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  • Important: Changes to Medi-Cal rules are coming! Medi-Cal will be available to all people who are 50 years of age or older who meet all Medi-Cal eligibility criteria, and immigration status will not matter. These changes will also let people keep more property and qualify for Medi-Cal. Learn more: English / Spanish

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Fast Facts About Us

May 2022

Compassionate care, accessible to all, for a healthy community

Members: 236,281

Projected Income Statement FY2021–22

Projected Membership by June 2022 212,383
Projected Operating Revenue $953,793,473
Projected Medical Expenses $874,738,491
Projected Administrative Expenses $62,421,728
Projected Net Gains $16,633,255
Projected TNE $114,451,945
Projected Required TNE $36,466,424
Percent of Required 314%

Membership Growth

Fiscal Years 2011–2022

2021-22: 236,281; 2020-21: 222,384; 2019-20: 199, 648; 2018-19: 193,646; 2017-18: 196,793; 2016-17: 201,454; 2015-16: 206,920; 2014-15: 187,800; 2013-14: 155,996; 2012-13: 105,910; 2011-12: 102,130

Membership by Supervisorial District

District 1: 36,677, Matt LaVere; District 2: 22,550, Linda Parks; District 3: 43,534, Kelly Long; District 4: 33,981, Bob Huber; District 5: 94,803, Carmen Ramirez; Other: 4,736

Membership by
Age

Ages 0-5: 11%; Ages 6-17: 28%; Ages 18-64: 52%; Ages 65+: 9%

Membership by
Spoken Languages

English: 64%, Spanish: 34%, Other: 2%

Membership by
Aid Category

Families: 54%; Adult Expansion: 31%; Duals (dually Eligible for Medicare and Medi-Cal): 11%; SPD (Seniors and Persons with Disabilities): 4%

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

446 Primary Care Providers
4,560 Specialists*
24 Hospitals
19 Acute Care Hospitals
5 Tertiary Hospitals
358 Behavioral Health Providers
409 Other Service Providers

*Specialists who work in multiple locations are counted once.

Download the Fast Facts pdf

Quality Services

  • In 2020, GCHP reported improvement in 10 quality of care metrics that are reported annually to the state Department of Health Care Services (DHCS) and the National Committee for Quality Assurance (NCQA).
  • In 2020, GCHP scored in the 90th NCQA percentile for the Timelines of Postpartum Care measure.
  • In 2020, 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 ninth consecutive year.

Governance

Gold Coast Health Plan Leadership

Nick Liguori
Chief Executive Officer

Theodore Bagley
Chief Diversity Officer

Kashina Bishop
Chief Financial 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

Ventura County Board of Supervisors

Matt LaVere
Supervisor, District 1

Linda Parks
Supervisor, District 2

Kelly Long
Supervisor, District 3

Bob Huber
Supervisor, District 4

Carmen Ramirez
Supervisor, District 5

Ventura County Medi-Cal Managed Care Commission

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

Andrew Lane
Los Robles Regional Medical Center

Anna Monroy
Clinicas del Camino Real, Inc.

Carmen Ramirez
Ventura County Board of Supervisors

Jennifer Swenson
Adventist Health Simi Valley

Scott Underwood, DO
Oceanview Medical Specialists

General Counsel

Scott H. Campbell
BB&K Law

Community Advisory Committee

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

Provider Advisory Committee

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.