Partnership Health Plan of California, a Fairfield-based managed Medi-Cal plan, has petitioned the state for further expansion, hoping to include seven Northern California counties in addition to the six North Coast counties already in its network.
[caption id="attachment_68347" align="alignright" width="163"] Dave McCallum[/caption]
The nonprofit health plan recently announced it would expand into Lake County, which will become effective June 1, according to Dave McCallum, a spokesman for Partnership. The additional counties targeted for expansion include Del Norte, Siskiyou, Modoc, Lassen, Shasta, Trinity and Humboldt.
If approved, the expansion would add approximately 98,000 new members to the health plan, on top of its current 200,000 members. The company expects to hear back from the state by mid-February on the planned expansion.
Currently, the health plan contracts with Solano, Yolo, Napa, Marin, Sonoma and Mendocino county government agencies.
Partnership’s reimbursement to physicians includes a fee-for-service payment, capitation and additional incentives for taking on Medi-Cal recipients, versus a predetermined, non-negotiable state reimbursement.***
Woodruff Sawyer & Co. of Novato is holding an seminar to discuss health care reform for employers, with subject matter including compliance with the Affordable Care Act, the California State Exchange and private exchanges, benefit design strategies, major employer issues for 2014, and other matters.
Speakers include staff from Woodruff Sawyer's Novato branch and Paul Fearer, a board member for California's state exchange, Covered California.
The seminar is Feb. 12, from 8 a.m. to noon, at the Sheraton in Petaluma. More information can be found at www.wsandco.com.