Medical's Most Costly Fee-For-Service Populations: A Look At The Population, Costs, and Diseases

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Report on the Aged, Blind, Disabled, LTC, and children eligible for California Children's Services (CCS) populations within Medi-Cal. Specifically, these populations are among the greatest cost drivers of any Medi-Cal subpopulations and when the costs of other departments are included, these subpopulations are significant drivers of publically funded health care expenditures. During calendar year 2007, Medi-Cal “provider payments” totaled $15.9 billion. Eighty-two percent of this total was associated with the fee-for-service (FFS) Medi-Cal program relative to payments made on behalf of beneficiaries enrolled in the FFS program, managed care carve-outs, and other special programs such as Family PACT and presumptive eligibles.