Urban health care in transition: challenges facing Los Angeles County.
Long, Sharon K
Date of Pub
The authors examine the Medicaid Section 1115 Demonstration Project currently underway in Los Angeles County. The waiver was
designed as part of a response to a financial crisis the Los Angeles County Department of Health Services (LACDHS) faced in
1995. It provides financial relief to give the county time to restructure its system for serving the medically indigent population.
Los Angeles County's goal is to reduce its traditional emphasis on emergency room and hospital care by building an integrated
system of community-based primary, specialty, and public health care. This case study describes activities completed through
the spring of 1997, approximately 1 year after the waiver was approved.
Community Health Services/economics/organization & administration : Delivery of Health Care, Integrated/organization & administration
: Emergency Service, Hospital/utilization : Health Services Accessibility : Health Services Misuse : Hospitals, County/economics/organization
& administration : Los Angeles : Medicaid/organization & administration : Organizational Case Studies : Public Health Administration
: Support, U.S. Gov't, Non-P.H.S. : United States : Urban Health Services/economics/organization & administration