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.

  • Basic Population Health Management
  • Tansitional Care Services
  • Complex Case Management
  • Learn More

 

​Pharmacy

PHC Pharmacy department is responsible for the management of the medical drug benefit (provider administered drugs/PADs) and medical drug expenditure control. State Medi-Cal contracts with Magellan to provide pharmacy services through Medi-Cal RX

​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...
September02
September 02, 2021

Partnership HealthPlan of California to Cover Gatekeeper Innovation Prescription Locking Devices for Medi-Cal Members

Partnership HealthPlan of California (PHC) announced a new partnership with Gatekeeper Innovation Inc., the maker of Safer Lo...
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

April12
April 12, 2023

Physician Advisory Committee (PAC) Meeting

All meetings are held on the second Wednesday of the month from 7:30 - 9 a.m.(July and December meetings are tentative)...
April19
April 19, 2023

Quality/Utilization Advisory Committee (Q/UAC) Meeting

Q/UAC meetings are held on the third Wednesday of every month from 7:30 to 9 a.m.(July and December meetings are tentative)...
April25
April 25, 2023

Accelerated Learning Education Program: Early Cancer Detection (Cervical, Breast, and Colorectal Cancer Screening)

These learning sessions will cover Partnership HealthPlan of California’s Primary Care Provider Quality Incentive Program measures with a focus on direct application on best p...