I am interested in learning how they track preventative services obtained by their patients or if they track preventative services at all. Do they know which patients are overdue for their mammograms? Or do they just check when the patients come in to the clinic? In addition, I want to know what type of physicians they employ and what is their referral mechanism to specialists or when patients develop complications of their diseases.

Any difference in doctor participation?

Regarding L.A. Care's reimbursement rates, their Billing Manual says:

Reimbursements, unless otherwise stated in the Family PACT Policy, Procedures and Billing Instructions Manual, defers to Medi-Cal policies, codes, rates and claims submission procedures. All providers bill fee for service. Providers are reimbursed according to Medi-Cal policy unless otherwise stated and claims are subject to Medi-Cal time guidelines.

I'm curious what differences exist between Medi-Cal and Family Pact reimbursement policies. Also, where Medi-Cal and L.A. Care have similar reimbursement rates, how do their doctor participation rates compare? One would think they would be similar since they would be paying doctors the same but it would be interesting to find out.

Are there individuals who go to LA Care for treatment but do not qualify for one of the programs that would allow reduced or no cost? If yes, what happens to them, especially if they cannot afford any costs associated with their visit?

Are any efforts made to increase the number of people who are signed up with LA Care?

What does "community accountability" entail? Who are the stakeholders? How does LA Care encourage and facilitate primary care, based upon the challenges in dealing with underserved and vulnerable populations? What are the most successful initiatives funded by the Community Health Investment Fund?

How do they feel about the new HMO regulations limiting patient waiting times? And how will their daily operations change to meet the new criteria?

http://www.statehousecall.org/californias-new-hmo-regulations

How much funding does LA Care receive? How are they able to still exist as an organization given the likely high cost of caring for such a low-income population? What is in the fine print regarding eligibility for various procedures? Who really decides or approves of surgeries and other medical care? Are there any incentives or bonuses offered to LA Care physicians, and if so, are they based on patient outcomes or on services provided (or not provided)?

How do they differentiate between procedures that are deemed necessary versus inappropriate?

I guess I have a lot of questions.

I agree with everything that has been said but would also like to know what restrictions they have when it comes to certain procedures they can offer their patients, and if that may effect the quality of care they can offer their patients. I wonder if due to costs, care may be extremely limited.