The Los Angeles County Board of Supervisors unanimously approved a plan in which 20 private contractors will serve county patients at 36 private clinics (Sept. 9, p. 32).
The plan continues the county's restructuring to an outpatient-based system in return for a $536 million federal Medicaid waiver.
Six of the county's 29 clinics have already been taken over by three private organizations that have been operating clinics without county funds. Last week, the board authorized contracts worth a total of $3 million through June 30, 1997, with two of the private organizations, Venice Family Clinic and Community Health Foundation.
The board also approved the operation of two more county sites by a private partner, Drew University.
In another type of partnership, the county will share space and expenses at two county facilities with two private providers.
All the agreements provide for fee-for-service reimbursement to private providers at 90% of the Medi-Cal rate. Medi-Cal is the state's Medicaid program.
Additional partnerships will be negotiated through December and presented to the board for approval.
The board also authorized the layoff or demotion of 380 healthcare workers at three county hospitals as part of its plan to eliminate at least one-third of its hospital beds by the year 2000.