Members: 248,872
Projected Income Statement FY2022–23
| Projected Membership by June 2023 | 208,619 |
| Projected Operating Revenue | $903,907,939 |
| Projected Medical Expenses | $790,645,983 |
| Projected Administrative Expenses | $73,538,379 |
| Projected Net Gains | $39,723,577 |
| Projected TNE | $218,364,770 |
| Projected Required TNE | $33,386,024 |
| Percent of Required | 654% |
Membership Growth
Fiscal Years 2013–2023
Membership by Supervisorial District
Membership by
Age
Membership by
Spoken Languages
Membership by
Aid Category
Who We Serve
1 in 2
Ventura County children (ages 0–5)
1 in 5
Ventura County residents
1 in 8
Ventura County seniors
Our Provider Network*
448 Primary Care Providers
4,604 Specialists**
24 Hospitals
19 Acute Care Hospitals
5 Tertiary Hospitals
365 Behavioral Health Providers
460 Other Service Providers
*Most recent data approved by the state Department of Health Care Services (DHCS).
**Specialists who work in multiple locations are counted once.
Quality Services
2021 Measurement Year (MY) Gold Coast Health Plan (GCHP) Performance Highlights
- GCHP reported 39 quality of care measures to the state Department of Health Care Services (DHCS) and the National Committee for Quality Assurance (NCQA).
- GCHP reported improvement in 19 measures, most notably childhood immunizations, well-care visits and counseling for nutrition and physical activity in children and adolescents.
- Of the 15 measures held to the minimum performance level (50th Medicaid HMO percentile ranking established by NCQA Quality Compass®), 10 measures met or exceeded the 50th NCQA percentile.
- GCHP scored in the 90th NCQA percentile for the Timelines of Prenatal Care and Postpartum Care.
- GCHP scored in the 75th NCQA percentile for the Weight Assessment and Counseling for Nutrition and Physical Activity in Children and Adolescents: Body Mass Index
- GCHP successfully passed the NCQA Health Effectiveness Data and Information Set (HEDIS®) Compliance Audit™ for the tenth consecutive year.
Governance
Nick Liguori
Chief Executive Officer
Theodore Bagley
Chief Diversity Officer
Erik Cho
Chief Policy and Program Officer
Robert Franco
Chief Compliance Officer
Alan Torres
Chief Information Officer
Nancy R. Wharfield, MD
Chief Medical Officer
Michael Murguia
Executive Director of Human Resources
Marlen Torres
Executive Director of Strategy and External Affairs
Matt LaVere
Supervisor, District 1
Jeff Gorell
Supervisor, District 2
Kelly Long
Supervisor, District 3
Janice Parvin
Supervisor, District 4
Vianey Lopez
Supervisor, District 5
Dee Pupa Chair
Ventura County Health Care Agency
Laura Espinosa Vice Chair
Consumer Representative
Anwar Abbas
Clinicas del Camino Real, Inc.
Shawn Atin
County of Ventura
Allison Blaze, MD
Ventura County Health Care Agency
James Corwin
Community Memorial Health System
Vianey Lopez
Ventura County Board of Supervisors
Anna Monroy
Clinicas del Camino Real, Inc.
Sara Sanchez
County of Ventura
Jennifer Swenson
Adventist Health Simi Valley
Scott Underwood, DO
Oceanview Medical Specialists
Scott H. Campbell
BB&K Law
Ruben Juarez Chairperson
Ventura County Health Care Agency, Whole Person Care
Pablo Velez Vice Chairperson
Amigo Baby, Inc.
Frisa Herrera
Casa Pacifica
Martha Johnson
Ventura County Health Care Agency
Paula Johnson
ARC of Ventura County
Laurie Jordan
Rainbow Connection / Tri-Counties Regional Center
Victoria Jump
Ventura County Area Agency on Aging
Elaine Martinez
Ventura County Human Services Agency
Rafael Stoneman
Gold Coast Veterans Foundation
Masood Babaeian
Ventura Transit System, Inc.
Linda Baker
Clinicas del Camino Real, Inc.
Joan Buck-Plassmeyer
Los Robles Homecare Services Inc.
David A. Fein
Shield Healthcare
Will Garand
Community Memorial Health System
Katy Krul
Oxnard Family Circle
Adult Day Health Care Center
Sim Mandelbaum
U.S. Skilled Serve Inc.
Richard Montmeny
Dignity Health
Pablo Velez
Amigo Baby, Inc.