CHCF is updating a series of market studies in six areas: Fresno, Los Angeles, Riverside/San Bernardino, Sacramento, San Diego, and the San Francisco Bay Area. These regional market reports highlight variations in health care affordability, access, and quality of care across the state. The reports are published as part of the CHCF California Health Care Almanac, an online clearinghouse for key data and analysis examining California's medical system.

Key findings of the San Diego report include:

• Despite the area's relative affluence, private insurance has eroded and public coverage has risen.
• The safety-net system has expanded capacity, in anticipation of Medi-Cal expansion.
• Hospitals have been focused on cutting costs, adding additional beds through new construction, and investing in lucrative service lines.
• As Kaiser Permanente continues to offer more affordable insurance options, health plans and providers are collaborating to provide limited-network insurance products that feature lower premiums, limited-provider networks, and Accountable Care Organizations (ACOs).

The complete 2013 issue brief, as well as the 2009 edition, is available under Document Downloads.