Payer Collaboration
Sacramento patients and providers are in the midst of a crisis that impacts access to care.
E-consults can help bridge this gap. Medi-Cal managed care organizations (MCOs) in the Sacramento metropolitan area are working together to support clinics and health systems in the region by providing no-cost access to electronic consult (e-consult) to improve Medi-Cal patient access to specialty care. The Sacramento E-Consult Coalition is a group of community health centers, health systems, independent practice associations and MCOs working together to create an inclusive program to address implementation needs, streamline referral workflows and improve patient/member experiences.
Unique Aspects of the Coalition
- Payer collaboration to cover e-consult platform costs and specialist fees to make the service available to all providers, their Medi-Cal managed care and uninsured patients;
- Organizations working to resolve key issues and disseminate learnings to support program spread;
- Provider champion sharing of the benefits and value proposition of e-consult to facilitate use;
- Shared tracking of progress and modeling of outcomes to sustain adoption; and
- Opportunity for local specialists to engage in responding to primary care provider questions.
Join the Sacramento E-Consult Coalition
- Your organization is invited to join us for a Sacramento/North Rural Lunch and Learn at the Sierra Health Foundation, May 10, 12-1 PT
- Please join us for a session on E-Consult and Telehealth Tools to address Mental Health Needs on May 24 from 12-1 PT. Register here.
- To join the SREC or learn more, contact econsultworkgroup@bluepathhealth.com.
Primary Care Provider Organization Role
- Commit to participate in monthly Coalition Roundtables
- Engage e-consult program team (clinician lead, referral or manager, and IT lead)
- The health system will not be charged a fee for the platform, services or implementation support
Program Materials
Sacramento E-Consult Coalition Participants
- Anthem Blue Cross
- Aetna
- CCUIH
- CRIHB
- CommuniCare
- ConferMED
- El Dorado Community Health Center
- Elica Health
- Harmony Health
- Imperial Health Holdings
- Molina Health
- Nivano Physicians Group
- ONE Community Health
- Partnership HealthPlan
- Peach Tree Healthcare
- River City Medical Group
- Sacramento Native American Health Center (SNAHC)
- Wellspace Health
Meeting Recordings
Sacramento E-Consult Stakeholder Kickoff - 4/20/2022