LA Care Health Plan
L.A. Care Health Plan is a public entity and the nation's largest publicly operated health plan, serving approximately 2.7 million low-income, dual-eligible, and ACA-enrolled members in Los Angeles County through Medi-Cal, Medicare Plus D-SNP, Covered California, and PASC-SEIU plans.
- Company typePrivate
- Founded1997
- HeadquartersLos Angeles, United States
- Headcount1,001–5,000
- GTM typeB2C
- OfferingServices
What LA Care Health Plan does
L.A. Care Health Plan, officially the Local Initiative Health Authority for Los Angeles County, is a public entity health plan founded in 1997 serving approximately 2.7 million members — making it the nation's largest publicly operated health plan. It operates four core product lines: Medi-Cal managed care (its largest program serving low-income LA County residents), L.A. Care Medicare Plus (an HMO D-SNP coordinating Medicare and Medi-Cal for dual-eligible members), L.A. Care Covered (an ACA marketplace plan via Covered California), and the PASC-SEIU plan for personal-assistance homecare workers. Revenue is 100% government-payor, derived from per-member monthly capitation premiums from the California Department of Health Care Services (DHCS), CMS, and exchange premiums, with administrative offices at 1200 W. 7th Street and 14 Community Resource Centers across LA County operated jointly with Blue Shield of California Promise Health Plan under a $146 million collaboration.
The technology stack is conventional managed-care administration: member and provider portals (L.A. Care Connect, Provider Portal, Agent Central), EDI-based claims processing, and a curated third-party integration layer (Teladoc telehealth, SilverSneakers fitness, NationsBenefits prepaid-card/OTC administration, VSP vision, Liberty Dental, Call the Car transportation, Carelon Behavioral Health). There is no documented proprietary AI/ML capability, no public API, and no developer SDK; technology is positioned as interoperability-light service aggregation rather than platform differentiation. Care management programs (Enhanced Care Management, Community Supports, Long-Term Services and Supports) leverage interdisciplinary review processes and risk-stratification logic but are described as workflow-based rather than model-driven.
In March 2026, L.A. Care began executing workforce reductions (225 layoffs) and publicly projected losing up to 650,000 members — approximately 30% of its enrollment base — by end of 2028 as a direct result of federal Medicaid funding cuts under the One Big Beautiful Bill Act (HR 1) combined with California state and county budget constraints. Despite the near-term contraction, the company's statutory county designation, established provider network, and Community Resource Center footprint position it as the structural Medi-Cal incumbent in Los Angeles County.
LA Care Health Plan firmographics
Firmographics- Name
- LA Care Health Plan
- Legal name
- Local Initiative Health Authority for Los Angeles County
- Website
- https://lacare.org
- Company type
- Private
- Founded year
- 1997
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- L.A. Care Health Plan is a public entity and the nation's largest publicly operated health plan, serving approximately 2.7 million low-income, dual-eligible, and ACA-enrolled members in Los Angeles County through Medi-Cal, Medicare Plus D-SNP, Covered California, and PASC-SEIU plans.
- Ownership category
- akta.pro rank
LA Care Health Plan industry classification
Industry- Product category
- Managed Care Health Insurance
- NAICS
- Social Assistance (624), Other Individual and Family Services (62419)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)
- akta.pro secondary industries
- MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG), MA Chronic Condition Management & Supplemental Benefits (SSBCI) (HLAEACAI), Care Management & Population Health Program Administration (HLAEALAG)
Keywords
Where LA Care Health Plan is headquartered
LocationHeadquarters
- HQ city
- Los Angeles
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
LA Care Health Plan business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others
Revenue model
- Medi-Cal Managed Care Premiums: L.A. Care receives capitation payments from the California Department of Health Care Services (DHCS) for serving Medi-Cal members in Los Angeles County. Revenue is government-funded based on enrolled member months.
- Medicare Plus (HMO D-SNP) Premiums: L.A. Care Medicare Plus coordinates Medicare and Medi-Cal benefits under one plan for dual-eligible members, receiving payments from both CMS and DHCS.
- L.A. Care Covered (ACA Exchange) Premiums: Revenue from Covered California exchange plan premiums for individuals and families.
- PASC-SEIU Plan Premiums: Revenue from the PASC-SEIU plan for homecare workers in Los Angeles County.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medi-Cal: Free or low-cost coverage for low-income LA County residents |
| Subscription | Monthly | Medicare Plus (HMO D-SNP): $0 premium plan for dual-eligible members |
| Subscription | Monthly | L.A. Care Covered: ACA exchange plans for individuals and families |
| Subscription | Monthly | PASC-SEIU Plan: Coverage for homecare workers |
Go-to-market motion1 record
Distribution channels5 records
Marketing channels10 records
LA Care Health Plan product offering
Product offeringCore offering
LA Care Health Plan is an independent public agency and county-organized health system that provides government-sponsored health coverage to Los Angeles County residents through four product lines: Medi-Cal managed care, L.A. Care Medicare Plus (HMO D-SNP for dual-eligibles), L.A. Care Covered (ACA exchange plans), and the PASC-SEIU plan for homecare workers. The plan offers medical, hospital, pharmacy, mental health, dental, vision, transportation, and long-term services and supports to more than 2.7 million members, supported by 14 Community Resource Centers operated jointly with Blue Shield of California Promise Health Plan.
Product overview
L.A. Care Health Plan operates as a publicly operated health plan serving Los Angeles County with approximately 2.7 million members. The company offers four distinct health insurance products: Medi-Cal (low-income coverage), L.A. Care Medicare Plus (HMO D-SNP for dual-eligible members), L.A. Care Covered (ACA marketplace plan), and PASC-SEIU (home care worker plan). These core plans are supported by an ecosystem of digital platforms including member and provider portals, Community Link social services platform, and mobile applications. L.A. Care also operates a network of 14 Community Resource Centers jointly with Blue Shield Promise, providing free wellness classes and social services. Care management programs (Enhanced Care Management, Community Supports, Long Term Services and Supports) coordinate care for members with complex needs, while workforce initiatives like Elevating the Safety Net address physician shortages. The organization does not have public API documentation but uses EDI for claims processing.
Differentiator
Problem solved
Functional benefit
Products and services
- Medi-Cal
- LA Care Medicare Plus (HMO D-SNP)
- LA Care Covered
- PASC-SEIU Plan
- Teladoc Telehealth
- Enhanced Care Management (ECM)
- Community Supports
- Long Term Services and Supports (MLTSS)
- LA Care Community Link
- Community Resource Centers
- SilverSneakers Fitness Benefit
- Benefits Prepaid Card (SSBCI)
- Elevating the Safety Net
- Health Promoters Program
Quantifiable outcome
- Served more than 2.7 million members, making L.A. Care the nation's largest publicly operated health plan
- +4 more outcomes
Companies that use LA Care Health Plan
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles4 records
LA Care Health Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration10 records
Feature8 records
LA Care Health Plan partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core and minor.
- Blue Shield of California Promise Health PlancoreL.A. Care and Blue Shield of California Promise Health Plan jointly operate Community Resource Centers across Los Angeles County as part of a $146 million collaboration launched in September 2019, with a goal of 14 centers. The centers offer free health and wellness classes, social needs support, and Medi-Cal enrollment assistance. The two plans also co-launched SheWorks California workforce development program supporting Black women in LA County.
- California Black Women's Collective Empowerment InstituteminorThe California Black Women's Collective Empowerment Institute partners with L.A. Care and Blue Shield of California Promise Health Plan to support the SheWorks California workforce development program, helping Black women in Los Angeles County secure stable careers through job readiness training, digital skills, mentorship, and wraparound support including childcare and transportation stipends.
- Health NetcoreHealth Net, a Medi-Cal managed care health plan and subsidiary of Centene Corporation, partnered with L.A. Care Health Plan in 2023 with a $34 million investment to address homelessness in Los Angeles County. This was part of Health Net's broader $284 million investment from 2020-2025 in community-based organizations across California.
- Brilliant CornerscoreL.A. Care committed $20 million over five years to Brilliant Corners to support the L.A. County Housing for Health program. The funding is helping to house 300 households, most of whom are L.A. Care members, addressing the social determinants of health through permanent supportive housing.
- UCLAminorL.A. Care participated in the UCLA VITALS conference alongside healthcare executives to discuss innovating health technology amid financial restraints. L.A. Care announced it will no longer be able to serve 650,000 members within three years.
- Coalition of Healthcare Partners (Highmark Health, Alignment Health)minorL.A. Care joined with Highmark Health and Alignment Health in calling on CMS to grant states an extension for implementation of new Medicaid eligibility requirements, warning that rushed timelines would destabilize already struggling communities.
Scale indicators12 records
Recent moves7 records
Expansion highlights5 records
LA Care Health Plan competitors and assessment
Company assessmentDirect peers
- CalOptima: CalOptima is the public, county-organized Medi-Cal managed care plan serving Orange County. It mirrors L.A. Care's structural model (public entity, county-organized, Medi-Cal plus D-SNP) and competes for delegated ECM and Community Supports contracts across Southern California.
- Inland Empire Health Plan (IEHP): IEHP is a county-organized health plan serving Medi-Cal and Medicare D-SNP members in Riverside and San Bernardino counties. It is structurally analogous to L.A. Care as a public, county-anchored Medicaid plan in California with comparable scale (~1.5M members).
- Blue Shield of California Promise Health Plan: Blue Shield Promise is L.A. Care's $146M Community Resource Center joint venture partner and a direct Medi-Cal competitor in LA County. It offers Medi-Cal and Medicare D-SNP plans in overlapping LA County service areas, making it the closest functional twin in market position and product mix.
- Health Net (Centene): Health Net is a major California Medi-Cal managed care plan and subsidiary of Centene Corporation. It is one of L.A. Care's direct competitors in LA County and a $34M homelessness initiative partner (2023), making it both a competitor and collaborator in the same Medicaid market.
Broad incumbents
- Molina Healthcare:
- Centene Corporation: Centene is the largest Medicaid managed care insurer in the United States and the parent of Health Net, which competes head-to-head with L.A. Care in LA County. Centene sets the competitive benchmark for scale, Medicaid MLR, and D-SNP strategy against which L.A. Care is measured.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks7 records
Key highlights6 records
Customer concentration
LA Care Health Plan social profiles
Digital presenceLA Care Health Plan compliance and trust
Trust signalCompliance2 records
LA Care Health Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
LA Care Health Plan leadership team
Management profileNumber of profiles
Profiles4 records
LA Care Health Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
LA Care Health Plan M&A and investment
M&A and investmentM&A
Investments9 records
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about LA Care Health Plan
What does LA Care Health Plan do?
LA Care Health Plan is an independent public agency and county-organized health system that provides government-sponsored health coverage to Los Angeles County residents through four product lines: Medi-Cal managed care, L.A. Care Medicare Plus (HMO D-SNP for dual-eligibles), L.A. Care Covered (ACA exchange plans), and the PASC-SEIU plan for homecare workers. The plan offers medical, hospital, pharmacy, mental health, dental, vision, transportation, and long-term services and supports to more than 2.7 million members, supported by 14 Community Resource Centers operated jointly with Blue Shield of California Promise Health Plan.
Is LA Care Health Plan a public or private company?
LA Care Health Plan is a private company. It is classified as state government owned and is currently operating.
When was LA Care Health Plan founded?
LA Care Health Plan was founded in 1997. It employs 1,001 to 5,000 people.
Where is LA Care Health Plan based?
LA Care Health Plan is headquartered in Los Angeles, United States, in the North America region.
How does LA Care Health Plan make money?
Four revenue lines are on record. Medi-Cal Managed Care Premiums are the primary driver. The others are medicare Plus (HMO D-SNP) Premiums, L.A. Care Covered (ACA Exchange) Premiums and PASC-SEIU Plan Premiums.
Who are LA Care Health Plan's main competitors?
Direct peers on record are CalOptima, Inland Empire Health Plan (IEHP), Blue Shield of California Promise Health Plan and Health Net (Centene). Broad incumbents are Molina Healthcare and Centene Corporation.
Does LA Care Health Plan have an API?
No public API is recorded for LA Care Health Plan.
What industry is LA Care Health Plan in?
LA Care Health Plan's product category is Managed Care Health Insurance. Its primary akta.pro industry code is HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans, with a secondary code of FSAIAGAG, MA-PD Plans (Medicare Advantage with Prescription Drug Coverage). Its NAICS code is 624 and its SIC code is 6324.