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 then send L.A. Care a bill for the services they provided. This is called an FFS payment. L.A. Care and providers work together to decide how much each service costs.
- Provider Incentive Programs
L.A. Care offers providers incentives to improve your care and your experience with L.A. Care providers. These programs help improve:- Quality of care
- Access and availability to care and services
- Treatments provided
- Member satisfaction
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