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 ), in California , seat_type = County seat , seat = Crescent City , parts_type = Largest city , parts = Crescent City , unit_pref = US , area_total_sq_mi = 1230 , area_land_sq_mi = 1006 , area_water_sq_mi = 223 , elevation_max_footnote ...

, Humboldt County, Lake County, Lassen County,

Marin County Marin County is a county located in the northwestern part of the San Francisco Bay Area of the U.S. state of California. As of the 2020 census, the population was 262,231. Its county seat and largest city is San Rafael. Marin County is acros ...

, 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 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 territori ...

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) program (Solano and Napa counties). *2007-2014 PartnershipAdvantage, a Special Needs Plan

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 ...

program (Yolo, Napa, Solano counties only) *2010-2013 Healthy Families, the California version of the federal Children's Health Insurance Program (Napa, Sonoma, Solano, Yolo counties only). In 2013, the Healthy Families Program was folded into Medi-Cal as part of the Affordable Care Act. *2005-2016 Healthy Kids. Partnership HealthPlan also offered a health insurance product called Healthy Kids to low income children not otherwise eligible for Medi-Cal. In 2016, the Healthy Kids Program was folded into Medi-Cal under California's SB 75, passed in 2015.

History and structure

In 1993, the State Department of Health Services produced a report entitled “Expanding Medi-Cal Managed Care: Reforming the Health System – Protecting Vulnerable Populations” which served as a blueprint for expansion of Medi-Cal managed care. The Solano Health Partnership, the predecessor of Partnership HealthPlan, began serving Medi-Cal beneficiaries in Solano County in 1994 as a County Organized Health System. The Solano Coalition for Better Health, a community stakeholder group, founded Partnership HealthPlan. The Coalition began discussing overall health of the Solano County community in 1988 culminating in a contract with the State of California in 1992, beginning operations in 1994. In 1998, the Solano Health Partnership expanded into Napa County, and changed its name to Partnership HealthPlan of California. Further geographic expansions are listed *2001 Expansion to Yolo County *2009 Expansion to Sonoma County *2011 Expansion to Marin and Mendocino Counties *2013 Expansion to Del Norte, Humboldt, Lake, Lassen, Modoc, Shasta, Siskiyou, and Trinity counties The founding Chief Executive Officer was Jack Horn, who retired in 2015.

Notable programs

*Managing Pain Safely, reducing opioid overuse. *Offering and Honoring Choices, promoting advance care planning and palliative care. *Telehealth * EConsult *

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 d ...

Governance

Partnership HealthPlan is governed by a board of commissions composed of 33 members representing all 14 counties, including physicians, county officials, hospital leaders, providers, PHC health plan members, and public representatives.

References

{{Reflist, 2

External links

Partnership Healthplan of California
Medical and health organizations based in California Companies based in Solano County, California Organizations established in 1994 1994 establishments in California