orange 1 Children’s Hospital Of Orange County Orange 2 Mission Hospital Regional Medical Center Orange 2 St Joseph Hospital – Orange Orange 2 Hoag Memorial Hospital Presbyterian Orange 2 St Jude Medical Center Orange 2 Plumas District Hospital Plumas 1 Seneca District Hospital Plumas 2 Eastern Plumas Health Care Plumas 2 San Gorgonio Memorial Hospital Riverside 1 Menifee Valley Medical Center Riverside 1 Corona Regional Medical Center Riverside 1 Hemet Valley Medical Center Riverside 1 John F Kennedy Memorial Hospital Riverside 1 Parkview Community Hospital Medical Center Riverside 1 Southwest Healthcare System – Murrieta Riverside 1 Eisenhower Medical Center Riverside 1 Riverside Community Hospital Riverside 1 Hospital County Tier Desert Regional Medical Center Riverside 2 Palo Verde Hospital Riverside 2 Kindred Hospital Sacramento Sacramento 1 UC Davis Medical Center Sacramento 1 Mercy Hospital Of Folsom Sacramento 2 Methodist Hospital Of Sacramento Sacramento 2 Mercy San Juan Hospital Sacramento 1 Mercy General Hospital Sacramento 2 Hazel Hawkins Memorial Hospital San Benito 1 Vibra Specialty Hospital Of San Bernardino San Bernardino 1 Victor Valley Community Hospital San Bernardino 1 Hi-Desert Medical Center San Bernardino 1 Redlands Community Hospital San Bernardino 1 San Antonio Community Hospital San Bernardino 1 Mountains Community Hospital San Bernardino 1 St Mary Medical Center San Bernardino
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.
    [Show full text]
  • 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.
    [Show full text]
  • 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
    [Show full text]
  • 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
    [Show full text]
  • 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
    [Show full text]
  • 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
    [Show full text]
  • 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
    [Show full text]
  • 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
    [Show full text]
  • Medi-Cal Managed Health Care Options in San Diego County
    Medi-Cal Managed Health Care Your Medi-Cal Managed Care Health Plan Choices Options in San Diego County This material is being provided to help you better understand your choices. It is not an endorsement of any specific Medi-Cal Health Plan. Standard Medi-Cal Covered Services Welcome to Medi-Cal Managed Care Benefits Alvarado Hospital & Medical Center Scripps Mercy Hospital Chula Your Medi-Cal benefits can now be provided by a Medi-Cal Managed Care Health Plan. A Palomar Medical Center Vista Managed Care Health Plan gives you access to a network of doctors, clinics, specialists, Plan Network Paradise Valley Hospital Sharp Chula Vista Medical Center pharmacies and hospitals. Hospitals* Pomerado Hospital Sharp Coronado Hospital How Does Managed Care Work? Rady Children’s Hospital San Diego Sharp Grossmont Hospital Each Medi-Cal Managed Care Health Plan has a list of primary care providers you can choose *Call your Scripps Green Hospital Sharp Mary Birch Hospital for from. If you have a doctor now, you will need to find out if that doctor belongs to a Medi-Cal provider about Scripps Memorial Hospital Women & Newborns Managed Care Health Plan. Your primary care provider will be responsible for managing your using other Encinitas Sharp Memorial Hospital overall health care and referring you to other doctors if needed. locations in an Scripps Memorial Hospital La Jolla Sharp Mesa Vista Hospital Who Can Join a Medi-Cal Managed Care Health Plan? emergency. Scripps Mercy Hospital San Diego Tri-City Medical Center Anyone who is on Medi-Cal, lives in San Diego County, and has a qualifying aid code may UCSD Medical Center – Hillcrest choose a Medi-Cal Managed Care Health Plan.
    [Show full text]
  • County Hospital CMQCC Member Maternal Data Center Participant
    Maternal Data Center County Hospital CMQCC Member Participant System Yuba Adventist Health and Rideout Yes Yes Adventist Kern Adventist Health Bakersfield Yes Yes Adventist Lake Adventist Health Clear Lake Yes Yes Adventist Los Angeles Adventist Health Glendale Yes Yes Adventist Kings Adventist Health Hanford Yes Yes Adventist San Joaquin Adventist Health Lodi Memorial Yes Yes Adventist Fresno Adventist Health Reedley Yes Yes Adventist Ventura Adventist Health Simi Valley Yes Yes Adventist Tuolumne Adventist Health Sonora Yes Yes Adventist Tulare Adventist Health Tulare Yes No Adventist Mendocino Adventist Health Ukiah Valley Yes Yes Adventist Los Angeles Adventist Health White Memorial Yes Yes Adventist Alameda Alta Bates Yes Yes Sutter Health Orange Anaheim Global Medical Center Yes Yes KPC Health Orange Anaheim Regional Yes Yes AHMC Healthcare Los Angeles Antelope Valley Hospital Yes Yes San Bernardino Arrowhead Regional Medical Center Yes Yes Kern Bakersfield Memorial Hospital Yes Yes Dignity Health Lassen Banner Lassen Medical Center Yes Yes San Bernardino Barstow Community Hospital Yes Yes Quorum Health El Dorado Barton Memorial Hospital Yes Yes Los Angeles Beverly Hospital No No Los Angeles California Hospital Yes Yes Dignity Health Los Angeles Cedars-Sinai Medical Center Yes Yes Los Angeles Centinela Hospital Medical Center Yes No Prime Healthcare Services Fresno Clovis Community Medical Center Yes Yes Community Medical Centers Monterey Community Hospital Monterey Yes Yes San Bernardino Community Hospital of San Bernardino Yes Yes Dignity Health Ventura Community Memorial Hospital Yes Yes Fresno Community Regional Yes Yes Community Medical Centers Contra Costa Contra Costa Regional Yes Yes Updated January 12, 2021: There are 213 CMQCC members with 207 members actively submitting data to the Maternal Data Center.
    [Show full text]
  • California Hospitals: an Evolving Environment
    California Hospitals: An Evolving Environment AUGUST 2015 California Hospitals Introduction Overview California’s general acute care (GAC) hospitals discharged more than 3.3 million patients and had nearly 44 million outpatient visits in 2013. California Hospitals: An Evolving Environment examines the state’s GAC CONTENTS hospitals, including bed supply and capacity, use of services, financial health, and selected quality measures. Supply and Capacity .................... 3 Use of Services .........................11 KEY FINDINGS INCLUDE: • The number of general acute care hospitals declined by 4% between 2004 and 2013, while Finances ................................25 the number of beds remained largely unchanged. Critical Access Hospitals ................33 • Skilled nursing and acute psychiatric beds declined significantly during that decade, while both adult and newborn intensive care beds increased. Quality .................................35 • The eight largest hospital systems accounted for 40% of hospitals and beds in California. Seismic Safety ..........................40 • A larger percentage of hospitals were profitable in 2013 than in 2014 as reflected by both Methodology ...........................41 total and operating margins. Appendices ............................42 • The costs of uncompensated care, as measured by charity care and bad debt, rose by 45% between 2004 and 2013 to $2.8 billion. • Preventable adverse events reported at California hospitals increased each year from 2009 to 2013. • California performed slightly
    [Show full text]
  • Hospital Name City Staffed Beds Total Discharges
    Gross Patient Staffed Total Patient Hospital Name City Revenue Beds Discharges Days ($000) Travis Air Force 60th Medical Group - David Grant USAF Medical Center 0 0 0 $0 Base Adventist Medical Center - Hanford Hanford 196 11,678 50,344 $869,494 Adventist Medical Center - Reedley Reedley 49 1,975 5,903 $69,121 Adventist Medical Center-Selma Selma 0 0 0 $0 Alameda Hospital Alameda 118 2,527 10,443 $244,188 Alhambra Hospital Medical Center Alhambra 144 3,910 17,589 $362,983 Alta Bates Summit Medical Center - Alta Bates Campus Berkeley 527 18,403 92,965 $2,136,597 Alta Bates Summit Medical Center - Herrick Campus Berkeley 0 0 0 $0 Alta Bates Summit Medical Center - Summit Campus Oakland 399 13,311 64,272 $1,778,929 Alvarado Hospital Medical Center San Diego 304 8,240 30,394 $577,818 Anaheim General Hospital Anaheim 112 762 3,387 $86,916 Anaheim Regional Medical Center Anaheim 223 12,930 58,195 $1,189,816 Antelope Valley Hospital Lancaster 399 25,285 115,259 $1,133,464 Antioch Medical Center Antioch 146 7,646 30,202 $0 Arrowhead Regional Medical Center Colton 452 18,115 96,586 $1,338,515 Arroyo Grande Community Hospital Arroyo Grande 67 2,727 9,441 $282,668 Bakersfield Heart Hospital Bakersfield 47 3,983 15,951 $333,450 Bakersfield Memorial Hospital Bakersfield 418 17,647 74,604 $1,228,503 Barstow Community Hospital Barstow 50 2,615 7,932 $285,538 Barton Memorial Hospital South Lake Tahoe 117 2,227 7,885 $245,205 Bear Valley Community Hospital Big Bear Lake 30 254 747 $36,273 Beverly Hospital Montebello 214 8,727 36,551 $283,788 Brotman Medical
    [Show full text]