7/25/2023 0 Comments Clinicas del camino real![]() Tony Alatorre, chairman of the commission and a Clinicas leader, recused himself. Theresa Cho voted to continue working on the Zaragoza deal and to reject the AmericasHealth Plan’s counter. The commission appeared to agree with him.Ĭommissioners Atin, Jennifer Swenson, Dee Pupa, Johnson Gill and Dr. A digital subscription to The Star offers unlimited access to coverage like this.Ĭommissioner Laura Espinosa supported a proposal to bring in a mediator to help bring the two sides together and said the commission itself shouldn’t be directly involved with actual negotiations. Other commissioners asserted it’s the commission’s job to make the decision after hearing the proposals.ĭale Villani, CEO of the Gold Coast, said the expanded numbers proposed by AmericasHealth Plan are too high, making the agreement far too risky for Gold Coast. ![]() SUPPORT LOCAL JOURNALISM: Keep up with news about health care coverage so you can look out for yourself and your family. “We think the risk is significantly higher with 5,000 (members) than with 8,000 or 10,000,” said Sonia DeMarta, acting CEO for AmericasHealth Plan.ĭeMarta proposed the pilot partnership be shortened to three years and start with 10,000 to 15,000 members the first year, increasing in the second and third year. The pilot would last five years and would jump from 5,000 members to as many as 15,000 members in the third year.ĪmericasHealth Plan officials said more members are needed from the get-go to offset financial risks, including the possibility of the extreme costs of patients with catastrophic health needs. The Zaragoza proposal would expand what had previously been planned as a one-year pilot program involving AmericasHealth Plan acting as insurer for 5,000 Medi-Cal members. Unless an agreement is reached on the Zaragoza proposal, “this pilot shall not go forward,” said Shawn Atin in the motion approved by the commission. Instead, they repeated their support for a March proposal made by John Zaragoza, a new commissioner and longtime member of the Ventura County Board of Supervisors. The Ventura County Medi-Cal Managed Care Commission, which governs Gold Coast, voted to reject an AmericasHealth Plan proposal to expand aspects of the plan-to-plan. The conflict continued Monday in a meeting that brought more heated accusations and increased security measures. In the changed system, two insurers would offer Medi-Cal insurance services in Ventura County, competing with each other for members.ĮARLIER: Medi-Cal controversy will be taken to voters, Latino leaders pledge Negotiation conflicts and delays in implementing a plan-to-plan have fed into a drive led by Clinicas and others to push for a new Medi-Cal delivery system in a change that could put Gold Coast out of existence. The HMO would assume the financial risk and reward. Under it, the for-profit HMO would contract with publicly funded Gold Coast to serve as insurer for Medi-Cal members being served in the Clinicas system of health centers. Gold Coast, which administers Medi-Cal health insurance in Ventura County, and the AmericasHealth Plan HMO created by the Clinicas health system have been negotiating for several years on a plan-to-plan agreement. ![]() If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile.Īs a matter of policy, BBB does not endorse any product, service or business.Watch Video: Debating the need to change local Medi-CalĪ Medi-Cal plan’s governing board rejected a counterproposal over a long-sought partnership in a contentious meeting Monday that appeared to push the Gold Coast Health Plan and Clinicas del Camino Real even further apart. BBB Business Profiles are subject to change at any time. When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints.īBB Business Profiles generally cover a three-year reporting period. ![]() However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. BBB Business Profiles may not be reproduced for sales or promotional purposes.īBB Business Profiles are provided solely to assist you in exercising your own best judgment. ![]()
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