Monterey

Health Reimagined Initiative:
Monterey County


Monterey 1

Overview

Health Reimagined is Blue Shield of California’s ambitious plan to transform our healthcare system with innovative ideas and new technologies that improve quality while making care more affordable. We’re collaborating closely with medical providers, employers, community leaders, and others throughout the state to make this vision come to life.

Our approach

Health Reimagined focuses on three categories:

High-tech, high-touch support
We’re implementing a suite of technology tools
and services to support care that is safe, effective, and efficient, while removing distractions, inefficiencies, and burdens from the provider and member experience.

Personal care
Our care model is patient-centered, data-driven,
and evidenced-based. It gives patients and their physicians the tools, time, and space to address complex health issues, and supports and rewards better-quality health outcomes.

Holistic health
By addressing social, environmental, clinical, genetic, and behavioral drivers of health
and connecting members to essential community services, we’re helping improve the
health of our communities.

We have launched multiple pilot programs in four counties throughout California: Butte, Los Angeles, Monterey, and Sacramento. Each of these regions has unique characteristics and needs that will help us understand which approaches are most effective, and how they can be scaled and made available in other parts of the state.


Health Reimagined in Monterey County

In Monterey County, we are working to improve access to primary care providers by supporting and collaborating with a large employer –Municipalities, Colleges, Schools Insurance Group (MCSIG). Our long-term goals include adding improved access to primary care and behavioral health providers and implementing programs that address social determinants of health. We believe businesses and employers can play a key role in how we can reshape health care to increase quality of care while making care delivery sustainably affordable. Additionally, we are working with Salinas Valley Medical Clinic and Acacia Medical Group to implement innovative payment models and the Community Health Advocate Program, as well as Monterey Spine and Joint to establish


Pilot program participants

• Altais Health
• Acacia Medical Group
• Community Health Innovations (CHI)
• Monterey County Department of Health
• Monterey Spine and Joint
• Salinas Valley Medical Clinic


Key initiatives

Community Health Advocate Program
Aimed at promoting preventive measures to help manage member health and identify health risks, the Blue Shield-funded Community Health Advocate Program operates in several community medical practices in Monterey County, providing personalized, high-touch care, integrated with innovative technology and collaborative community organizations. Among services community health advocates provide are:
o Acting as a liaison with local community and health care organizations
o Coordinating quality healthcare and community resources
o Reducing social challenges and barriers to achieving positive health outcomes
o Increasing access to services and care coordination

Community Health Advocate mobile clinic program
Blue Shield has engaged in an innovative sponsorship with Community Health Innovations (CHI) to deploy community health advocates in mobile clinics in Monterey County – two in Montage Health mobile clinics and two in Salinas Valley Memorial Healthcare System mobile clinics. The mobile clinic program is offered to patients regardless of insurance coverage and is designed to help patients whose behaviors, complexity of condition, and/or socioeconomic circumstances are impeding optimal health or recovery.

Expand primary/specialty care services in the region
Several initiatives in Monterey County will expand healthcare services for residents:
o Altais Health is opening two primary care clinics in collaboration with a healthcare services company that helps physicians and the clinical community maximize the health and well-being of their patients in a sustainably affordable way, while reducing practice administrative burden. The clinics will equip providers with Health Reimagined solutions, such as the Community Health Advocate Program and shared decision-making platforms.
o To deliver urgent, after-hours medical services for patients with sports injuries, we are setting up a new orthopedic clinic with Monterey Spine and Joint.
o An alternative payment model and Community Health Advocate Program with two primary care physicians at Salinas Valley Medical Clinic and Acacia Medical Group are helping to address social determinants of health for patients and enable a holistic approach to primary care.

Blue Shield of California is an independent licensee of the Blue Shield Association.