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Monday, November 14, 2016

 

DMHC announces 2016 “Right Care Initiative” award recipients

Health plans and medical groups recognized for work to fight the biggest killers: heart attacks, strokes and diabetic complications

(Sacramento) – Today, the California Department of Managed Health Care (DMHC) announced the recipients of the 2016 Right Care Initiative awards. Awards are given annually to California health plans and medical groups who meet clinical performance standards for preventing heart attacks, strokes and diabetic complications.

“Proactively managing the care of chronically ill patients can prevent heart attacks, strokes and diabetic complications. This not only saves lives but also reduces health care costs,” said DMHC Director Shelley Rouillard. “I congratulate today’s winners for their hard work and dedication to keeping Californians healthy.”

2016 Health Plan Award Winners

  • Kaiser Permanente Northern California – Gold Award
  • Kaiser Permanente Southern California – Silver Award
  • Sharp Health Plan – Bronze Award

2016 Medical Group Bronze Award winners:

  • AMVI Medical Group
  • Arch Health Partners
  • Cedars-Sinai Health Associates
  • Cedars-Sinai Medical Group
  • Daughters of Charity Health System Medical Foundation
  • Edinger Medical Group
  • Greater Newport Physicians
  • Healthcare Partners Medical Group
  • Hill Physicians Medical Group - Bay Region
  • Hill Physicians Medical Group – Sacramento
  • Hill Physicians Medical Group – Solano
  • Hoag Medical Group
  • Humboldt Del Norte Independent Practice Association
  • John Muir Health
  • Memorial Care Medical Group  
  • Mercy Medical Group
  • Meritage Medical Network
  • Mission Heritage Medical Group
  • Palo Alto Medical Foundation -- Mills-Peninsula Medical Group
  • Palo Alto Medical Foundation -- Sutter Health
  • Scripps Coastal Medical Center
  • Scripps Clinic Medical Group
  • Sharp Rees-Stealy Medical Group
  • St. Jude Heritage Medical Group
  • St. Mary’s High Desert Medical Group
  • Sutter Gould Medical Foundation
  • Sutter Medical Group
  • Sutter Medical Group of the Redwoods
  • UC (University of California)San Diego Health System
  • Woodland Healthcare

2016 Leadership Awards:

  • Rodney Hood, MD, FACP - Multi-Cultural Medical Group

Starting in 2011, the Right Care Initiative launched new categories of award levels based on health plan and medical group performance. The awards established platinum, gold, silver, and bronze levels of performance. The awards recognize excellent performance in preventing heart attacks, strokes, and diabetic complications, as determined by achieving control measure benchmarks in critical areas of care management (control measures: Hypertension in both diabetic and non-diabetic populations; Cholesterol; and Blood Sugar). As of 2016, the award categories are:

  • Platinum level of performance: National 90th percentile of HEDIS performance across all Diabetes and Cardiovascular Disease measures (or all equivalent IHA P4P cardiovascular disease and diabetes measures).
  • Gold level of performance: National 90th percentile of performance across all available diabetes and cardiovascular control measures.
  • Silver level of performance: National 90th percentile of performance for available measures for control of Blood Pressure for cardiovascular, hypertensive and diabetic patients; and cholesterol management.
  • Bronze level of performance: National 90th percentile of performance in any one of the Right Care Initiative designated control measures: Blood Pressure, Cholesterol, or Blood Sugar.

About the Right Care Initiative

The statewide goal of the Right Care Initiative is for all California health plans and medical groups to reach the national 90th percentile of performance in the prevention of heart attacks, strokes and complications from diabetes through the control of blood pressure, blood sugar and cholesterol as published in the national Healthcare Effectiveness Data and Information Set (HEDIS) and the Integrated Health Care Association’s Pay for Performance program. For more information on the Right Care Initiative and awards criteria, visit www.RightCare.dmhc.ca.gov.

About DMHC:

The DMHC protects the health care rights of more than 25 million Californians and ensures a stable health care delivery system. The Department has helped more than 1.7 million Californians resolve health plan problems through the Help Center. Information and assistance is available at www.HealthHelp.ca.gov or by calling 1-888-466-2219.


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