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Letter From the Medical Director
Dear Providers,
Welcome to 2010! In 1966, President Kennedy quoted an ancient Chinese curse “May he live in interesting times.” The quote was not Chinese, and probably not ancient, but it is as timely now as it was then. “Like it or not, we live in interesting times...”
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2009 Provider Recognition and Awards Ceremony
On October 29, 2009, SFHP honored providers for their dedication to serving the residents of San Francisco and excellence in health care at the 2009 Provider Recognition Dinner and Awards Ceremony. The attendees, including providers from each medical group, SFHP Governing Board Members, and SFHP Staff, gathered at 1 Fort Mason for this successful event (despite the Bay Bridge Closure and H1N1 vaccination clinics). Children’s Health Center at SFGH received the SFHP Award for Excellence for their Fluoride Varnish Program
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Chronic Pain Management Collaboration
Chronic pain management can be challenging, and a collaboration of DPH and Community Clinic Consortium doctors are working together to create a common set of guidelines, practices, and patient education forms that can be used across the safety net. In this way, patients with chronic pain can expect similar high-quality, comprehensive treatment no matter where they seek care. In addition, they can experience similar practices at different clinic sites, to minimize “doctor-shopping”.
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Utilization Update: Pediasure, Orthotics & Glucose Strips
"Why is SFHP denying my request?"
Unlike for-profit health plans, it is SFHP’s providers, not shareholders, that benefit from utilization management. We aim to strike the right balance of being good stewards of appropriate use through reliance on objective medical necessity criteria, with the aim of not inappropriately interfering with the doctor-patient relationship. If you haven’t yet been compelled by the data from the Dartmouth Atlas
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The Case for Vitamin D
Condensed from an article by Amy Shaw, MD, Sonoma Medicine
It is not an exaggeration to describe vitamin D deficiency as an epidemic throughout the industrial world. What else would you call a condition that is now present in 70% to 90% of American postmenopausal women, 81% of newborns in New Jersey, 48% of 10-year-old girls in Boston, and 100% of African-Americans in Minnesota?
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SFHP Incentive Programs
Members can receive $25 or $50 gift cards (depending on the program) for getting certain tests, screenings and check-up visits with their doctors. The following incentive programs are offered to members to encourage and reward them for getting timely preventive care:
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Health Education Compensation Program (HECP)
Did you know that SFHP will reimburse your clinic/practice for the provision of health education services? If your practice site provides group and/or individual health education counseling, you may be eligible for reimbursement through the Health Education Compensation Program (HECP). For more information about reimbursement amounts, health topics covered, and how to apply, visit the SFHP website.
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Childhood Obesity 2010: The Next Generation of Prevention and Management
San Francisco Health Plan, in collaboration with the San Francisco Childhood Obesity Task Force, is pleased to announce the upcoming training: “Childhood Obesity 2010: The Next Generation of Prevention and Management.”
For further information about the training, who should attend, and how to register, please click here.
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Formulary Updates
- Updates from October 2009 P&T Committee for Medi-Cal, Healthy Families and Healthy Kids
- Drug Class Reviewed- ADHD Agents
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Healthy Families and Healthy Kids Co-pay Changes
San Francisco Health Plan is happy to announce the wait list for the Healthy Families Program has been lifted and the Managed Risk Medical Insurance Board (MRMIB) is in the process of enrolling children currently on the wait list. The program is also currently accepting new applications. The funding to save the Healthy Families program from disenrolling children came from significant funding through The First 5 Commission of California and the bill AB 1422. AB 1422 was signed by the Governor and will fill the more than $100 million funding
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Check Your Provider Updates!
The provider section of the SFHP website includes a “Provider Update” tab.
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