Health Services

​Providing Support, Advocacy, and High Value Health Care for Our Community

The Health Services Department is responsible for developing and implementing programs and activities of the Care Coordination, Utilization Management, Pharmacy, and Quality Improvement groups. The department operates under the direction of the Health Services Director and the Chief Medical Officer.

Health Education

The Health Education (HE) Services is a resource for assisting you in providing appropriate health education tips/materials for your members. Many are available in languages other than English.

Care Coordination

The objective of the Care Coordination group is to proactively invite members and their providers to participate in programs that will maximize positive health outcomes and satisfaction; educate providers about all case management programs with the latest protocols; and encourage providers to refer members to the appropriate programs.

​Pharmacy

The Pharmacy Department is responsible for formulary management and drug expenditure control.

​Quality Improvement

Improving quality and service to our members are strategic priorities of PHC. Our Quality Improvement Department supports these priorities by implementing activities and programs directed at the following goals by improving the health of the populations we serve

Click here to learn more about Quality

​Medical Directors

The Medical Directors of PHC are dedicated to the health of our members and the larger community. A majority of their time is spent on traditional Utilization Management (UM) activities; working with UM nurses to ensure inpatient care and other medical procedures where appropriate and working with the pharmacists and the pharmacy services team on authorizations for non-formulary medications.

 

Hospitalist Leadership Meeting with PHC Medical Directors

 

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Emergency Department Leadership Meeting with PHC Medical Directors

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News

September17
September 17, 2021

Partnership HealthPlan of California Encourages Members to get Mammograms

Dr. Marshall Kubota, regional medical director at Partnership HealthPlan of California (PHC), is reminding women of the importance of taking...
April20
April 20, 2021

PHC to Receive, Disburse $36M for Behavioral Health Projects

Over the next two years, Partnership HealthPlan of California will receive more than $36 million from the state of California to boost the i...
January28
January 28, 2021

PHC Earns NCQA Accreditation

​The National Committee for Quality Assurance (NCQA) this week awarded Accreditation to Partnership HealthPlan of California.

Events

November25
November 25, 2021

Thanksgiving Day Holiday

​​​​In ​observance of the Thanksgiving Day holiday, all PHC offices will be closed on Thursday, November 25, 2021, and on Friday, November 26, 2021...
December23
December 23, 2021

Christmas Holiday

​​​​​​​In observance of the Christmas holidays, all PHC offices will be closed on Thursday, December 23, 2021, and Friday, December 24, 2021​.​...