MMEEDDII--CCAALL FFUUNNDDEEDD IINNDDUUCCEEDD AABBOORRTTIIOONNSS 2002 MEDICAL CARE STATISTICS SECTION ARNOLD SCHWARZENEGGER Governor State of California S. Kimberly Belshé Secretary California Health and Human Services Agency Sandra Shewry Director Department of Health ServicesGene Hiehle, Chief Medical Care Statistics Section Internet Homepage – http://www.dhs.ca.gov/mcss Maura Donovan, Chief Fiscal Forecasting and Data Management Branch Prepared by Jan Rains, with the assistance of Nancy Robeson Medical Care Statistics Section California Department of Health Services 1501 Capitol Avenue, MS 1200 Sacramento, California P.O. Box 942732 Sacramento, CA 94234-7320 ABSTRACT This report provides summary data on the number of fee-for-service Medi-Cal funded abortions performed during 2002, the type of facility where a procedure was performed, and Medi-Cal expenditures for these procedures. Only abortion claims received and processed for date-of-service January through December 2002 are included in this report. The term fee-for-service (FFS) used throughout this report refers to these claims. The data are presented at both county and state levels. Estimates of abortions for enrollees in Health Care Plans (HCP) are included since encounter data are not yet available. A distribution by county is provided. This report, as well as previous years’ reports, may be found at www.dhs.ca.gov/mcss. Questions regarding data provided in this report and any other inquiries regarding Medi-Cal funded induced abortions may be directed to Jan Rains at (916) 552-8570 or [email protected]. March 2004Medi-Cal Funded Induced Abortions 2002 iii State of California Department of Health Services March 2004 HIGHLIGHTS · Medi-Cal funded a total of 53,905 fee-for-service (FFS) 1 abortions 2 in 2002 and paid an average of $364 per procedure, totaling $19,619,900 for all abortions. There were an estimated 36,135 abortions for enrollees in HCPs, excluding San Mateo and Santa Barbara, which have been submitting encounter claims for several years and are included with FFS in this report. · The average monthly rate of abortions per 1,000 FFS eligible women aged 15-44 years was 6.09. · Just over one-third, 34 percent, of Medi-Cal funded abortions were performed for women 20-24 years old. · Race/ethnicity was not reported for 36 percent of the women receiving a Medi-Cal fee-for-service funded abortion. Abortion services to Hispanic females accounted for 30 percent of total FFS abortions, while White women were the second largest group at 20 percent. · The “Families” aid category received the largest number of abortions, representing 33 percent of the total. The second largest group was the “Presumptive Eligible” category at 20%. The undocumented alien eligible women were 16 percent of FFS abortions, down from 17 percent in the previous year. · Over half of the abortions, 52 percent, were done at a physician’s office, averaging 34 abortions per office location. · The cost of an abortion performed on a hospital inpatient basis averaged $2,775 per abortion. Abortions done at a physician’s office averaged $327 per abortion, and clinics had the lowest average cost, $321. · The number of Medi-Cal eligible women who received abortion services was 51,551, a seven percent increase above calendar year 2001. Ninety-six percent of these women had only one abortion. 1 The term fee-for-service in this report refers to all abortion claims received and processed by the Medi-Cal fiscal intermediary for date-of-service January through December 2002, regardless of the enrollment plan. 2 The term abortion as used in this report refers to induced abortions only.Medi-Cal Funded Induced Abortions 2002 iv State of California Department of Health Services March 2004 TABLE OF CONTENTS HIGHLIGHTS ..................................................................................................................iii INTRODUCTION.............................................................................................................1 DATA QUALIFICATIONS................................................................................................2 MEDI-CAL FFS ELIGIBLES, INDUCED ABORTIONS AND EXPENDITURES ..............5 DISTRIBUTION OF MEDI-CAL FUNDED INDUCED ABORTIONS BY AGE AND ETHNICITY .....................................................................................................................7 DISTRIBUTION OF MEDI-CAL FUNDED INDUCED ABORTIONS BY TYPE OF FACILITY ........................................................................................................................9 COUNTY DISTRIBUTIONS OF MEDI-CAL FUNDED INDUCED ABORTIONS ........... 12 TABLES TABLE A .........................................................................................................................3 ESTIMATED NUMBER OF MEDI-CAL FUNDED ABORTIONS FOR ENROLLEES IN HEALTH CARE PLANS, WOMEN AGES 15-44, CALIFORNIA 2002 TABLE B .........................................................................................................................4 ESTIMATED ABORTION RATE PER 1,000 ELIGIBLE WOMEN AGED 15-44 IN MANDATORY AID CODES, 1991 – 1993, 2002 TABLE 1..........................................................................................................................6 AVERAGE MONTHLY NUMBER OF MEDI-CAL FEE-FOR-SERVICE (FFS) ELIGIBLE WOMEN 15-45 YEARS, NUMBER OF FFS MEDI-CAL FUNDED INDUCED ABORTIONS, TOTAL MEDI-CAL PROGRAM EXPENDITURES FOR FFS ABORTIONS, CALIFORNIA, 1989 THROUGH 2002 TABLE 2..........................................................................................................................7 NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS BY AGE AND ETHNICITY OF THE MOTHER, FFS-ONLY, CALIFORNIA 2002 TABLE 3..........................................................................................................................8 NUMBER OF MEDI-CAL FUNDED INDUCED ABORTIONS BY AGE AND AID CATEGORY, FFS-ONLY, CALIFORNIA 2002 TABLE 4..........................................................................................................................9 NUMBER OF FFS MEDI-CAL FUNDED INDUCED ABORTIONS, EXPENDITURES AND AVERAGE COST PER ABORTION, BY TYPE OF FACILITY, CALIFORNIA 2002Medi-Cal Funded Induced Abortions 2002 v State of California Department of Health Services March 2004 TABLE