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cma suit la ob gyn

cma suit la ob gyn

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05/18/2012

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12—22—11
9:42
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1-
CRAIG
3.
CANNIZZO
(State
Bar
No.70379)
E-Mail:
ccannizzo@health-law.comFELICIAV
SZE
(State
BarNo.
233441)E-Mail;
fszç(health-law.com
GREG
B
SHERMAN(StateBar
No.
253832)
E-Mail:
gshennajhealth-law.com
HOOPEIt
LUNDY&BOOKMAN,P.C.
575
Market
Street
Suite2300
San
Francisco,California
94105
Telephone:
(415)
875-8500
Facsimile:(415)
875-8519
Attorneys
for
Plaintiffs
1
2
3
4
5
6
7
S
9
10
11
12
13
14
15
16
17
1819
20
21
2223
24
25
26
27
28
UNITEDSTATES
DISTRICT
COURT
CENTRALDISTRICT
011
CALIFORNIA,
WESTERN
DIVISION
CALIFORNIAMEDICAL
CASENO.CV
11-9688
CAS
(MANx)
ASSOCIATION,
et
at,
DECLARATION
OF
BRUCE
Plaintiffs,
KOVACS,
Mi)
IN
SUPPORT
OF
PLAINTIFFS’
MOTIONFOR
vs.
PRELIMINARY
INJUNCTION
TOBY
DOUGLAS,
et
at,
Date:
January
30,2012
Time:
10:00
am.
Defendants.
Crtnm:
5
DECLARATION
OF
BRUCEKOVACS
MDIN
SUPPORTOF
PLA
MOTIONFO R
PRELIMINARYINJUNCTION
2042209.1
Case 2:11-cv-09688-CAS-MAN Document 52 Filed 12/30/11 Page 1 of 5 Page ID #:281
 
1222’11
09:42
FROM—
T—948
P0003/0006
F—099
1
DECLARATION
OF
BRUCE
KOVACS.MD
2
I,
BRUCE
KOVACS,
MD,
declare
as
follows:
3
1.
I
make
thisdeclaration
in
support
of
PLAiNTIFFS’MOTION
FOR
4
PRELIMiNARY
INJUNCTION.Thefacts
set
forth
herein
are
true
of
my
own
s
personal
knowledge,
and
if
called
upon
to
testify
thereto,
I
could
and
would
6
competently
do
so
under
oath.
7
2.I
am
a
licensed
physician
practicing
in
the
State
of
California.
My
S
business
address
is
P.O.Box3389,
Seal
Beach,CA90740.
1
havebeen
practicing
9
medicine
forthe
last
25
years
as
an
Obstetrician-Gynecologist
and
MaternalFetal
10
Medicine
Specialistin
LosAngelesCounty.
I
alsocurrentlyhold
a
position
with
11
University
of
Southern
California(“USC”)
Keck
School
of
Medicine
and
the
LAC
d
jAW
g9
12
-I-
USCMedicalCenter.
13
3.
I
hold
a
Bachelors
Degree
inMicrobiology
fromCaliforniaState
§
14
University,
which
I
received
in
1974.
I
receivedmy
M.D.
from
USC
Keck
Schoolog
15
ofMcdicmem
1979.
1
thd
my
mternship
andresidency
at
LAC
±
USCMedical
Jfl
16
Centerfrom
l979to
1983.
<<‘I)
174.I
am
a
member
of
the
Los
Angeles
CountyMedicalAssociation,
the
18
CaliforniaMedical
Association,and
the
American
Congress
of
Obstetricians
and
19
Gynecologists.
20
5.
1
am
certified
inObstetrics/Gynecology
and
MaternalFetalMedicine
21(i.e.
highrisk
obstetrics)
by
the
American
Board
of
Obstetrics
and
Gynecology.
22
6.
As
part
of
mypractice,
I
provide
medical
servicestoMedi-Calpatients.
23
Mycurrentpracticeconsists
of
approximately
15%
private
payorpatients,
15%
24private
managed
care,and
70%
Medi-Cal
(60%fee-for-service
and
40%
managed
25
care).
26
7.
Services
provided
include
examinations
and
diagnoses,performance
of
27
certain
types
of
tests,prescription
of
medications
and
othertreatments,
and
referrals28
2042209.1
I
DECLARATION
OF
BRUCE
KOVACS
MI)IN
SUPPORTOFPLAINTIFFS’
MOTION
FORPRELIMINARYINJUNCTION
Case 2:11-cv-09688-CAS-MAN Document 52 Filed 12/30/11 Page 2 of 5 Page ID #:282
 
122211
@9:42
FROM
T-948
F@@@4/@@@6
F—@99
tospecialistsforfurtherdiagnosesand
treatment.Thepaymentswereceive
for
services
provided
to
Medi-Calpatients
arewellbelowour
cost
structure.
8.
Theratespaidforphysician
services
havebeen
inadequate
formany
years.
I
haveneverthelessprovided
services
to,
andcurrentlycontinue
to
serve,
Medi-Calpatients
because
of
their
medicalneeds
and
the
lack
of
access
to
medical
services
experiencedby
suchpatients,
I
am
personallyaware
of
the
lack
of
access
for
Medi-Cal
patientstospecialists
andevengeneralists,
having
beenunsuccessful
onmany
occasions
inreferringa
Medi-Cal
patientto
suchprovidersforfurther
prenatal
care,
diagnosisand/ortrea tment.
9.
IunderstandthattheCalifornia
Department
of
Health
Care
Services
is
planningtoimplementatenpercent
(10%)
ratereductionon
adult(ove r
21
years
of
age)
physiciansservices,
which
has
been
approvedby
the
federalgovernment.This
rate
cutdirectlyaffects
the
ability
of
physicians,such
as
myself,
to
continue
toprovide
servicesto
adultMedi-Cal
patients.
I
also
understandthat
the
rate
cutwillbe
implementedretroactivelyto
June
1,2011.
The
rate
cutwillreduce
the
amount
the
State
will
payaphysicianfor
all
types
of
services
provided
toadults,and
willsignificantlyreducethereimbursement
amount
payable
forsuch
services.
10.
If
thistenpercent
(10%)
rate
reduction
is
implemented,
I
will
significantlyreducethenumber
of
Medi-Cal
patients
1
see.
At
this
time,Medi-Cal
rates
are
so
low
that
they
do
noteven
cover
the
cost
of
the
patient’s
visit.
As
a
result,
otherpatientsare
in
effect
subsidizing
the
services
provided
tomy
Medi-Cal
patients.
This
is
unfair
to
otherpatientsand
cannot
be
allowed
to
continue.The
servicesthatotherphysicians
and
I
offer
should
be
recognized
for
the
valuewe
providetoC aliforniacommunities,
the
patients
weserve,
and
the
state
as
a
whole.
However,
the
unfortunate
result
of
this
decision
is
that
many
of
my
patients
will
havetofind
a
new
physician,rely
onemergencyroomservices
or
foregohealthcare
services
for
their
pregnancies
entirely.
1
2
3
4
5
6
7
S
9
10
11
a8
1213
14
c18
15
-,
us
16
eI
0.
ws
k.
s
oI-z—
z
-I
us
19
20
21
22
23
24
25
2627
28
2042209]
2
DECLARATION
OF
BRUCEKOVACS.
Ml)
IN
SUPPORT
OF
PLAIN1TFFS
MOTIONFOR
PRELIMINARY
INJTJNC11ON
Case 2:11-cv-09688-CAS-MAN Document 52 Filed 12/30/11 Page 3 of 5 Page ID #:283

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