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Health Insurance in California: A Recent History

Katherine B. Wilson

These graphics show enrollment rates in health plans and public programs, provide an illuminating history of the many plan mergers in the state since 1985, and offer a timeline of major milestones in California insurance history since the 1920s.

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March 2011

Experts estimate that one-half to two-thirds of California's 7.3 million uninsured could be covered under the 2010 Affordable Care Act. While details of how this population will be covered are still being worked out, CHCF offers a brief look at the current health insurance market. These interactive graphics provide a breakdown of enrollment in commercial plans and public programs, as well as a visual guide to the consolidation of health plans since 1985. A timeline also marks key milestones in the history of health insurance in California, from the opening of the first prepaid group practice of physicians in Los Angeles, to the historic passage of national health reform in 2010.

The three graphics are provided through the links below.

Insurance Plan and Public Program Enrollment 2009 outlines a breakdown of enrollment in large commercial plans (more than one million members), such as Kaiser Permanente and Aetna, broken out by for-profit and nonprofit status. Detail on Medi-Cal, Medicare, and Healthy Families enrollment in the commercial plans is also provided. In addition, enrollment estimates are given for Medi-Cal and Medicare, with detail on enrollment in managed care.

History of Health Insurance in California is a timeline of the milestones in the evolution of the market from 1929 to 2010.

Consolidation of Health Plans, 1985 to 2011 offers a visual representation of how the key players in the health plan market have changed over time, and illustrates how for-profit plans dominate the market in 2011.

A PDF that contains all three graphics is provided as a Document Download; it should be printed on 11" x 17" paper for maximum legibility.

Reader Comments

Another interesting data point would be premium trend lines overlaid as each non-profit plan converted to "for-profit" and then continued to consolidate.
Great chart! It summarizes so much in a very clear way. Thank you!