Access, Coordination, and At-Risk Enrollee Support. The Exchange and Contractor recognize that access to care, coordination of care and early identification of high risk enrollees are central to the improvement of Enrollee health. Traditionally, Primary Care Providers have provided an entry point to the system (access), coordination of care and early identification of at risk patients, and the Exchange strongly encourages the full use of PCPs by Contractors. Contractor and the Exchange shall identify further ways to increase access and coordination of care and agree to work collaboratively to achieve these objectives.
Access, Coordination, and At-Risk Enrollee Support. The Exchange and Contractor recognize that enhanced access to care, increased coordination of care and early identification of high risk enrollees are central to the improvement of enrollee health. The addition of Covered California enrollees to the current delivery system will create significant challenges that both the Contractor and the Exchange will need to work collaboratively to solve. Traditionally, Primary Care Providers have provided an entry point to the system (access), coordination of care and early identification of at risk patients, and the Exchange strongly encourages the full use of PCPs by Contractors. At the same time, Contractor and the Exchange shall seek to identify further ways to increase access and coordination of care and agree to work collaboratively to achieve these objectives.
