To: Board of Supervisors of Sonoma County
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Barbie Robinson, 565-7876
Vote Requirement: Informational Only
Supervisorial District(s): Countywide
Title:
Title
Partnership HealthPlan of California Update
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Recommended Actions:
Recommended action
Receive update from Partnership HealthPlan of California.
end
Executive Summary:
Partnership HealthPlan of California provides a managed healthcare plan for Medi-Cal recipients in Sonoma County as well as the counties of Del Norte, Humboldt, Lake, Lassen, Modoc, Marin, Mendocino, Napa, Solano, Shasta, Siskiyou, Trinity, and Yolo. Sonoma County joined the Partnership HealthPlan of California in 2009. This item requests that the Board receive an update from Partnership HealthPlan of California on the managed health care system in Sonoma County.
Discussion:
In September 2009, the Board of Supervisors authorized the County to join Partnership HealthPlan of California (Partnership), a managed health care system that arranges for the provision of health care services for Medi-Cal enrollees. This arrangement resulted in the transfer of 48,000 Medi-Cal enrollees from fee-for-service Medi-Cal to a regional Medi-Cal managed health care plan. In addition to Sonoma County, Partnership operates the managed health care system for Medi-Cal enrollees in Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Shasta, Siskiyou, Solano, Trinity, and Yolo counties. Partnership currently has 108,900 enrollees in Sonoma County, which is approximately 19.5 percent of their total enrollment of 560,000.
Under a managed care system, each beneficiary selects or is assigned a primary care physician to provide medical care and coordinate services. Partnership staff provides assistance with access to care, questions about benefits, and resolution of claims or billing issues. Partnership also provides increased clinical support to beneficiaries and providers through specific care management programs, while managing costs and improving health outcomes.
Partnership will provide the Board with an update on its key activities in providing health care services to the Sonoma County members. In addition, Partnership will update on the fiscal outlook for the Plan as well as the current investments and activities in Sonoma County to support the health and well-being of Sonoma County residents.
Prior Board Actions:
On November 20, 2012 the Board received an update from Partnership HealthPlan of California.
On February 21, 2012 the Board accepted a Sonoma County Health Care System update including a report providing an overview of the early health care reform efforts in Sonoma County and an update on the County Medical Services Plan and Partnership HealthPlan of California.
Fiscal Summary
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FY 20-21 Projected |
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Narrative Explanation of Fiscal Impacts:
There are no fiscal impacts associated with this item.
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Narrative Explanation of Staffing Impacts (If Required):
N/A
Attachments:
None
Related Items “On File” with the Clerk of the Board:
None