Radar on Medicare Advantage interviewed L.A. Care CEO John Baackes in "Medi-Cal Health Homes Aim to Enhance Care Coordination", an in-depth look at the new state program. The Health Homes Program (HHP) will target the highest risk Medi-Cal beneficiaries and closely coordinate services for these members with chronic conditions.
L.A. Care has already been providing about 1,500 high-risk members with complex care management. HHP provides additional dollars that will allow the health plan to potentially serve 10,000.
The way I see this working is our care management team would probably have two aspects to it: (1) the nurse care manager who we really want to work with the primary care physician who has the power to order services, write scripts, etc., and (2) and the community health workers, who will identify the social determinants that are acting as barriers to care, such as food insecurity or homelessness, and then link people to other services that would help them address those social determinants.
CEO, L.A. Care
"Helping people manage that stuff, getting them the proper nutrition, signing them up for food stamps — that's what a good care management program does, and we've been doing it," Baackes adds. "This is just putting more of a spotlight on it and giving us additional resources to do that and to do that for more people."
About L.A. Care Health Plan
L.A. Care Health Plan is a public entity and community-accountable health plan serving residents of Los Angeles County through a variety of health coverage programs including L.A. Care Covered™, Medi-Cal, L.A. Care Cal MediConnect Plan and PASC-SEIU Homecare Workers Health Care Plan. L.A. Care is a leader in developing new programs through innovative partnerships designed to provide health coverage to vulnerable populations and to support the safety net. With more than 2 million members, L.A. Care is the nation’s largest publicly operated health plan.