We are proud to be one of only two Medicaid health plans in California that earned 4.5 Out of 5 Stars from the National Committee for Quality Assurance (NCQA) in 2024! This distinction reflects HPSM’s focus on our member’s health outcomes, and our continuous quality improvement efforts in many areas over time. Some of the efforts that contributed to our high-quality health outcomes for our members include: • Prenatal and Postpartum Care: Our Baby+Me Program helps pregnant members get access to timely prenatal care and postpartum care, through member outreach and incentives. • Diabetes management interventions: HPSM programs include an ongoing focus on promoting medication adherence and self-management programs, as well as providing members with case management and extra support during transitions of care. • Provider Incentive Programs: HPSM’s value-based payment programs are designed in collaboration with our providers, and are regularly revised to focus on closing important gaps in care. Our current programs include incentives for providers to close care gaps in several priority areas, including: breast and cervical cancer screenings, child and adolescent immunizations, and providing members with support managing diabetes and high blood pressure.
Health Plan of San Mateo (HPSM)
Hospitals and Health Care
South San Francisco, California 5,140 followers
We believe that Healthy is for Everyone — and we fight to make that possible.
About us
The Health Plan of San Mateo (HPSM) is a local non-profit health care plan that offers health coverage and a provider network to San Mateo County's under-insured population. We currently serve more than 145,000 County residents.
- Website
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https://www.hpsm.org
External link for Health Plan of San Mateo (HPSM)
- Industry
- Hospitals and Health Care
- Company size
- 201-500 employees
- Headquarters
- South San Francisco, California
- Type
- Nonprofit
- Founded
- 1987
- Specialties
- Health Insurance, Medicare, Medi-Cal, County Organized Health System (COHS), Provider Network, CareAdvantage, Healthy Kids, HealthWorx, Care Coordination, Complex Care Management, California Children's Services (CCS), and Medicare Advantage
Locations
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Primary
801 Gateway Blvd
South San Francisco, California 94080, US
Employees at Health Plan of San Mateo (HPSM)
Updates
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Health Plan of San Mateo (HPSM) reposted this
Proud to share the result of the hard work and ongoing collaborations of our teams at Health Plan of San Mateo (HPSM) in partnership with our providers and community partners. We achieved a 4.5 Star NCQA rating for 2024. We are one of a small number of local public plans achieving this distinction nationally. We continue to live our mission of Health is for Everyone and this result demonstrates our drive. 👏 https://lnkd.in/gxUax2Aq
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We are proud to contribute to innovations in #Medicaid — most recently in advancing #Priorauthorizations. This continuing work helps us make sure #healthyisforeveryone.
What a fantastic Day Two of “Medicaid Leadership Innovations”! It was a solid half day brimming with content, kicked off by Neeraj Gandotra MD of SAMHSA. Also joining us were Lauryn Walker, Robert Krebbs, Alyssa Ward, Nissa Shaffi, Kevin Bagley, DHA, FACHE, Catherine Kelley Silva, Bill Friedman, Chris Esguerra, MD, MBA, Steven Merahn, MD, and Joseph Parks Thank you to all of our amazing speakers and sponsors for helping us to put together an amazing event!!!
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We are always learning ways to serve our members better! One way we do this is with internal training and development. Staff from various departments became certified trainers after taking a recent three-day course with Global Learning Partners. This enables them to create customized employee learning experiences that engage both the head and heart. To optimize their effectiveness, our new cadre of internal trainers will meet regularly to support, encourage and learn from one another. #healthplanofsanmateo #learninganddevelopment #motivation #learningorganization #corporatetrainint #leadership #traininganddevelopment
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May is Asian American & Pacific Islander Heritage Month! While our goal is making sure that #healthyisforeveryone all year long, we recognize this month by highlighting our ongoing focus on enhancing the healthcare experiences of our members who identify as Asian American/Pacific Islander. This includes our Population Health initiatives aimed at reducing healthcare disparities affecting these members. Learn more about our efforts: https://lnkd.in/g_rb6hH6 #healthyisforeveryone #AAPI #belonging #diversity #culture #culturallyinclusivecare
Member Newsletter | HPSM Members
hpsm.org
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Exciting news! Are you a healthcare undergrad, grad student or entry-level career professional looking to start a career in the healthcare field? Look no further! We are proud to announce our 2024 Summer Internship/Fellowship Program! This year we have eight opportunities, each providing hands-on experience and valuable insights into the world of managed care while also offering a unique chance to gain practical knowledge and make meaningful contributions to our organization. Applicants can live anywhere in California and choose whether to work remotely, onsite at HPSM’s South San Francisco headquarters or a hybrid schedule. Earn up to $26/hour while having a real-world impact on the healthcare safety net at a community-based managed care plan. Application deadline is May 8th. Learn more and apply at https://lnkd.in/g_fzKapm.
Internship/Fellowship Program | HPSM Employment Opportunities
hpsm.org
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We are proud that our Chief Medical Officer, Chris Esguerra, MD, MBA, will be part of the lineup of healthcare experts presenting at the 2024 Northern California State of Reform Health Policy Conference. This event in Sacramento on April 16th, 2024 will feature leaders from the nonprofit, corporate and political sectors discussing a range of vital healthcare issues. Get your tickets at https://lnkd.in/ezC24wXf!
There's still to secure your ticket for the 2024 Northern California State of Reform Health Policy Conference! Join us next week for a valuable lineup of conversations with many of the leading voices in state healthcare and health policy, including California Health Care Foundation President and CEO Sandra Hernandez, MD, Sacramento Mayor Darrell Steinberg, Health Plan of San Mateo Chief Medical Officer Chris Esguerra, MD, and many more. Don't miss out on discussions with these experts and more on a wide range of issues including the long-term financing of hospitals, paraprofessional recruitment and retention, the remaining challenges with CalAIM, and more. Register today! Sandra R. Hernández, M.D. California Health Care Foundation Darrell Steinberg City of Sacramento Chris Esguerra, MD, MBA Health Plan of San Mateo (HPSM) #California #healthcare #healthpolicy
2024 Northern California State of Reform Health Policy Conference
https://stateofreform.com
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To help bring our vision that healthy is for everyone to life, we cover a full range of specialized health services for our members. This ensures that people diagnosed with specific medical conditions can get the right type of care when they need it. Such comprehensive coverage results in better health care experiences and outcomes for our members. Learn more about the specialized providers and services we offer at https://lnkd.in/g84MWBSZ #healthyisforeveryone
Member Newsletter | HPSM Members
hpsm.org
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Ten years ago this month, the Affordable Care Act (ACA) expanded Medicaid to more low-income adults. It is fitting then that, starting on January 1, we began enrolling thousands of new members as California became the first state to cover all residents regardless of documentation status. That means over 15,000 of our Access to Care for Everyone (ACE) participants are transitioning to our Medi-Cal plan, which will provide expanded benefits (including dental) and a broader network of providers, all at no cost to the individual. Our Chief Executive Officer, Patrick Curran, has written a special message to recognize these two important health care milestones: read it at: https://lnkd.in/gt5MfErT #healthyisforeveryone #affordablehealthcare