LA Care Health Plan says it will continue to provide affordable health care in 2022 – State of Reform



November 1 marks the start of the three-month open enrollment period for health coverage in California. As the pandemic continues statewide, critical decisions about health coverage for consumers and their families will prove particularly important this time around.

LA Care Health Plan, one of 11 operators offering plans in the California covered market and the nation’s largest public health plan, announced Monday that they are offering the most affordable rates in Los Angeles County.

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The American Rescue Plan (ARP), with its rich grants, made healthcare much more affordable for consumers in 2021. As a result of this increased accessibility, a record 1.6 million people have been enrolled in Covered California, giving the state one of the healthiest consumer pools in the country for the seventh year in a row.

ARP will continue to offer lower premiums and expanded financial assistance throughout the 2022 coverage year. From January 2022, some consumers will receive full premium relief with a zero monthly premium, thanks to the subsidies. federal and state.

Cristina Inglese, executive director of commercial products for LA Care Health Plan, expressed her enthusiasm for the continuation of ARP grants.

“[This] is a huge achievement in ensuring this continuum of care for people who may have struggled during this difficult time and who may have lost their group insurance.

LA Care’s rates were still below the state average for 2022. Due to a record number of registrations and a healthy consumer base, the increase in the state average rate for 2022 does not is only 1.8%, while the average rate of LA Care has decreased by 2.9%. This rate drop is much larger than other packages offered in the California commercial market.

Inglese said beyond affordability, quality of care is also a major consideration for consumers when considering their options in the market, and something LA Care is leading the country as well.

“I think people really think about affordability first. But also, the data really shows that the second closest and dearest thing to buyers is, “What doctor can I get access to?” What is the medical group? What is emergency care and emergencies? “

Inglese said that LA Care, in particular, has grown into one of the largest networks of healthcare providers in Los Angeles County, having partnerships with major entities such as Optum and UCLA Health Care in an effort to ensure members have many options to care for them.

Covered California also said they are committed to working on health equity and addressing disparities. Francese discussed LA Care’s efforts to bring low-income communities to health insurance.

“Data from the past in particular [has shown] the population that we tend to attract is generally a population within the federal poverty line of 150 to 250. And the data shows that these people will make the decision to shop and compare for as little as $ 1, because $ 1 per months actually makes a difference for these households. And so affordability is really important because we know we’re on the exchange to provide health care coverage to this particular demographic who would otherwise not have the ability to purchase insurance. “

Covered California said it will continue to work to improve the quality of care provided to consumers and hold carriers accountable for delivering high-quality, equitable health, with plans to launch a quality transformation initiative in 2023 that will bind from financial penalties to poor performance on key quality metrics like colon cancer screening and diabetes control.

Inglese also commented on LA Care’s efforts to address the social determinants of their members’ health.

“I think we see the value of integrating other products and services alongside health care… the work we do in our community with the partnerships we have with food shelters, with support for the homeless , we understand the cyclical work that needs to happen in order to keep the community healthy. It’s not just about having access to the doctor, but being able to have a continuum with… home security, food security and access to medication.


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