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Molina Healthcare

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Founded in 1980 by Dr. C. David Molina as a provider organization serving low- income families in Southern California, Molina Healthcare is a multistate health care company serving individuals who receive their care through Medicaid, Medicare and other government programs in 15 states. Based in Long Beach, Molina serves Covered California enrollees in pricing regions 13, 15, 16, 17 and 19.

Expanding networks

For 2016, Molina is expanding its Covered California service area in Riverside County to include the Coachella Valley and is adding Imperial County. Over the past few years, Molina has more than doubled its network of physicians and mental health providers and has increased its hospital network by 60 percent. In 2016, Molina will offer Covered California members access to more than 20,000 health providers.

Consumer tools

Through the MyMolina member portal, members will have the opportunity to complete a health appraisal in English or Spanish and receive access to personalized health education information, including a medical library, an exercise library, a cookbook and other activities. Molina’s Procedure Cost Estimator is a search tool in the MyMolina member portal that works to help members estimate their financial responsibility for a specific service or treatment from a provider or institution. With the launch of its first iteration on July 1, 2015, the tool allows a member to enter a procedure code to obtain the in-network and out-of-network cost range the member may have to pay for that procedure. The in-network cost range provides the lowest possible copay and the highest possible coinsurance for that benefit for any plan level based on Molina provider contracted rates.

Multicultural approach to health and wellness

Through direct outreach in Mandarin, Cantonese, Korean, Spanish and Vietnamese to members who identify as active smokers, Molina has doubled the number of members it refers to the California Smokers’ Hotline. Members can enroll themselves in the program online or be referred by their provider to Molina’s Health Education Department, which then transfers the member to a counselor or group classes within 24 hours. Molina also conducts health promotion outreach to young adults through activities held in local trade schools and by connecting to families who speak languages other than English through interaction with English as a Second Language (ESL) parent groups in local school districts.

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