Almanac Updates

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

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Regional Markets

California's large size means that health care is organized, delivered, and financed differently throughout the state. CHCF commissioned studies of six large and diverse regional markets that provide details of local health care systems and identify common themes and emerging issues that influence how Californians receive their health care.

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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?

Ready or Not: Are Health Care Safety-Net Systems Prepared for Reform?

June 2013

A study finds that even with new federal resources to help, communities with weaker safety-net systems are lagging in preparations for health reform.

San Diego: Health Care Providers Expand Capacity as Competition Increases for Well-Insured Patients

January 2013

San Diego's health care delivery system continues to be defined by hospital systems that are tightly aligned with large medical groups. This report provides a snapshot of the region's health care market.

Los Angeles: Fragmented Health Care Market Shows Signs of Coalescing

January 2013

Although Los Angeles' diverse economy has provided some resiliency during the economic downturn, hospitals have experienced lower patient care revenues. This report provides a snapshot of the region's health care market.

San Francisco Bay Area: Health Care Providers Shift Allegiances as Regional Networks Emerge

December 2012

The San Francisco Bay Area is defined by an abundance of hospital beds and health care practitioners, strong safety net, and large medical groups affiliated with nonprofit hospital systems. This report provides a snapshot of the region's health care market.

Fresno: Health Providers Expand Capacity, but Health Reform Preparation Lags

December 2012

As one of the poorest areas in California, Fresno was greatly affected by the economic downturn, which eroded the already low rates of private health coverage. This report provides a snapshot of the region's health care market.

Riverside/San Bernardino: Vast Region, Market Fragmentation Add to Access Woes

September 2012

The vast Riverside/San Bernardino region is recovering slowly from the economic downturn, and access to care continues to be a challenge. This report provides a snapshot of the region's health care market.

Sacramento: Health Providers Collaborate and Weather Economic Downturn

September 2012

While hospitals and physicians in the Sacramento region weathered the economic downturn fairly well, a number of market trends have posed challenges for the area. This report provides a snapshot of the region's health care market.

Issues and Trends from a Six-Region Study of California Health Systems

December 2009

Researchers visited California communities to gain insights into regional characteristics in health care affordability, access, and quality. These issue briefs profile each market and identify common themes and emerging issues.