1 in 3 Medi-Cal Enrollees Delay Care on Cost Concerns
And California, he says, "has it as bad as anybody."
California pays physicians who take care of Medicaid patients about 56% of what it the same services would pay under the Medicare program. California ranks 47th out of 50th in states regarding Medi-Cal spending, according to a CHCF report from April, 2009.
In 2009, the state implemented $134 million in Medi-Cal program cuts, $115 million of which was for cuts in dental services. Other cuts reduced access to speech therapy, podiatric and audiology services, chiropractic and acupuncture care, optometric and optician and psychology services, Perrone says.
Currently, the state proposes to cut 10% more from payments to physicians, clinics, optometrists, therapists, laboratories, dental services, durable medical equipment and pharmacy; 10% cuts to freestanding nursing and adult sub-acute facilities and 10% payment reduction and rate freezes for nursing facility Part B services. They are pending court challenges from physician and hospital groups.
Historically, provider payment rates make California among the lowest, if not the lowest, in terms of physician compensation for care for Medi-Cal patients and at the bottom in terms of Medicaid program spending per beneficiary.
- CEO Exchange: Preparing for Population Health
- EHR Systems 'Immature, Costly,' AMA Says
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Better HCAHPS Scores Protect Revenue
- Narrow Networks Cut Costs, Not Quality, Economists Say
- 3 Strategies for Retaining Millennial Employees
- 'Early Offer' Malpractice Programs May Spur Reform
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- Two NY hospitals to offer free hip and knee replacement surgeries for qualifying patients in December
- Hospital mergers may lead to higher prices