Department of Otolaryngology - Head and Neck Surgery, University of California, Irvine, Orange, California, USA.
Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.
Popul Health Manag. 2024 Jun;27(3):185-191. doi: 10.1089/pop.2024.0006. Epub 2024 Apr 17.
Given varied insurance acceptances and differing pay between insurances, our objective was to examine the number of California physicians enrolled in Medicare and Medicaid (Medi-Cal), stratified by specialty and graduation year. Medi-Cal and Medicare providers were extracted from publicly available databases (Centers for Medicare & Medicaid Services and California Health and Human Services) and were subsequently merged into one dataset using National Provider Identifier. From there, we stratified physicians by specialty and graduation year. We found that emergency medicine, radiology, pathology, anesthesiology, general surgery, and internal medicine had the highest percent of Medi-Cal-accepting physicians, whereas dermatology, psychiatry, physical medicine & rehabilitation, and plastic & reconstructive surgery physicians had the lowest. There also appears to be an inverse relationship between acceptance of Medi-Cal and earlier year of graduation ( < 0.05). This study demonstrated striking variability in Medi-Cal acceptance based upon physician years in practice and specialty. Older, experienced physicians, as well as physicians of certain specialties, are less likely to accept Medi-Cal.
鉴于不同保险的接受程度和保险赔付的差异，我们的目的是研究按专业和毕业年份划分的在加州注册的医疗保险和医疗补助（Medi-Cal）医生的数量。Medi-Cal 和 Medicare 的提供者是从公开数据库（医疗保险和医疗补助服务中心和加利福尼亚州卫生和人类服务部）中提取出来的，并使用国家提供者标识符合并到一个数据集。在此基础上，我们按专业和毕业年份对医生进行分层。我们发现，急诊医学、放射学、病理学、麻醉学、普通外科和内科的 Medi-Cal 接受医生比例最高，而皮肤科、精神病学、物理医学与康复和整形与重建外科医生的比例最低。接受 Medi-Cal 的比例似乎与毕业年份呈反比（<0.05）。这项研究表明，根据医生的从业年限和专业，Medi-Cal 的接受程度存在显著差异。经验丰富的老年医生和某些专业的医生不太可能接受 Medi-Cal。
