All of L.A. Care's work focuses on the goals and priorities of Vision 2024, a three-year strategic plan for enhancing health plan operations. Vision 2024 highlights four principal directions for our organization: Operational Excellence, High Quality Network, Member Centric Care, and Health Leadership. Through continuous improvements in these areas, L.A. Care's overriding goal is to foster a healthy community in which all have access to the health care they need.
Here are some key measures that demonstrate this commitment to excellence and our efforts to fulfill Vision 2024.
14,000+
Prior Authorization Codes
Removed from L.A. Care’s Prior Authorization Matrix
This change will avoid delays in member care, speed up discharge requests, and decrease administrative burden, all while striving for increased member and provider satisfaction. Codes were removed following an extensive review of historical utilization approvals.
100% OF TRANSFERS
FROM ONE LOCATION TO ANOTHER USING NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT) OCCUR WITHIN THREE HOURS OF THE REQUEST
L.A. Care has increased the service expectations with our contracted vendor to ensure this turnaround time is being met for transportation to and from hospitals and other health care facility settings.
100% CURB-TO-CURB
NON-MEDICAL TRANSPORTATION (NMT) SERVICES CAN BE SCHEDULED SAME DAY TO ACCOMMODATE LAST MINUTE MEMBER APPOINTMENTS
L.A. Care has decreased the average time required to facilitate NMT Curb-to-Curb pick-ups and drop-offs for eligible members from two days to three hours.
66% INCREASE
IN CASE MANAGEMENT POSITIONS
L.A. Care has made significant investments in all areas of clinical services in the past year, including a 66% increase in approved case management positions. Case managers work directly with L.A. Care members with complex needs who need help coordinating their care.
33% IMPROVEMENT
IN URGENT HOSPITAL CARE DECISION RESPONSIVENESS
L.A. Care is available 24 hours a day/7 days a week to ensure L.A. Care members who are in hospital settings receive the appropriate care. The turnaround time for these care decisions has improved by 33% in the past year.
Non-Emergency Medical Transportation: This benefit needs physician authorization and can include transport by ambulance, litter van, wheelchair van medical transportation services, and/or coordinating with para transit.
Non-Medical Transportation: This benefit allows for transportation to approved medical services by passenger car, taxi, or other forms of public/private transportation.
Utilization Management is when L.A. Care makes a decision to approve or deny your care.
A skilled nursing facility is a place that gives 24-hour-a-day nursing care that only trained health professionals may give.