California

in 2010, California was approved for a Section 1115 Medicaid Waiver launching the Bridge to Reform which resulted in several changes including expanding Medicaid coverage, reforming safety-net hospitals, and promoting coordinated systems of care for dual eligibles and persons with disabilities. The Delivery System Reform Incentive Pool (DSRIP) is a program offering safety-net hospitals in California funds to make investments in infrastructure, system design and improvements in population health. More than half of participating hospitals expanded medical homes which included expanding primary care capacity, chronic care management, and integration of physical and behavioral health care. Under the Bridge to Reform, the California Children's Services Program Demonstration included pilot programs to improve coordination of care through medical homes, improve satisfaction with care, and develop family-centered care.  In 2012, a waiver amendment provided for the California Duals Demonstration program - Cal MediConnect - that will be implemented in eight California counties in 2014. The program aims to improve care coordination for dual eligible beneficiaries and drive high quality care through medical homes.

California encourages issuers selling Qualified Health Plans (QHPs) in the Marketplace, Covered California, to assist enrollees in selecting a primary care provider, Federally Qualified Health Center (FQHC) or a patient-centered medical home (PCMH) within 60 days of enrollment.

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
Yes
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
Yes
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
38,114,300
Uninsured Population:
15%
Total Medicaid Spending FY 2013: 
$61.9 Billion 
Overweight/Obese Adults:
60.1%
Poor Mental Health among Adults: 
36.8%
Medicaid Expansion: 
Yes

Children’s Health Center

Practice Type: 
Not-for-profit practice
Owned by larger organization
Primary care practice
Practice Setting: 
Urban
Practice Address: 
Zuckerberg San Francisco General Hospital, 1001 Potrero Ave
Main Building 5, 6th floor, 6M
San Francisco, CA 94110

The Children’s Health Center provides comprehensive, high-quality pediatric care for children from birth up to age 21.  Services include primary care for infants, children, and teenagers 6 days per week including evenings and Saturdays. Comprehensive pediatric urgent care services 365 days a year on a drop-in basis for all children regardless of clinic affiliation are also provided.

Positive Health Program

Practice Type: 
Not-for-profit practice
Owned by larger organization
Practice Setting: 
Urban
Practice Address: 
Zuckerberg San Francisco General Hospital, 995 Potrero Ave
Building 80, 6th Floor
San Francisco, CA 94110

Positive Health Program (PHP) provides integrated primary and specialty care for our Network’s HIV-infected patients.

Castro Mission Health Center

Practice Type: 
Not-for-profit practice
Owned by larger organization
Practice Setting: 
Urban
Practice Address: 
3850 17th Street at Noe
San Francisco, CA 94102

The Castro Mission Health Center operates under the San Francisco Health Network, which believes that patients must be active participants in the decision- making process of the health care they receive. Care that is truly patient-centered considers patients’ cultural traditions, their personal preferences and values, their family situations and their lifestyles. It makes the patient and their loved ones an integral part of the care team who collaborate with health care professionals in making clinical decisions.

Maxine Hall Health Center

Practice Type: 
Not-for-profit practice
Owned by larger organization
Practice Setting: 
Urban
Practice Address: 
1301 Pierce St
San Francisco, CA 94115

The Maxine Hall Health Center operates under the San Francisco Health Network, which believes that patients must be active participants in the decision- making process of the health care they receive. Care that is truly patient-centered considers patients’ cultural traditions, their personal preferences and values, their family situations and their lifestyles. It makes the patient and their loved ones an integral part of the care team who collaborate with health care professionals in making clinical decisions.

Curry Senior Center

Practice Type: 
Not-for-profit practice
Owned by larger organization
Practice Setting: 
Urban
Practice Address: 
333 Turk St
San Francisco, CA 94102

Through its unique partnerships and personal approach, Curry creates a welcoming environment for a diverse group of people. Here, seniors can feel comfortable choosing the services they individually need and remain confident that their right to self-determination is respected. A dedicated team of geriatric experts partners with them as needed to navigate the route to the most appropriate care.

Potrero Hill Health Center

Practice Type: 
Not-for-profit practice
Owned by larger organization
Practice Setting: 
Urban
Practice Address: 
1050 Wisconsin St
San Francisco, CA 94107

The Potrero Hill Health Center operates under the San Francisco Health Network, which believes that patients must be active participants in the decision- making process of the health care they receive. Care that is truly patient-centered considers patients’ cultural traditions, their personal preferences and values, their family situations and their lifestyles. It makes the patient and their loved ones an integral part of the care team who collaborate with health care professionals in making clinical decisions.

Southeast Health Center

Practice Type: 
Not-for-profit practice
Owned by larger organization
Practice Setting: 
Urban
Practice Address: 
2401 Keith Street
San Francisco, CA 94124

Southeast Health Center (SEHC) is a full service health clinic that provides affordable, comprehensive and quality care to people of all ages. Located in the Bayview Hunter’s Point area since 1979, they provide care for common illnesses, high blood pressure, and sexually transmitted diseases (STDs). Additional services such as confidential HIV testing and counseling, pregnancy testing, prenatal care, and mental, mental, and vision care are also provided. 

Chinatown Public Health Center

Practice Type: 
Not-for-profit practice
Owned by larger organization
Practice Setting: 
Urban
Practice Address: 
1490 Mason St
San Francisco, CA 94133

Chinatown Public Health Center (CPHC) has been proudly serving San Franciscans and the Chinese community since 1929.

The health clinic offers a full array of services including primary care for adults and children, prenatal care, team-based care, population health disease registries, integrated behavioral health, pediatric dentistry, community health education, public health nutrition, and Women, Infant, and Children Nutrition Supplemental Services.

LifeLong Medical Care - Brookside San Pablo

Practice Type: 
FQHC
Practice Setting: 
Suburban
Practice Address: 
2023 Vale Road
San Pablo, CA 94806

LifeLong Medical Care gives people access to other integrated services that promote wellness. It’s all part of our commitment to give everyone a chance at a healthy life, and to do so in a compassionate and accepting way towards all individuals. They provide many positive, life-enhancing programs including:  

High deductibles clash with care coordination and primary care

High deductibles add to consumers' financial stress and dissuade some patients from getting needed medical care. That is not only worrisome, but it could also block attempts to reform U.S. healthcare, health-policy experts warn in the latest New England Journal of Medicine.

News Author: 
Melanie Evans

Pagine

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