Overview

Campus Medical Center Fact Sheets:
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MEDICAL EDUCATION AND TRAINING PROGRAMS

• The UC Irvine College of Medicine (COM) was established in 1896 as a private college of osteopathy and medicine and became part of the UC system in 1967. The COM graduated its first class in 1968 and celebrated its 100th anniversary as a medical school in June 1996.

• The COM trains approximately 390 medical students and more than 650 medical residents each year. In 1996, 61% of the graduating class of the COM selected primary care fields for further training and future practice.

• At the graduate level, approximately 50% of all medical resident positions are in primary care, with more than 20% in family practice.

• Training for medical students and residents is provided at UCI Medical Center, the Long Beach VA, and a variety of community-based settings. Affiliated family practice programs are also offered at regional medical centers located in Bakersfield, Long Beach, and San Bernardino.

• UCI's clinical enterprise includes an acute care hospital and psychiatric hospital, and a growing network of affiliated clinics, and physician group practices throughout Orange County. UCI's medical staff consists of 1,200 primary care and specialty physicians, many of whom have gained national reputations for excellence.

• UCI Medical Center provided 87,215 days of hospital care and 359,977 clinic and emergency visits in FY 1995-96.

• In FY 1995-96, 67% of UCI's hospital patient days were paid by the federal Medicare (17%) and Medicaid (50%) programs. Only 20% of patient days were covered by private payers, including managed care (12%) and fee-for-service (8%) plans. A significant percentage of patient days (13%) were covered by the County's indigent care program or were uninsured and self-pay.

• UCI provided 25% of Medicaid inpatient services in Orange County. The Medical Center is also the largest provider of specialty/tertiary care to Medicaid beneficiaries in the County.

• UCI is the largest provider to the uninsured and underinsured, largely as a result of contracts with the County to provide emergency and trauma care and other clinical care to medically indigent patients, and related to UC's past purchase of the County hospital.

• Among total net patient revenues in FY 1995-96, 55% came from federal Medicare (18%) and Medicaid (37%) programs. Private revenue represented 33%, including fee-for-service (12%) and managed care (21%) plans. The remaining funds (12%) were from public programs, State and county, and from self- pay patient revenue.

• In FY 1995-96, UCI was reimbursed $20 million less than the costs of services for Medicaid beneficiaries. Including Medicaid losses, UCI provided over $35 million in uncompensated care to low- income patients.

• In FY 1995-96, Medicare's Disproportionate Share Hospital (DSH) progam reimbursed UCI $4.1 million for care to its disproportionate share of medically indigent patients, including those covered by Medicaid.

• In FY 1995-96, Medicare's Indirect Medical Education (IME) adjustment provided UCI $3.7 million as compensation for the severity of patient illnesses, scope of services provided, and other indirect costs related to medical student and resident education.

• In FY 1995-96, Medicare's Direct Medical Education (DME) payments to UCI were $1.6 million to cover a portion of the costs of resident salaries and faculty teaching and supervision. Only Medicare (IME and DME) pays for costs related to medical education.

• Medicare's medical education and indigent payments made up 5% of UCI's total net revenues.

• In its highly competitive regional market, UCI is developing distinct market niches by focusing on particular specialty services based on the strengths of its clinical faculty.

• UCI is extremely vulnerable to State and federally imposed reductions in disproportionate share funds for Medicaid ($15 million) and less so for Medicare ($4 million).

• The introduction of a county-wide managed care system has resulted in expansion of managed care to all Medicaid patients in the Orange County This program continues to present an urgent challenge to UCI which is losing many of its traditional patients to competitors while facing lower payments for those patients who have been retained.

UC Irvine Medical Center Service Statistics by Payer FY 95-96

Patient Days: 50% Medicaid 17% Medicare 12% Managed Care 8% Fee-for-Service 13% Other

Net Revenues: 37% Medicaid 18% Medicare 21% Managed Care 12% Fee-for-Service 12% Other