Almanac Updates

The CHCF Almanac regularly publishes data and analysis on California's health care market.


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The California Health Care Almanac is an online clearinghouse for data and analysis examining the state's health care system. It focuses on issues of quality, affordability, insurance coverage and the uninsured, and the financial health of the system with the goal of supporting thoughtful planning and effective decision-making.

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Californians with the Top Chronic Conditions: 11 Million and Counting

April 2015

Chronic conditions such as asthma, diabetes, and heart disease are taking a toll on our state. This Almanac report looks at how five major diseases affect Californians.

California Employer Health Benefits: Rising Costs, Shrinking Coverage

April 2015

Millions of Californians with workplace-sponsored health plans are paying higher premiums and deductibles in return for reduced benefits, a survey shows.

Survey Says: Californians' Perspectives on Health Care

March 2015

Are Californians getting the care they need? This survey shows that some groups are having a more difficult time accessing care than others.

The Private Insurance Market in California, 2013

February 2015

More than half of Californians get their health insurance through private carriers. This infographic shows how the largest plans stack up in terms of enrollment and revenue.

California Health Insurers: Brink of Change

February 2015

California's insurance market is set to undergo enormous changes as health reform takes full effect and millions become eligible for public insurance or private subsidies.

Medical Loss Ratio Resources

February 2015

The medical loss ratio (MLR) is the percent of premium that health insurers spend on medical care and quality improvement activities. Three documents discuss the MLR and how it is used.

Quality of Care: Signals of Change

November 2014

Over the last few years, the quality of health care in California has improved on a number of measures. However, significant racial and ethnic disparities persist in some areas.

US Health Care Spending: Who Pays?

July 2014

In the past 50 years, the way health care is financed has changed, with private payers and public insurance paying for more care. This interactive graphic shows who paid for the nation's health care and how much it cost.

Health Care Costs 101

July 2014

The picture of US health spending in 2012 was restrained. It marks the fourth straight year of historically low growth — only 3.7% — and no increase in health care's share of the economy.

California Nurses: Taking the Pulse

March 2014

In 2012, 300,000 registered nurses made up the largest health profession in California. This overview of the nursing workforce looks at supply and demographics, education, distribution, and pay.

California's Health Care Workforce

March 2014

California's health care industry employed more than 1.3 million people in 2012. Five Almanac guides provide data on wages, education, and workplaces for selected health professions.

California Physicians: Surplus or Scarcity?

March 2014

California's physician population has grown over the past 20 years. This report describes the landscape for physician services, including supply, physician demographics, education, and compensation.

California's Uninsured: By the Numbers

December 2013

Who are California's uninsured? This annual Almanac report provides data on those who are uninsured and their income levels, work status, age, and ethnicity.

Arranged Marriages: The Evolution of ACO Partnerships in California

September 2013

Accountable care organizations are springing up across California in an effort to reduce costs and improve care. How have ACO contracting arrangements evolved regionally?

Long Term Care in California: Ready for Tomorrow's Seniors?

August 2013

The number of elderly residents in California is expected to balloon in the next 30 years. Will the long term care system be able to care for the state's aging population?

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