Claire Dawson
As one of the leading hospitals in the country, Cedars-Sinai has established partnerships with several health plans to provide services to its members. One such partnership is with L.A. Care Health Plan, the largest health plan in Los Angeles County, which offers four health coverage plans, including Medi-Cal. Through this collaboration, Cedars-Sinai provides access to high-quality, compassionate care for people throughout Los Angeles, integrating medical, long-term, mental health, substance abuse, and social services. Additionally, the Providence Cedars-Sinai Tarzana Medical Center is listed as accepting Medi-Cal under the Covered California Cal Mediconnect Dual Eligible HMO/PPO Medical Group.
| Characteristics | Values |
|---|---|
| Does Cedars-Sinai Hospital accept Medi-Cal? | Yes, Cedars-Sinai Hospital does accept Medi-Cal. It entered into a partnership with L.A. Care Health Plan, which offers Medi-Cal, to provide services to Cal MediConnect members. |
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What You'll Learn
L.A. Care Health Plan's partnership with Cedars-Sinai
On August 18, 2014, L.A. Care Health Plan, the largest health plan in Los Angeles County, entered into a partnership with Cedars-Sinai, one of the leading hospitals in the country, to provide services to L.A. Care members enrolled in Cal MediConnect. This program is designed to integrate medical care, long-term care, mental health, substance abuse programs, and social services under a coordinated care plan.
Through this partnership, L.A. Care dual-eligible members will have access to a select group of physicians who are part of Cedars-Sinai's Cal MediConnect Network. More than 300 Cedars-Sinai doctors from its network of primary care physicians and specialists will serve these members.
"We are excited to serve our Cal MediConnect members in partnership with Cedars-Sinai, one of the leading hospitals in the country," said L.A. Care Chief Executive Office Howard A. Kahn. "This collaboration further highlights our shared commitment to the community's well-being and improving access to high-quality health care for all of Los Angeles County."
Thomas M. Priselac, Cedars-Sinai's president and CEO, also commented on the partnership: "This new partnership is part of Cedars-Sinai's longstanding tradition of providing access to high-quality, compassionate care for people throughout Los Angeles. We are pleased to work with L.A. Care to meet the increasing demand for Cedars-Sinai quality from residents throughout Los Angeles County."
L.A. Care Health Plan offers four health coverage plans: Medi-Cal, L.A. Care Covered™, L.A. Care Medicare Plus, and the PASC-SEIU Homecare Workers Health Care Plan. As a public entity, its mission is to provide access to quality health care for L.A. County's low-income communities and to support the safety net required to achieve that purpose.
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Cal MediConnect program
The Cal MediConnect Program is an innovative healthcare program designed to help low-income individuals in California who qualify for both Medicare and Medi-Cal. The program aims to streamline the healthcare process by consolidating overlapping services and benefits under a single coordinated care plan. This includes integrating medical care, long-term care, mental health services, substance abuse programs, and social services.
The California Department of Health Care Services (DHCS) and the federal Centers for Medicare and Medicaid Services (CMS) are directly contracting with several health plans, including L.A. Care Health Plan, to provide seamless and easy-to-understand insurance coverage for eligible individuals in Los Angeles County. L.A. Care Health Plan is the largest health plan in Los Angeles County, serving more than one out of every four residents.
The Cal MediConnect Program began voluntary enrollment in Los Angeles County in April 2014. As of August 18, 2014, more than 300 Cedars-Sinai doctors, including primary care physicians and specialists, are serving L.A. Care dual-eligible members through a partnership with Cedars-Sinai. This partnership allows members to access high-quality healthcare while remaining in the comfort and security of their own communities.
On January 1, 2023, the Cal MediConnect plan transitioned into a matching Medicare and Medi-Cal plan provided by the same company. This change occurred in all Coordinated Care Initiative (CCI) counties: Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara. Existing Cal MediConnect members did not need to take any action to enroll in the new matching plans and could continue receiving the same healthcare benefits.
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Cedars-Sinai's commitment to improving access
Cedars-Sinai is a leading healthcare organization with a longstanding tradition of providing access to high-quality, compassionate care for people throughout Los Angeles. Since its founding in 1902, Cedars-Sinai has continually evolved to meet the healthcare needs of one of the most diverse regions in the nation. As one of the largest nonprofit academic medical centers in the US, Cedars-Sinai is committed to transforming healthcare and setting new standards for quality and innovation in patient care, research, teaching, and community service.
Cedars-Sinai demonstrates its commitment to improving access by partnering with organizations such as L.A. Care Health Plan to serve the community better. Through its collaboration with L.A. Care, Cedars-Sinai serves Cal MediConnect members, integrating medical care, long-term care, mental health services, substance abuse programs, and social services under a coordinated care plan. This partnership reflects Cedars-Sinai's dedication to improving access to healthcare for all Los Angeles County residents.
The hospital's commitment to improving access extends beyond clinical care. Cedars-Sinai offers a range of educational programs, including highly competitive medical residency and fellowship programs, a biomedical science and translational medicine PhD program, and advanced training for nurses and other healthcare professionals. By investing in education, Cedars-Sinai ensures that future healthcare providers are equipped with the knowledge and skills necessary to provide high-quality, accessible care.
Additionally, Cedars-Sinai serves the community through its Medical Network, which includes the highly-rated Cedars-Sinai Medical Group and Cedars-Sinai Health Associates. This network extends the reach of Cedars-Sinai's clinical programs, which range from primary care for common conditions to specialized treatments for rare and complex illnesses. By offering a continuum of care, Cedars-Sinai ensures that individuals have access to the right level of care at the right time, improving health outcomes and accessibility.
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Providence Medical Center and health plans
In 2014, Cedars-Sinai entered an agreement with L.A. Care Health Plan to provide services to Cal MediConnect members. L.A. Care Health Plan is the largest health plan in Los Angeles County, serving more than one in every four Angelenos. It offers four health coverage plans: Medi-Cal, L.A. Care Covered, L.A. Care Medicare Plus, and the PASC-SEIU Homecare Workers Health Care Plan.
Providence is a not-for-profit faith-based healthcare system operating multiple hospitals and medical clinics that provide a comprehensive range of health and social services. With headquarters in Renton, Washington, Providence serves communities across Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington. The organization has been in operation for over 160 years, serving all who need care, especially the poor and vulnerable. Providence offers accessible and equitable care, with services including neighborhood urgent care and ExpressCare clinics open 7 days a week, appointments via video, phone, or in-person, and the Providence app for easy access to medical records and health information. Providence also emphasizes community health and wellness, offering fitness-focused activities for families and participating in initiatives like the Practice Greenhealth Awards to promote environmental stewardship.
In terms of accepted health plans, Providence Medical Group participates in California's Medi-Cal program, which offers medical services for children and adults with limited resources. Additionally, Providence offers $0 monthly premium Medicare Advantage plans for Medicare beneficiaries in certain counties, such as Humboldt, Sonoma, and Napa.
To ensure uninterrupted health insurance benefits, it is recommended to contact the health plan directly or seek advice from a Providence representative to discuss specific options and coverage needs.
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L.A. Care's mission and priorities
L.A. Care Health Plan is a public agency that provides health insurance to Los Angeles County residents, particularly those who are low-income or uninsured. It is the nation's largest publicly operated health plan, serving more than 2.5 million members.
L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income residents and to support the safety net required to achieve that purpose. The organization prioritizes health care quality, access, and inclusion and is committed to advancing health equity.
L.A. Care offers four product lines, including Medi-Cal and L.A. Care Covered. It has established eleven Regional Community Advisory Committees (RCACs) to give health plan members a voice and keep the organization connected to the needs of the people it serves.
L.A. Care also has Community Resource Centers that offer member support services, enrolment in local and state assistance programs, and other community services. These centers provide access to exercise and nutrition classes, health screenings, Wi-Fi for telehealth, and membership help.
Additionally, L.A. Care has a grassroots outreach and education effort called Health Promoters, which trains members to disseminate health education and resource information in the community. The organization also provides sponsorships to community-based organizations serving members and their communities through projects and events that address health equity and improve health outcomes.
L.A. Care's key priorities and goals are outlined in Vision 2024, a three-year strategic plan for enhancing health plan operations. This plan focuses on operational excellence, a high-quality network, member-centric care, and health leadership, with the ultimate goal of fostering a healthy community in which all have access to the healthcare they need.
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Frequently asked questions
Yes, Cedars-Sinai hospital has been in an agreement with L.A. Care Health Plan to provide services to Cal MediConnect members since 2014.
L.A. Care Health Plan is the largest health plan in Los Angeles County, serving more than one in every four Angelenos. It offers four health coverage plans, including Medi-Cal.
The Cal MediConnect program is designed to integrate medical care, long-term care, mental health, substance abuse programs, and social services under a coordinated care plan.
Through this partnership, more than 300 Cedars-Sinai doctors from its network of primary care physicians and specialists will serve L.A. Care dual eligible members.
