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Doctors hit by budget cuts

The county has already been slow to reimburse, and recent ruling may make it worse.

February 19, 2010|By Veronica Rocha

GLENDALE — A new agreement approved by the Los Angeles County Board of Supervisors this week slashes the amount doctors will be reimbursed for treating uninsured patients by roughly a third.

Doctors who participate in the Physician Services for Indigents Program will see their reimbursement rates reduced from 27% to 18% for treating poor and uninsured patients in non-county emergency rooms, including Glendale Memorial Hospital, Glendale Adventist Medical Center and Verdugo Hills Hospital, according to the agreement, which was approved Tuesday.

The county already pays emergency room physicians a fraction of what they generally receive from other clients, said Amy Stricker, Glendale Memorial spokeswoman.

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“Because of the decrease, however, the physicians may be more reluctant to take calls because of the low pay and high liability,” she said.

Still, county officials said they had to reduce the reimbursement rate because its health services budget was strapped with a projected $100-million deficit, said Phillip Chen, health deputy for county Supervisor Mike Antonovich, who represents Glendale.

The department’s budget took another hit when state officials cut $8.8 million in funding, he said.

If the county continued to reimburse physicians at a rate of 27%, it would not be able to pay all of the claims for uninsured patients, according to the agreement.

The county is on the hook for more than 350,000 claims, according to a report to the Board of Supervisors.

Even with the lower reimbursement rate, physicians have not been paid for emergency services since July, county Supervisor Don Knabe said Tuesday.

“It’s uncalled for that we still have not paid since July 1,” he said.

Knabe called for physicians to be paid promptly, fairly and efficiently.

“Transparency in this process and, most importantly, to protect the emergency care safety net,” he said.

Knabe directed the county Department of Health Services to pay the backlog of frozen claims.

At Tuesday’s meeting, Pasadena physician Genevieve Clavreful said the county’s failure to reimburse physicians was unfair.

“I think it is time that people are paid their due,” she said. “I mean the more you do not pay, especially physicians and people in health care, [the] less . . . people to work for you.”


Get in touch VERONICA ROCHA covers public safety and the courts. She may be reached at (818) 637-3232 or by e-mail at veronica.rocha@ latimes.com.

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