L.A. Care Health Plan

Today, L.A. Care and Blue Shield of California Promise Health Plan celebrated the grand opening of their Community Resource Center (CRC) in South L.A. This new CRC is the 13th of its kind, operated by the two health plans across L.A. County, and will be open Monday through Friday from 9 a.m. to 5 p.m. 🎉 The new center will offer a variety of free services, from Zumba and yoga classes to mental health support, aimed at improving physical and mental wellness in the community. 💪🧘♀️ “We know that a healthy life depends on more than just medical check-ups. We’re excited to offer resources that enhance well-being and improve quality of life,” said John Baackes, CEO of L.A. Care. #LACare #SouthLA http://spr.ly/6041UA813

L.A. Care Health Plan is proud to provide the most affordable health coverage in Los Angeles County through the Covered California Exchange! 🏥💰 As the largest health plan in the county, L.A. Care is committed to prioritizing access, quality, and affordability—some members even qualify for $0 monthly premiums. For the first time this year, DACA recipients are eligible to apply for health insurance through Covered California. John Baackes, CEO of L.A. Care, says, “L.A. Care is here to support them with the most affordable health plans, offering no-cost wellness exams, preventive care services, and the potential for financial assistance.” http://spr.ly/6040SGx8k #LACare #CoveredCA #OpenEnrollment

Tonight, L.A. Care is honored to join Clínica Romero in celebrating its 41st Anniversary Gala, a momentous occasion to recognize champions of health equity and social justice in Los Angeles. Clínica Romero will honor John Baackes, CEO of L.A. Care Health Plan, with the prestigious Health Equity Award for his exemplary leadership in the healthcare industry and unwavering commitment to supporting underserved communities across Los Angeles. 🎉🏆 Carlos Vaquerano, CEO of Clínica Romero, acknowledges the transformative impact, saying, “Support from Baackes and L.A. Care has contributed to the elevation of the clinic’s services in the communities we serve.” http://spr.ly/6044qCHXy #LACare #HealthcareLeadership #HealthEquity

Prior authorization processes can often create barriers to timely healthcare access. Sameer Amin MD, Chief Medical Officer of L.A. Care, recently spoke with Howard Wolinsky for the Chicago Medical Society's Chicago Medicine Magazine, sharing insights on the evolving landscape of prior authorizations. 🩺🔍 "For patients and doctors, prior authorization serves as a crucial check to ensure complex procedures are appropriate, based on clinical guidelines and patient needs," says Dr. Amin. L.A. Care has reduced 24% of the codes requiring prior authorization, significantly easing administrative burdens for providers. These changes, including reductions in requirements for complex radiology and durable medical equipment, aim to streamline processes, reduce discharge times, and avoid delays in care. Read more below: http://spr.ly/6045qNl0h #LACare #PriorAuthorization #Healthcare

As open enrollment deadlines approach, staying informed about your health insurance options is crucial. Calhealth.net, a website dedicated to providing health insurance information, offers insights into L.A. Care in the Covered California and Medicare marketplace. 🩺📝 Learn more in the video below: https://www.youtube.como we/watch?v=E32k9z_ztsM #LACare #Medicare #CoveredCalifornia

Robert Griffith, senior director of sales and business development at L.A. Care Health Plan, spoke with Dr. Shawn Maghame, MBA, D.M. from Healthline Media about the major changes to expect during Medicare open enrollment this year. Griffith highlights the new Medicare Payment Prescription Plan, describing it as one of the most significant changes to Medicare Advantage. 🔍💊 Read more about these changes below: http://spr.ly/6044qLuzr #LACare #OpenEnrollment #Medicare

LA Care is proud to celebrate #PharmacyWeek! Every third week of October, pharmacists and pharmacy technicians are recognized for their service in healthcare nationwide. We are thankful for L.A. Care’s own Pharmacy & Formulary Department, which comprises of pharmacists, pharmacy technicians, analysts, project/program managers, and clerks, similarly strives to bring seamless, safe, effective, and equitable access to medication benefits for all of our members. Our department maintains core functions such as formulary and benefits administration, medication therapy management, pharmacy appeals processing, compliance with pharmacy-related regulations, and pharmacy data analytics. 👨⚕️ We recognize their invaluable contributions to patient care as they play a key role in ensuring quality care. ❤️ Join us in celebrating these healthcare heroes! #lacarecovered #PharmacyWeek #HealthCareHeroes

L.A. Care is excited to announce the 15th round of the Robert E. Tranquada Safety Net Initiative, awarding $2.1 million in grants to support 14 community clinics across Los Angeles County! These grants will help clinics address social factors that influence health, such as poverty, housing, education, and transportation, while taking a whole person care approach to reduce health disparities. With clinical care impacting only 20% of health outcomes, addressing social determinants is crucial for improving the well-being of our most vulnerable communities. 🤝❤️ Learn more about the grantees below: http://spr.ly/6045qIYdU #LACare #HealthEquity #SocialDeterminantsOfHealth

At the 2024 CA Association of Health Plans Annual Conference, Sameer Amin MD, CMO of L.A. Care Health Plan, joined industry experts to discuss the vital collaboration between health plans and hospitals to streamline patient discharges. Under strict regulations, health plans ensure timely care access, while hospitals manage discharge planning, including placing patients in Skilled Nursing Facilities (SNFs). Although their roles differ, coordination is key to seamless transitions. "L.A. Care is collaborating with hospitals and skilled nursing facilities to strengthen trust," Dr. Amin emphasized. "Building trust between hospitals and skilled nursing facilities is essential for ensuring patients can be discharged promptly into appropriate care settings." 🤝 Dr. Amin, alongside Dr. Dennis Hsieh of Central California Alliance for Health and Chris Esguerra, MD, MBA of Health Plan of San Mateo (HPSM), explored innovative solutions to improve patient transitions. Topics included increasing SNF bed availability and enhancing collaborative approaches to care. The conference also covered broader issues like Medi-Cal expansion, healthcare affordability, and industry insights on navigating new laws and regulations. With over 1,000 healthcare professionals attending, it’s a pivotal event driving the future of care delivery. 🌟 #HospitalDischarge #PatientCare #HealthCollaboration #LACare #CAHPConference2024 #HealthcareLeadership #HealthPlansSummit #InnovateHealthcare #CAHPAnnualEvent #HealthcarePolicy #IndustryInsightsCAHP #LAHealthcareLeadership #LACare

Dr. Sameer Amin, Chief Medical Officer of L.A. Care Health Plan, is thrilled to be at the California Association of Health Plans 2024 Annual Conference in Palm Desert today! 🌴🏥 Sameer Amin MD will be featured on a panel discussing Improving the Hospital Discharge Process, alongside Dr. Dennis Hsieh from Central California Alliance for Health and Dr. Chris E Esguerra, MD MBA from Health Plan of San Mateo (HPSM). The session will focus on streamlining transitions to skilled nursing facilities and ensuring patients receive the necessary care. http://spr.ly/6046qQZfq #LACare #CAHP2024 #Healthcare