Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Cardiology/Interventional Cardiology |
58 |
34 |
36 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Dermatology |
58 |
33 |
33 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
58 |
36 |
40 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Endocrinology |
58 |
30 |
58 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Gastroenterology |
58 |
31 |
45 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
General Surgery |
58 |
30 |
44 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Hematology |
55 |
29 |
62 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Hospital |
70 |
37 |
13 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
63 |
29 |
75 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Nephrology |
63 |
29 |
87 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Neurology |
56 |
30 |
38 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Obstetrics and Gynecology |
41 |
31 |
12 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Obstetrics and Gynecology Primary Care Physician |
48 |
28 |
24 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Oncology |
50 |
33 |
32 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Ophthalmology |
58 |
31 |
33 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Orthopedic Surgery |
90 |
30 |
50 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Physical Medicine and Rehabilitation |
56 |
29 |
78 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Primary Care Physician |
40 |
36 |
6 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Psychiatry |
54 |
30 |
40 |
Aetna Better Health of California |
Geographic Managed Care (GMC) Model |
Pulmonology |
62 |
33 |
40 |
Alameda Alliance for Health |
Two Plan Model |
Dermatology |
30 |
30 |
23 |
Alameda Alliance for Health |
Two Plan Model |
Endocrinology |
30 |
30 |
15 |
Alameda Alliance for Health |
Two Plan Model |
General Surgery |
30 |
30 |
1 |
Alameda Alliance for Health |
Two Plan Model |
Hematology |
30 |
30 |
24 |
Alameda Alliance for Health |
Two Plan Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
30 |
30 |
2 |
Alameda Alliance for Health |
Two Plan Model |
Nephrology |
30 |
30 |
1 |
Alameda Alliance for Health |
Two Plan Model |
Neurology |
30 |
30 |
1 |
Alameda Alliance for Health |
Two Plan Model |
Oncology |
30 |
30 |
23 |
Alameda Alliance for Health |
Two Plan Model |
Ophthalmology |
30 |
30 |
1 |
Alameda Alliance for Health |
Two Plan Model |
Orthopedic Surgery |
30 |
30 |
1 |
Alameda Alliance for Health |
Two Plan Model |
Physical Medicine and Rehabilitation |
30 |
30 |
52 |
Alameda Alliance for Health |
Two Plan Model |
Primary Care Physician |
30 |
30 |
2 |
Alameda Alliance for Health |
Two Plan Model |
Psychiatry |
30 |
30 |
2 |
Alameda Alliance for Health |
Two Plan Model |
Pulmonology |
30 |
30 |
2 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Cardiology/Interventional Cardiology |
239 |
179 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Dermatology |
272 |
221 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
343 |
284 |
10 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Endocrinology |
313 |
311 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Gastroenterology |
83 |
82 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
General Surgery |
123 |
86 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Hematology |
99 |
83 |
10 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Hospital |
81 |
30 |
14 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
324 |
94 |
24 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Mental Health (non-psychiatry) Outpatient Services |
83 |
83 |
3 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Nephrology |
124 |
86 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Neurology |
300 |
297 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Obstetrics and Gynecology |
164 |
86 |
3 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Obstetrics and Gynecology Primary Care Physician |
60 |
30 |
44 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Oncology |
299 |
297 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Ophthalmology |
81 |
79 |
4 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Orthopedic Surgery |
164 |
86 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Pharmacy |
45 |
29 |
10 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Physical Medicine and Rehabilitation |
327 |
74 |
9 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Psychiatry |
327 |
325 |
6 |
Anthem Blue Cross Partnership Plan |
Regional Model |
Pulmonology |
327 |
268 |
10 |
Anthem Blue Cross Partnership Plan |
San Benito Model |
Hospital |
15 |
15 |
1 |
Anthem Blue Cross Partnership Plan |
San Benito Model |
Obstetrics and Gynecology Primary Care Physician |
15 |
15 |
1 |
Anthem Blue Cross Partnership Plan |
San Benito Model |
Pharmacy |
15 |
15 |
1 |
Anthem Blue Cross Partnership Plan |
Two Plan Model |
Hospital |
34 |
27 |
10 |
Anthem Blue Cross Partnership Plan |
Two Plan Model |
Obstetrics and Gynecology Primary Care Physician |
46 |
31 |
21 |
Anthem Blue Cross Partnership Plan |
Two Plan Model |
Pharmacy |
11 |
11 |
1 |
Anthem Blue Cross Partnership Plan |
Two Plan Model |
Physical Medicine and Rehabilitation |
46 |
37 |
3 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Cardiology/Interventional Cardiology |
60 |
40 |
16 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Dermatology |
60 |
40 |
17 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
60 |
40 |
19 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Endocrinology |
60 |
40 |
23 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Gastroenterology |
60 |
45 |
18 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
General Surgery |
60 |
40 |
20 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Hematology |
60 |
50 |
19 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Hospital |
85 |
85 |
1 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
60 |
40 |
41 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Nephrology |
60 |
40 |
41 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Neurology |
60 |
40 |
18 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Obstetrics and Gynecology |
50 |
40 |
6 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Oncology |
90 |
50 |
11 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Ophthalmology |
70 |
40 |
32 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Orthopedic Surgery |
60 |
40 |
21 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Physical Medicine and Rehabilitation |
60 |
40 |
42 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Psychiatry |
60 |
40 |
28 |
Blue Shield of California Promise Health Plan |
Geographic Managed Care (GMC) Model |
Pulmonology |
60 |
40 |
38 |
CalViva Health |
Two Plan Model |
Cardiology/Interventional Cardiology |
75 |
75 |
3 |
CalViva Health |
Two Plan Model |
Dermatology |
80 |
80 |
3 |
CalViva Health |
Two Plan Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
80 |
80 |
3 |
CalViva Health |
Two Plan Model |
Endocrinology |
75 |
70 |
4 |
CalViva Health |
Two Plan Model |
Gastroenterology |
75 |
75 |
3 |
CalViva Health |
Two Plan Model |
General Surgery |
75 |
75 |
3 |
CalViva Health |
Two Plan Model |
Hematology |
75 |
70 |
4 |
CalViva Health |
Two Plan Model |
Hospital |
60 |
35 |
29 |
CalViva Health |
Two Plan Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
75 |
70 |
6 |
CalViva Health |
Two Plan Model |
Nephrology |
90 |
78 |
6 |
CalViva Health |
Two Plan Model |
Neurology |
75 |
70 |
3 |
CalViva Health |
Two Plan Model |
Obstetrics and Gynecology Primary Care Physician |
50 |
30 |
7 |
CalViva Health |
Two Plan Model |
Oncology |
75 |
73 |
4 |
CalViva Health |
Two Plan Model |
Ophthalmology |
80 |
60 |
13 |
CalViva Health |
Two Plan Model |
Orthopedic Surgery |
80 |
80 |
3 |
CalViva Health |
Two Plan Model |
Pharmacy |
35 |
35 |
4 |
CalViva Health |
Two Plan Model |
Physical Medicine and Rehabilitation |
80 |
73 |
4 |
CalViva Health |
Two Plan Model |
Primary Care Physician |
35 |
35 |
4 |
CalViva Health |
Two Plan Model |
Psychiatry |
75 |
75 |
1 |
CalViva Health |
Two Plan Model |
Pulmonology |
75 |
75 |
3 |
California Health & Wellness |
Imperial Model |
Endocrinology |
155 |
93 |
34 |
California Health & Wellness |
Imperial Model |
Hospital |
70 |
45 |
7 |
California Health & Wellness |
Imperial Model |
Nephrology |
160 |
100 |
18 |
California Health & Wellness |
Imperial Model |
Obstetrics and Gynecology Primary Care Physician |
85 |
50 |
9 |
California Health & Wellness |
Imperial Model |
Pharmacy |
35 |
33 |
2 |
California Health & Wellness |
Imperial Model |
Physical Medicine and Rehabilitation |
160 |
83 |
34 |
California Health & Wellness |
Imperial Model |
Primary Care Physician |
75 |
43 |
10 |
California Health & Wellness |
Regional Model |
Cardiology/Interventional Cardiology |
115 |
95 |
12 |
California Health & Wellness |
Regional Model |
Dermatology |
365 |
130 |
28 |
California Health & Wellness |
Regional Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
200 |
155 |
34 |
California Health & Wellness |
Regional Model |
Endocrinology |
225 |
102 |
65 |
California Health & Wellness |
Regional Model |
Gastroenterology |
150 |
100 |
30 |
California Health & Wellness |
Regional Model |
General Surgery |
115 |
98 |
12 |
California Health & Wellness |
Regional Model |
Hematology |
200 |
150 |
27 |
California Health & Wellness |
Regional Model |
Hospital |
120 |
35 |
32 |
California Health & Wellness |
Regional Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
140 |
80 |
112 |
California Health & Wellness |
Regional Model |
Nephrology |
230 |
75 |
109 |
California Health & Wellness |
Regional Model |
Neurology |
215 |
110 |
25 |
California Health & Wellness |
Regional Model |
Obstetrics and Gynecology Primary Care Physician |
230 |
45 |
141 |
California Health & Wellness |
Regional Model |
Oncology |
170 |
125 |
23 |
California Health & Wellness |
Regional Model |
Orthopedic Surgery |
150 |
110 |
14 |
California Health & Wellness |
Regional Model |
Pharmacy |
90 |
30 |
26 |
California Health & Wellness |
Regional Model |
Physical Medicine and Rehabilitation |
220 |
133 |
34 |
California Health & Wellness |
Regional Model |
Primary Care Physician |
85 |
35 |
67 |
California Health & Wellness |
Regional Model |
Psychiatry |
170 |
105 |
12 |
California Health & Wellness |
Regional Model |
Pulmonology |
180 |
130 |
36 |
CenCal Health |
County Organized Health System (COHS) Model |
Cardiology/Interventional Cardiology |
155 |
105 |
32 |
CenCal Health |
County Organized Health System (COHS) Model |
Endocrinology |
155 |
110 |
32 |
CenCal Health |
County Organized Health System (COHS) Model |
Hospital |
75 |
63 |
2 |
CenCal Health |
County Organized Health System (COHS) Model |
Pharmacy |
80 |
80 |
1 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Cardiology/Interventional Cardiology |
102 |
82 |
5 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Dermatology |
121 |
83 |
34 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
161 |
127 |
67 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Endocrinology |
113 |
90 |
23 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Gastroenterology |
99 |
81 |
13 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
General Surgery |
114 |
93 |
18 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Hematology |
119 |
82 |
34 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Hospital |
70 |
40 |
17 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
116 |
79 |
32 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Nephrology |
116 |
79 |
32 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Neurology |
102 |
84 |
10 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Oncology |
111 |
86 |
27 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Ophthalmology |
157 |
91 |
68 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Orthopedic Surgery |
138 |
120 |
38 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Pharmacy |
40 |
39 |
2 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Physical Medicine and Rehabilitation |
184 |
100 |
66 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Primary Care Physician |
75 |
63 |
10 |
Central California Alliance for Health |
County Organized Health System (COHS) Model |
Pulmonology |
116 |
79 |
40 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Cardiology/Interventional Cardiology |
89 |
77 |
8 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Dermatology |
73 |
59 |
10 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
83 |
58 |
16 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Endocrinology |
79 |
68 |
21 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Gastroenterology |
72 |
58 |
16 |
Community Health Group |
Geographic Managed Care (GMC) Model |
General Surgery |
77 |
66 |
16 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Hematology |
98 |
58 |
17 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Hospital |
64 |
50 |
8 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
84 |
56 |
22 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Nephrology |
91 |
63 |
17 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Neurology |
72 |
60 |
17 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Obstetrics and Gynecology |
53 |
48 |
2 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Oncology |
72 |
59 |
17 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Ophthalmology |
68 |
46 |
11 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Orthopedic Surgery |
73 |
58 |
17 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Physical Medicine and Rehabilitation |
75 |
60 |
15 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Psychiatry |
74 |
58 |
15 |
Community Health Group |
Geographic Managed Care (GMC) Model |
Pulmonology |
95 |
68 |
17 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Cardiology/Interventional Cardiology |
65 |
30 |
70 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Dermatology |
70 |
30 |
106 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
60 |
25 |
103 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Endocrinology |
70 |
30 |
106 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Gastroenterology |
60 |
35 |
51 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
General Surgery |
70 |
30 |
123 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Hematology |
70 |
30 |
123 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Hospital |
80 |
38 |
18 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
65 |
45 |
298 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Mental Health (non-psychiatry) Outpatient Services |
29 |
28 |
2 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Nephrology |
135 |
75 |
185 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Neurology |
65 |
30 |
58 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Oncology |
70 |
30 |
131 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Ophthalmology |
150 |
120 |
40 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Orthopedic Surgery |
65 |
30 |
85 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Physical Medicine and Rehabilitation |
60 |
40 |
242 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Primary Care Physician |
55 |
40 |
14 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Psychiatry |
55 |
36 |
24 |
Health Net Community Solutions, Inc. |
Geographic Managed Care (GMC) Model |
Pulmonology |
70 |
40 |
66 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Cardiology/Interventional Cardiology |
75 |
30 |
9 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Dermatology |
135 |
30 |
339 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
75 |
25 |
234 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Endocrinology |
80 |
30 |
199 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Gastroenterology |
90 |
50 |
61 |
Health Net Community Solutions, Inc. |
Two Plan Model |
General Surgery |
140 |
70 |
93 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Hematology |
160 |
35 |
300 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Hospital |
60 |
35 |
31 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
165 |
30 |
254 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Mental Health (non-psychiatry) Outpatient Services |
64 |
64 |
1 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Nephrology |
160 |
25 |
244 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Neurology |
115 |
35 |
81 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Obstetrics and Gynecology |
65 |
33 |
4 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Obstetrics and Gynecology Primary Care Physician |
45 |
33 |
10 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Oncology |
160 |
30 |
279 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Ophthalmology |
245 |
70 |
89 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Orthopedic Surgery |
115 |
40 |
152 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Pharmacy |
40 |
38 |
4 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Physical Medicine and Rehabilitation |
105 |
30 |
312 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Primary Care Physician |
70 |
35 |
12 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Psychiatry |
71 |
28 |
10 |
Health Net Community Solutions, Inc. |
Two Plan Model |
Pulmonology |
150 |
35 |
106 |
Health Plan of San Joaquin |
Two Plan Model |
Hospital |
30 |
20 |
3 |
Health Plan of San Mateo |
County Organized Health System (COHS) Model |
Endocrinology |
32 |
32 |
1 |
Inland Empire Health Plan |
Two Plan Model |
Cardiology/Interventional Cardiology |
70 |
65 |
6 |
Inland Empire Health Plan |
Two Plan Model |
Dermatology |
115 |
88 |
12 |
Inland Empire Health Plan |
Two Plan Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
115 |
75 |
14 |
Inland Empire Health Plan |
Two Plan Model |
Endocrinology |
120 |
70 |
40 |
Inland Empire Health Plan |
Two Plan Model |
Gastroenterology |
115 |
88 |
12 |
Inland Empire Health Plan |
Two Plan Model |
General Surgery |
70 |
70 |
4 |
Inland Empire Health Plan |
Two Plan Model |
Hematology |
140 |
85 |
23 |
Inland Empire Health Plan |
Two Plan Model |
Hospital |
70 |
30 |
21 |
Inland Empire Health Plan |
Two Plan Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
120 |
65 |
25 |
Inland Empire Health Plan |
Two Plan Model |
Nephrology |
115 |
70 |
10 |
Inland Empire Health Plan |
Two Plan Model |
Neurology |
85 |
70 |
10 |
Inland Empire Health Plan |
Two Plan Model |
Obstetrics and Gynecology |
135 |
70 |
3 |
Inland Empire Health Plan |
Two Plan Model |
Obstetrics and Gynecology Primary Care Physician |
140 |
45 |
116 |
Inland Empire Health Plan |
Two Plan Model |
Oncology |
140 |
85 |
23 |
Inland Empire Health Plan |
Two Plan Model |
Ophthalmology |
100 |
88 |
12 |
Inland Empire Health Plan |
Two Plan Model |
Orthopedic Surgery |
75 |
70 |
6 |
Inland Empire Health Plan |
Two Plan Model |
Pharmacy |
70 |
25 |
18 |
Inland Empire Health Plan |
Two Plan Model |
Physical Medicine and Rehabilitation |
115 |
75 |
14 |
Inland Empire Health Plan |
Two Plan Model |
Primary Care Physician |
70 |
25 |
48 |
Inland Empire Health Plan |
Two Plan Model |
Psychiatry |
105 |
70 |
10 |
Inland Empire Health Plan |
Two Plan Model |
Pulmonology |
85 |
65 |
11 |
Kern Family Health Care |
Two Plan Model |
Dermatology |
95 |
95 |
2 |
Kern Family Health Care |
Two Plan Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
90 |
90 |
12 |
Kern Family Health Care |
Two Plan Model |
Endocrinology |
85 |
85 |
2 |
Kern Family Health Care |
Two Plan Model |
Hematology |
95 |
90 |
4 |
Kern Family Health Care |
Two Plan Model |
Hospital |
65 |
45 |
11 |
Kern Family Health Care |
Two Plan Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
90 |
90 |
10 |
Kern Family Health Care |
Two Plan Model |
Nephrology |
85 |
85 |
4 |
Kern Family Health Care |
Two Plan Model |
Neurology |
85 |
85 |
4 |
Kern Family Health Care |
Two Plan Model |
Obstetrics and Gynecology Primary Care Physician |
65 |
55 |
19 |
Kern Family Health Care |
Two Plan Model |
Ophthalmology |
95 |
90 |
10 |
Kern Family Health Care |
Two Plan Model |
Pharmacy |
65 |
65 |
1 |
Kern Family Health Care |
Two Plan Model |
Physical Medicine and Rehabilitation |
95 |
90 |
14 |
Kern Family Health Care |
Two Plan Model |
Pulmonology |
85 |
85 |
2 |
L.A. Care Health Plan |
Two Plan Model |
Cardiology/Interventional Cardiology |
23 |
21 |
8 |
L.A. Care Health Plan |
Two Plan Model |
Dermatology |
23 |
21 |
8 |
L.A. Care Health Plan |
Two Plan Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
24 |
18 |
6 |
L.A. Care Health Plan |
Two Plan Model |
Endocrinology |
30 |
21 |
13 |
L.A. Care Health Plan |
Two Plan Model |
Gastroenterology |
30 |
26 |
10 |
L.A. Care Health Plan |
Two Plan Model |
General Surgery |
33 |
31 |
4 |
L.A. Care Health Plan |
Two Plan Model |
Hematology |
33 |
28 |
13 |
L.A. Care Health Plan |
Two Plan Model |
Hospital |
23 |
19 |
7 |
L.A. Care Health Plan |
Two Plan Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
37 |
21 |
9 |
L.A. Care Health Plan |
Two Plan Model |
Nephrology |
30 |
28 |
4 |
L.A. Care Health Plan |
Two Plan Model |
Neurology |
21 |
20 |
3 |
L.A. Care Health Plan |
Two Plan Model |
Obstetrics and Gynecology |
42 |
42 |
1 |
L.A. Care Health Plan |
Two Plan Model |
Obstetrics and Gynecology Primary Care Physician |
42 |
37 |
9 |
L.A. Care Health Plan |
Two Plan Model |
Oncology |
37 |
29 |
8 |
L.A. Care Health Plan |
Two Plan Model |
Ophthalmology |
21 |
20 |
5 |
L.A. Care Health Plan |
Two Plan Model |
Orthopedic Surgery |
22 |
22 |
4 |
L.A. Care Health Plan |
Two Plan Model |
Pharmacy |
20 |
20 |
1 |
L.A. Care Health Plan |
Two Plan Model |
Physical Medicine and Rehabilitation |
22 |
20 |
9 |
L.A. Care Health Plan |
Two Plan Model |
Primary Care Physician |
17 |
17 |
1 |
L.A. Care Health Plan |
Two Plan Model |
Psychiatry |
25 |
24 |
4 |
L.A. Care Health Plan |
Two Plan Model |
Pulmonology |
42 |
33 |
13 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Cardiology/Interventional Cardiology |
48 |
41 |
8 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Dermatology |
49 |
42 |
8 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
49 |
43 |
12 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Endocrinology |
62 |
46 |
20 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Gastroenterology |
62 |
43 |
16 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
General Surgery |
71 |
41 |
14 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Hematology |
56 |
41 |
20 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Hospital |
63 |
46 |
10 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
62 |
45 |
20 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Nephrology |
62 |
46 |
16 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Neurology |
62 |
45 |
18 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Obstetrics and Gynecology |
62 |
43 |
9 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Obstetrics and Gynecology Primary Care Physician |
67 |
43 |
38 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Oncology |
62 |
46 |
20 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Ophthalmology |
53 |
45 |
8 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Orthopedic Surgery |
62 |
44 |
16 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Physical Medicine and Rehabilitation |
56 |
43 |
14 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Psychiatry |
62 |
45 |
18 |
Molina Healthcare of California Partner Plan, Inc. |
Geographic Managed Care (GMC) Model |
Pulmonology |
64 |
45 |
22 |
Molina Healthcare of California Partner Plan, Inc. |
Imperial Model |
Hospital |
72 |
68 |
5 |
Molina Healthcare of California Partner Plan, Inc. |
Imperial Model |
Obstetrics and Gynecology Primary Care Physician |
72 |
67 |
5 |
Molina Healthcare of California Partner Plan, Inc. |
Imperial Model |
Pharmacy |
71 |
55 |
3 |
Molina Healthcare of California Partner Plan, Inc. |
Imperial Model |
Primary Care Physician |
70 |
56 |
6 |
Molina Healthcare of California Partner Plan, Inc. |
Two Plan Model |
Hospital |
45 |
45 |
1 |
Partnership HealthPlan of California |
County Organized Health System (COHS) Model |
Hematology |
165 |
165 |
50 |
Partnership HealthPlan of California |
County Organized Health System (COHS) Model |
Hospital |
45 |
30 |
67 |
Partnership HealthPlan of California |
County Organized Health System (COHS) Model |
Oncology |
120 |
90 |
50 |
Partnership HealthPlan of California |
County Organized Health System (COHS) Model |
Ophthalmology |
120 |
90 |
44 |
Partnership HealthPlan of California |
County Organized Health System (COHS) Model |
Physical Medicine and Rehabilitation |
120 |
90 |
100 |
Partnership HealthPlan of California |
County Organized Health System (COHS) Model |
Primary Care Physician |
45 |
30 |
26 |
Santa Clara Family Health Plan |
Two Plan Model |
Gastroenterology |
45 |
45 |
6 |
Santa Clara Family Health Plan |
Two Plan Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
50 |
50 |
7 |
Santa Clara Family Health Plan |
Two Plan Model |
Neurology |
45 |
45 |
6 |
Santa Clara Family Health Plan |
Two Plan Model |
Physical Medicine and Rehabilitation |
50 |
45 |
6 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Cardiology/Interventional Cardiology |
63 |
44 |
18 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Dermatology |
62 |
45 |
10 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Ear, Nose, and Throat (ENT) / Otolaryngology |
66 |
49 |
19 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Endocrinology |
53 |
44 |
18 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Gastroenterology |
70 |
49 |
16 |
United Healthcare |
Geographic Managed Care (GMC) Model |
General Surgery |
84 |
47 |
17 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Hematology |
55 |
46 |
18 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Hospital |
61 |
42 |
9 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases |
60 |
45 |
18 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Mental Health (non-psychiatry) Outpatient Services |
40 |
40 |
5 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Nephrology |
52 |
44 |
16 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Neurology |
61 |
47 |
19 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Obstetrics and Gynecology |
48 |
45 |
7 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Obstetrics and Gynecology Primary Care Physician |
63 |
45 |
10 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Oncology |
55 |
46 |
18 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Ophthalmology |
62 |
41 |
13 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Orthopedic Surgery |
53 |
42 |
18 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Physical Medicine and Rehabilitation |
70 |
44 |
17 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Primary Care Physician |
47 |
42 |
6 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Psychiatry |
50 |
44 |
4 |
United Healthcare |
Geographic Managed Care (GMC) Model |
Pulmonology |
60 |
43 |
20 |