Payment for Services Issues

Payment for Services Issues

Medi-Cal is the primary payer for services rendered at Children’s Hospitals; over half of the Children’s Hospitals’ caseload is paid for by Medi-Cal.

Sickest Children Challenge

Sickest Children Challenge

Physicians tend to refer the sickest children, whose treatments are complex and expensive, to Children’s Hospitals.  Children’s Hospitals provide care to the State’s sickest children which is very resource-intensive. Children’s Hospitals average case-mix for children over 1 year of age (which measures resource intensity) is more than 40 percent higher than that of other hospitals […]

Provider Shortage Challenge

Provider Shortage Challenge

In California, there exists a shortage of pediatricians and pediatric specialists. Low Medi-Cal reimbursement is a major impediment for recruitment in California. Physician shortages and costs cause delays in access for both inpatient and outpatient services.  

About Our Members

About Our Members

California’s eight Children’s Hospitals (as defined by the California Welfare & Institutions code 10727) treat children with serious and life-threatening diseases like leukemia and other cancers, heart problems, sickle cell anemia, diabetes, HIV, and cystic fibrosis.