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

December 2009

Researchers conducted site visits of six large California communities to study local health care systems and to gain insights into regional characteristics in health care affordability, access, and quality. These four issue briefs profile each market and identify common themes and emerging issues that influence how Californians receive their health care.

Sacramento: Powerful Hospital Systems Dominate a Stable Market

July 2009

Sacramento residents have higher income, education, and private insurance coverage levels, and enjoy better overall health, than average for California. This regional market report provides a snapshot of the unique characteristics of the organization and delivery of health care in Sacramento.

San Diego: Retreat from Capitation Raises Cost Concerns

July 2009

Residents of San Diego have higher incomes but similar rates of insurance compared to other Californians. This regional market report provides a snapshot of the unique characteristics of the organization and delivery of health care in San Diego.

San Francisco Bay Area: Downturn Stresses Historically Stable Safety Net

July 2009

While the Bay Area's economy is stronger than in other areas of California, the cost of living and the cost of medical care are high. This regional market report provides a snapshot of the unique characteristics of the organization and delivery of health care in the San Francisco Bay Area.

Fresno: Poor Economy, Poor Health Stress a Fragmented System

July 2009

Fresno's residents have lower income, education, and health insurance levels, and worse health status than average for California. This regional market report provides a snapshot of the unique characteristics of the organization and delivery of health care in Fresno.

Riverside/San Bernardino: Sprawling Area, Economic Woes Create Access Challenges

July 2009

Riverside/San Bernardino encompasses a vast geographic area, which creates significant health care access challenges for residents. This regional market report provides a snapshot of the unique characteristics of the organization and delivery of health care in Riverside/San Bernardino.

Los Angeles: Haves and Have-Nots Lead to a Divided System

July 2009

Los Angeles is the most populous county in the United States and has a very diverse population. This regional market report provides a snapshot of the unique characteristics of the organization and delivery of health care in Los Angeles.


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