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.
[caption id="attachment_68348" align="alignleft" width="200"] Kristina Keck[/caption]
Meanwhile, Kristina Keck has joined Woodruff-Sawyer & Co. in the firm’s employee benefits practice as account executive, retirement plans. In her new role, Ms. Keck will serve as a lead consultant in the capacity of investment reporting and annual plan compliance, focusing on 401(k) planning in the North Bay where she resides and also in the San Francisco market
Ms. Keck will also serve as the lead consultant with regards to employee enrollment and participant investment education services.
She has 20 years of experience consulting in the retirement plan and pensions market. She began her career in that field at Northwestern Mutual Life. Prior to joining Woodruff-Sawyer, she worked as an accredited investment fiduciary, retirement plan consultant and investment advisor representative with ClearPoint Financial.
In addition to her career in the financial services and retirement plans industry, she spent seven years as a force status controller with the United States Air Force, and continues her service today as a member of the Air National Guard.***
Covered California, the state's insurance exchange set up under health care reform, plans to provide grants totaling $43 million for community groups to help spread the word of the exchange and how it will work.
Roughly $40 million has been allocated for outreach regarding individual coverage, with the remaining $3 million going toward outreach for the small businesses, according to the California Healthcare Foundation.
Community groups such as faith-based organizations, nonprofits and city and county governments are eligible to apply if they can show the exchange what their target audience for outreach will be, along with how to reach them.
A webinar has been scheduled for Feb. 6 and applications are due March 4. More information can be found at www.hbex.ca.gov.***