Tag: Gold Coast Health Plan (GCHP)

Bilingual report — Gold Coast Health Plan to Invest $75 million in Ventura County’s Medi-Cal Provider Network to Connect Members with Care

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CAMARILLO — Gold Coast Health Plan (GCHP) is transforming the health care system in Ventura County with a groundbreaking $75 million investment in its provider network. Through the development of innovative incentive and grant programs, GCHP is on a mission to connect members with high quality primary, specialty, and behavioral care and empower providers with the vital resources they need for service expansion and to create efficiencies. This strategic investment includes a drive to recruit providers, expanding access to quality health care services. With the scale and ambition of these initiatives, GCHP is setting a new standard for quality care and blazing a trail in community investments.

“Gold Coast Health Plan is committed to supporting providers in innovative ways to achieve our mission of the best health and health care possible for our members,” said Nick Liguori, GCHP’s chief executive officer (CEO). “These programs reinforce GCHP’s ongoing commitment to driving meaningful quality improvements in Ventura County’s health care system and providing the necessary financial support for a much-needed infusion of equipment and technology that will provide needed care, along with additional providers to support our community.”

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Bilingual report — Gold Coast Health Plan Appoints Dr. Felix Nuñez its New Chief Medical Officer

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CAMARILLO — Gold Coast Health Plan (GCHP) on March 2 announced the appointment of Dr. Felix Nuñez as its new Chief Medical Officer (CMO), effective immediately.

Dr. Nuñez is an accomplished board-certified family physician and health care leader who brings to Ventura County the experience and expertise gained over more than 25 years of leadership in managed care and health care delivery. A proud native Angeleno and Mexican-American, Dr. Nuñez is passionate about improving health care access and quality of care for underserved and vulnerable populations.

“Dr. Nuñez is an innovator and creative problem solver, a thought and action leader, and above all, his work is dedicated to the communities we serve,” said Nick Liguori, GCHP’s chief executive officer. “We are honored to have him join our executive team and look forward to his leadership as the Medi-Cal program evolves to serve the broad needs of its most vulnerable populations.”

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CAMARILLO – – Gold Coast Health Plan (GCHP) anunció el 2 de marzo el nombramiento del Dr. Felix Nuñez como su nuevo Director Médico (CMO, por sus siglas en inglés), con efectos inmediatos.

El Dr. Nuñez es un experto médico de familia certificado por la junta y líder en atención de salud que aporta al Condado de Ventura la experiencia y conocimientos adquiridos a lo largo de más de 25 años de liderazgo en atención administrada y prestación de salud. Orgulloso de ser nativo de Los Angeles y mexicano-estadounidense, al Dr. Nuñez le apasiona mejorar el acceso a la atención médica y la calidad de atención para las poblaciones desatendidas y vulnerables.

“El Dr. Nuñez es un innovador y una persona creativa en la resolución de problemas, un líder de pensamiento y acción, y sobre todo, su tarea está dedicada a las comunidades a las que servimos”, dijo Nick Liguori, director ejecutivo de GCHP. “Para nosotros es un honor que se una a nuestro equipo ejecutivo y estamos deseosos de su liderazgo conforme evoluciona el programa de Medi-Cal para servir las necesidades amplias de sus poblaciones más vulnerables”.

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Gold Coast Health Plan Reaches Settlement with Federal Regulators

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Gold Coast Health Plan (GCHP) has reached a mediated settlement with federal regulators on a 7-year-old dispute regarding disbursements of Medicaid funding to network providers for the benefit of the then-newly eligible adult expansion population resulting from the implementation of the Affordable Care Act. Under the mediated settlement agreement, GCHP agreed to pay $17.2 million – about 24% of the total settlement – and enter into a Corporate Integrity Agreement (CIA) with federal regulators.

The settlement reflects a compromise resolution of a multi-year disagreement between GCHP and the U.S. Department of Justice (DOJ) and the Office of Inspector General (OIG) for the Department of Health and Human Services (HHS) over the appropriate amount of disbursements to its providers under the Adult Expansion Program.

“Although Gold Coast Health Plan believes that its disbursements to providers under this program were lawful and proper, we agreed to participate in a mediation with the regulators to reach a settlement to prevent an expensive and protracted process,” said Nick Liguori, GCHP’s chief executive officer. “The settlement reflects a compromise that will finally and fully resolve this dispute.”

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Gold Coast Health Plan and AmericasHealth Plan Partner on Three-Year Medi-Cal Pilot Program

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Gold Coast Health Plan (GCHP) and AmericasHealth Plan (AHP) announced their collaboration on a pilot program to serve Ventura County’s Medi-Cal beneficiaries.

The three-year program would give up to 10,000 of GCHP’s more than 200,000 members the option of choosing AHP, a subsidiary of Clinicas del Camino Real, Inc. (Clinicas), as the administrator of their health care benefits in the first year. As members of AHP, Medi-Cal beneficiaries will have access to Clinicas’ network of medical, dental, optical, preventive, specialty, ancillary, and institutional providers and will benefit from having their care coordinated by one entity. Members will maintain their access to GCHP’s providers for pharmacy, transportation, and mental health services, and to its 24-hour advice nurse line.

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Gold Coast Health Plan Announces Resignation of CEO

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Interim CEO Appointed While Search for Permanent Replacement Begins CAMARILLO — Gold Coast Health Plan (GCHP) on Nov. 1 announced that it has accepted the resignation of Chief Executive Officer Dale Villani. The Ventura County Medi-Cal Managed Care Commission, which…

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Gold Coast Health Plan Receives Managed Care Quality Award

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CAMARILLO — Gold Coast Health Plan (GCHP) was recognized this month by its state regulatory agency for the strides it has made in improving health care quality for Medi-Cal beneficiaries. The Managed Care Quality and Monitoring Division of the state Department…

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Gold Coast Health Plan Teams Up with CSU Channel Islands to Train Nursing Students

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A group of nurses will oversee student projects at the Medi-Cal Plan CAMARILLO – Gold Coast Health Plan (GCHP) has announced its partnership with California State University, Channel Islands (CSUCI) to train nursing students. Starting in the spring semester, five nurses from…

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Gold Coast Health Plan Member Alert Regarding Thomas Fire

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Ventura County’s Medi-Cal Plan is Making it Easy for Members to Access Prescriptions and Transportation During the Thomas Fire CAMARILLO — Gold Coast Health Plan (GCHP) is alerting its members that during the Thomas Fire, members can get their prescriptions filled, receive…

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