Partnership HealthPlan Of California
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Partnership HealthPlan Of California
Partnership HealthPlan of California, is an independent, public/private organization serving over 550,000 Medi-Cal beneficiaries in 14 northern California counties: Del Norte County, Humboldt County, Lake County, Lassen County, Marin County, Mendocino County, Modoc County, Napa County, Shasta County, Siskiyou County, Solano County, Sonoma County, Trinity County, Yolo County. It began operations as a County Organized Health System in 1994, and is currently the largest Medi-Cal Managed Care Plan in Northern California. Company description Partnership HealthPlan of California is authorized by the State of California to provide health care services for Medi-Cal managed care beneficiaries in 14 Northern California counties. Coverage programs * Medi-Cal. California’s version of Medicaid is the only public program that covers many low-income adults and children. Other coverage programs have been included in the past: *2002-2005 County Medical Services Program (CMSP ...
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Medi-Cal
The California Medical Assistance Program (Medi-Cal or MediCal) is California's Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level. Benefits include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder treatment, dental (Denti-Cal), vision, and long-term care and supports. Approximately 13.3 million people were enrolled in Medi-Cal as of January 2018, or about one-third of California's population; in Tulare County and Merced County, more than 50% of county residents were enrolled as of September 2015. Eligibility Medi-Cal provides health coverage for people with low income and limited ability to pay for health coverage, including the aged, blind, disabled, young adults and children, pregnant women, persons in a skilled nursing or intermediat ...
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Trinity County, California
Trinity County is a List of counties in California, county located in the northwestern portion of the U.S. state of California. Trinity County is rugged, mountainous, heavily forested, and lies along the Trinity River (California), Trinity River (for which it is named) within the Salmon Mountains, Salmon and Klamath Mountains. It is also one of three counties in California with no incorporated cities (the other two counties in California with that distinction are Alpine County, California, Alpine and Mariposa County, California, Mariposa counties). As of the 2020 United States Census, 2020 census, the population was 16,112, making it the fifth least-populous county in California, and the least-populous of California's 27 original counties. The county seat and largest community is Weaverville, California, Weaverville. History Trinity County has a rich history of Native Americans: Tsnungwe including the South Fork Hupa and tł'oh-mitah-xwe, Chimariko, and Wintu. The county takes ...
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Companies Based In Solano County, California
A company, abbreviated as co., is a legal entity representing an association of people, whether natural, legal or a mixture of both, with a specific objective. Company members share a common purpose and unite to achieve specific, declared goals. Companies take various forms, such as: * voluntary associations, which may include nonprofit organizations * business entities, whose aim is generating profit * financial entities and banks * programs or educational institutions A company can be created as a legal person so that the company itself has limited liability as members perform or fail to discharge their duty according to the publicly declared incorporation, or published policy. When a company closes, it may need to be liquidated to avoid further legal obligations. Companies may associate and collectively register themselves as new companies; the resulting entities are often known as corporate groups. Meanings and definitions A company can be defined as an "arti ...
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Medical And Health Organizations Based In California
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of skill and knowledge), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancie ...
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Association For Community Affiliated Plans
The Association for Community Affiliated Plans (ACAP) is a national trade association representing 80 nonprofit health plans. Headquartered in Washington, D.C., ACAP advocates on behalf of its community-affiliated member health plans operating throughout the United States. ACAP's advocacy work focuses on representing publicly sponsored programs and health care providers who serve vulnerable populations. ACAP also promotes universal access to quality and cost-efficient care. ACAP members are Medicaid-focused health plans that serve the safety net. Collectively, ACAP plans serve more than 25 million enrollees, which is over 50 percent of individuals enrolled in Medicaid-focused health plans. History In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide ...
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Health Care
Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health professionals and allied health fields. Medicine, dentistry, pharmacy, midwifery, nursing, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training, and other health professions all constitute health care. It includes work done in providing primary care, secondary care, and tertiary care, as well as in public health. Access to health care may vary across countries, communities, and individuals, influenced by social and economic conditions as well as health policies. Providing health care services means "the timely use of personal health services to achieve the best possible health outcomes". Factors to consider in terms of health care access include financial limitations (such as insurance coverage), geo ...
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Social Determinants Of Health
The social determinants of health (SDOH) are the economic and social conditions that influence individual and group differences in health status. They are the health promoting factors found in one's living and working conditions (such as the distribution of income, wealth, influence, and power), rather than individual risk factors (such as behavioral risk factors or genetics) that influence the risk for a disease, or vulnerability to disease or injury. The distributions of social determinants are often shaped by public policies that reflect prevailing political ideologies of the area. The World Health Organization says that "the social determinants can be more important than health care or lifestyle choices in influencing health." and "This unequal distribution of health-damaging experiences is not in any sense a 'natural' phenomenon but is the result of a toxic combination of poor social policies, unfair economic arrangements here the already well-off and healthy become even ...
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Electronic Consultation
Electronic consultation is an aspect of telemedicine which involves remote communication between patients and clinicians, or between clinicians and specialists. E-consult was one of the earlier applications which primary care physicians could use to consult specialists. Dermatology lent itself to this approach as pictures could be sent for examination in a specialist centre in a process analogous to the well-established treatment of pathological specimens. The widespread use of electronic health records is reducing the need for specialist applications of this kind. There is developing interest in the application of such techniques in mental health. See remote therapy. Consultation applications Getting an appointment with care specialists can be difficult. But electronic consultation has stepped in to provide medical diagnosis or evaluation that can be carried out over the phone from the comfort of your home. Your healthcare provider can easily place a voice or video call to ...
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Affordable Care Act
The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. The ACA's major provisions came into force in 2014. By 2016, the uninsured share of the population had roughly halved, with estimates ranging from 20 to 24 million additional people covered. The law also enacted a host of delivery system reforms intended to constrain healthcare costs and improve quality. After it went into effect, increases in overall healthcare spending slowed, including premiums for employer-based insurance plans. The increased coverage was due, ...
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Medicare Advantage
Medicare Advantage (Medicare Part C, MA) is a capitated program for providing Medicare benefits in the United States. Under Part C, Medicare pays a private-sector health insurer a fixed payment. The insurer then pays for the health care expenses of enrollees. Insurers are allowed to vary the benefits from those provided by Medicare's other parts. Part C plans are required to offer coverage that meets or exceeds the standards set by the other parts, but they do not have to cover every benefit in the same way (actuarial equivalence is required). Plans must be approved by the Centers for Medicare and Medicaid Services (CMS). If a MA plan reduces some benefits, the savings may be passed along to consumers by lowering co-payments for doctor visits (or any other plus or minus aggregation approved by CMS). Coverage must include inpatient hospital (Part A) and outpatient (Part B) services. Typically, the plan also includes prescription drug (Part D) coverage. Many plans also offer add ...
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State Of California
California is a U.S. state, state in the Western United States, located along the West Coast of the United States, Pacific Coast. With nearly 39.2million residents across a total area of approximately , it is the List of states and territories of the United States by population, most populous U.S. state and the List of U.S. states and territories by area, 3rd largest by area. It is also the most populated Administrative division, subnational entity in North America and the 34th most populous in the world. The Greater Los Angeles area and the San Francisco Bay Area are the nation's second and fifth most populous Statistical area (United States), urban regions respectively, with the former having more than 18.7million residents and the latter having over 9.6million. Sacramento, California, Sacramento is the state's capital, while Los Angeles is the List of largest California cities by population, most populous city in the state and the List of United States cities by population, ...
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Yolo County
Yolo County (; Wintun: ''Yo-loy''), officially the County of Yolo, is a county located in the northern portion of the U.S. state of California. As of the 2020 census, the population was 216,403. Its county seat is Woodland. Yolo County is included in the Greater Sacramento metropolitan area and is located in the Sacramento Valley. The majority of Yolo County remains a relatively rural agricultural region. Etymology In the original act of 1850 the name was spelled "Yola." ''Yolo'' is a Patwin Native American name variously believed to be a corruption of a tribal name ''Yo-loy'' meaning "a place abounding in rushes", the village of Yodoi, believed to be in the vicinity of Knights Landing, California, or the name of the chief of said village, ''Yodo''. History Yolo County was one of the original counties of California, created in 1850 at the time of statehood. Government The county is governed by a board of five district supervisors as well as the governments of its four i ...
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