thePULSE

There have been questions from Medicare doctors and other health care professionals about whether they can request Durable Medical Equipment (DME) for their L.A. Care patients who are eligible for both Medi-Cal and Medicare. The...
On March 27, 2013, the federal Centers for Medicare and Medicaid Services (CMS) and California Department of Health Care Services DHCS announced the completion of a Memorandum of Understanding for the Duals Demonstration Pilot....
Call volume in your office may increase soon due to L.A. Care’s Passport to Good Health program that has rolled out to Medicare Advantage (HMO SNP) members. The program encourages plan members to bring their personalized...
L.A. Care has welcomed Gertrude “Trudi” Carter, M.D., as its Chief Medical Officer effective November 2012.  Dr. Carter most recently was CMO at CalOptima, L.A. Care’s sister Medi-Cal health plan in Orange County, where she...
L.A. Care continues to ramp up for the combined Medicare-Medicaid Duals Demonstration Pilot program slated to begin June 1, 2013. It is currently reaching out to all skilled nursing facilities (SNF) in the county to prepare for...
L.A. Care Health Plan’s new compensation model for its Medi-Cal direct line of business will begin phasing into contracts effective February 1, 2013. Called the Compensation & Care Alignment Plan, or C-CAP, the model...
L.A. Care has paid more than $9.8 million in incentive payments for thePhysician Pay-for-Performance (P4P) Program to more than 600 physicians and community clinics. The highest performers received more than $3.00 PMPM,...
The Governor’s budget proposal that was released last week includes a new date for the launch of the Duals Demonstration Pilot: September 1, 2013. This means that the first beneficiary notice will come no earlier than June 2013...
Call volume in your office may increase soon due to L.A. Care’s Passport to Good Health program that has rolled out to Medicare Advantage (HMO SNP) members. The program encourages plan members to bring their personalized...
L.A. Care has welcomed Gertrude “Trudi” Carter, M.D., as its Chief Medical Officer effective November 2012. Dr. Carter most recently was CMO at CalOptima, L.A. Care’s sister Medi-Cal health plan in Orange County, where she led...