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.
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 […]
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.
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.