CareWorx Healthcare Solutions

Health Plan Profile

L.A. Care Health Plan

The nation's largest publicly operated health plan, serving Los Angeles County.

Region
Los Angeles County
Established
1997
Members
~2.6M members
Plan Types
4

Who They Are

About L.A. Care

Overview

L.A. Care Health Plan is a public, community-accountable health plan serving low-income residents of Los Angeles County and the nation's largest publicly operated health plan by membership. Created by the Los Angeles County Board of Supervisors in 1997 to operate the county's Medi-Cal program, L.A. Care covers Medi-Cal, L.A. Care Covered, PASC-SEIU, and Medicare Plus members. It operates under L.A. County's Two-Plan model alongside Anthem Blue Cross and contracts with a layered Plan Partner, IPA, FQHC, and direct-provider network that spans nearly every ZIP code in the county. L.A. Care is one of the largest operators of CalAIM Enhanced Care Management and Community Supports in California and a primary financier of the L.A. safety net.

Mission

"To provide access to quality health care for Los Angeles County's vulnerable and low-income communities, and to support the safety net required to achieve that purpose."

In practice that means contracting deeply with FQHCs and community providers, funding workforce pipelines, and standing up Community Resource Centers in historically under-served neighborhoods across L.A. County.

Services

What L.A. Care offers

Medi-Cal managed care coverage
Enhanced Care Management (ECM) for high-need members
Community Supports under CalAIM
Behavioral health and substance use services
Pharmacy and care coordination
Community Resource Centers across L.A. County
Member outreach, health education, and CHW programs

Plan Types

Lines of business

The product lines this plan operates across Medi-Cal, Medicare, commercial, and dual-eligible populations.

Medi-Cal Managed Care
L.A. Care Covered (Covered California)
PASC-SEIU Homecare Workers Health Care Plan
L.A. Care Medicare Plus (D-SNP)

Furthermore

More on L.A. Care

  • Operates one of California's largest CalAIM ECM and Community Supports networks.
  • Partners with FQHCs, IPAs, hospitals, and community-based organizations across L.A. County.
  • Operates a network of free Community Resource Centers offering classes, screenings, and health education.
  • Invests in workforce development, CHW programs, and the broader L.A. safety net.
  • A founding plan in the L.A. County Two-Plan Medi-Cal model.
Official site
www.lacare.org
Visit L.A. Care

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