My Health L.A. Continues to GrowPosted by Anulkah Thomas, Health Coverage Policy Analyst on February 20th, 2015
With less than six months of operation, the My Health L.A. (MHLA) program has already surpassed half of the enrollment target of 146,000. MHLA is a program for low-income Los Angeles county residents who do not qualify for any other source of affordable healthcare because of their immigration status. According to the most recent Department of Health Services (DHS) demographic report, the program enrolled 68,390 members by December 31, 2014. At the January 26, 2015 LA Access to Health Coverage Coalition meeting, Program Director Amy Luftig-Viste reported that enrollment had increased even further to about 75,000. Given that DHS estimates there are some 400,000 people in Los Angeles county that may qualify for the program (and the Migration Policy Institute’s estimates go even higher), CHC and the LAHealth4All Coalition will continue to push for increased funding in order to expand capacity and raise reimbursement rates.
The MHLA provider network has added four additional clinics after a second solicitation for proposals was released: Clinica Oscar Romero, South Central Family Health Center, Center for Family Health and Education, and AIDS Project Los Angeles. This brings the total to 54 community clinic partners representing over 160 sites throughout the county. In the coming months DHS will move forward with a new reimbursement model in which providers are issued a monthly payment for each enrolled participant rather than a payment for each service or visit. Implementation of this payment arrangement was delayed in order to give clinics time to build up their MHLA enrollment so that the implementation of the model would be fiscally feasible for the clinics. DHS is also working to make prescriptions accessible to members at retail pharmacies, rather than the clinic dispensaries and pharmacies most currently use.