Los Angeles County is expanding and overhauling its free health program for low-income, uninsured residents. It's one of very few in the U.S. that extends healthcare to residents living in the U.S. illegally and thus don't qualify for the coverage options under the healthcare reform law.
To reduce episodic use of the system, participants will now be required to exclusively use one clinic for all of their primary-care needs under a medical-home model. Under My Health L.A., the county will now pay clinics a monthly fee of $32 per patient. In the past, uninsured county residents could get care at a network of over 160 community clinics, and the county would pay the clinics a per-service fee.