Enhanced Personal Health Care Program - California

This Program empowers primary care physicians (PCPs) to engage in those comprehensive primary care functions that move us toward a coordinated, evidence-based care model that has the greatest impact on achieving the triple aim of improved quality, patient experience and affordability.  
The Program was implemented in several counties in Northern California in early 2013, starting with Napa, Sonoma, Shasta and Tehama, and then expanding to additional counties later in the year. The program now includes San Diego, Los Angeles (and surrounding area), Orange, Riverside, San Bernadino, San Luis Obispo, Ventura, Kern, Sacramento, Placer, Yolo, Fresno, Santa Clara, Santa Barbra, Humboldt, San Mateo, Napa, Sonoma, Shasta, and Tehama counties. 

This Program will: 

• Make a significant investment in primary care that allows primary care physicians and their practice team to do what they can do best: manage all aspects of their patients’ care.
• Provide primary care physicians with tools, resources and meaningful informationthat promote (1) access, (2) shared decision making, (3) proactive health management, (4) coordinated care delivery, (5) adherence to evidence based guidelines and (6) care planning built around the needs of the individual patient, leading to improved quality and affordability for our customers and their patients.
• Help redesign the current payment model to move from volume based to value based payment, aligning financial incentives and providing financial support for activities and resources that focus on care coordination, individual patient care planning, patient outreach and quality improvement.

Improve the patient experience by:

• creating better access to a primary care physician who will not only care for their “whole person” but will become their health care champion and help them navigate through the complex health care system,
• making them active participants in their health care through shared decision making, and
• optimizing their health.