L.A. Care pays providers in these ways:
- Capitation payments
- L.A. Care pays some providers a set amount of money every month for each L.A. Care member. This is called a capitation payment. L.A. Care and providers work together to decide on the payment amount.
- Fee-for-service payments (FFS)
- Some providers give care to L.A. Care members and send L.A. Care a bill for the services they provided. This is called a fee for service (FFS) payment. L.A. Care and providers work together to decide how much each service costs.
To learn more about how L.A. Care pays providers, call Member Services at 1-888-839-9909 (TTY: 711).
- Provider Incentive Programs
L.A. Care offers incentives to providers with the goal of improving your care and experience with
L.A. Care physicians. These programs aim to improve:- Quality of medical care provided
- Access and availability to care and needs
- Treatments provided
- Improved member satisfaction outcomes
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