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Regulatory Oversight

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Ten Years of California's Independent Medical Review Process: A Look Back and Prospects for Change

January 2012

California's Independent Medical Review provides consumers a way to appeal health coverage denials. What lessons have been learned, and is change needed?

California's 2010 Medicaid Waiver Stakeholder Process: Impact and Lessons Learned

November 2011

State health officials and foundations came together to help shape California's Medicaid waiver request. How effective was the process and what were the lessons learned?

California Health Plans and Insurers

November 2011

Despite some enrollment losses, most California health plans still turned a profit in 2010. This annual CHCF Almanac report looks at market share, financial performance, and consumer satisfaction.

Briefing — Ready for Reform? Health Insurance Regulation in California Under the ACA

June 23, 2011

California's dual health insurance regulatory structure contributes to consumer confusion, and government and insurance carrier administrative burdens. The major changes required by the federal ACA provide an opportunity to reexamine the regulatory system.

Ready for Reform? Health Insurance Regulation in California Under the ACA

June 2011

California has two agencies that regulate health insurance. In advance of major changes ahead under health reform, a report considers whether this dual structure is the most efficient approach.

California's Individual and Small Group Markets on the Eve of Reform

April 2011

As health reform presses ahead, California's individual and small group health insurance markets will gain new importance. See profiles of the segments and a new look at small group market share.

Health Insurance in California: A Recent History

March 2011

This interactive graphic looks at enrollment rates in health plans and public programs, provides an illuminating history of the many plan mergers in the state since 1985, and offers a timeline of major milestones in California insurance history since the 1920s.

Health Benefit Exchange: California vs. Federal Provisions

February 2011

A side-by-side comparison of California’s legislation to establish and define the state’s health benefit exchange (AB 1602/SB 900) with the corresponding provisions of the federal Affordable Care Act.

California's Insurance Exchange: Experts Tackle the Big Questions

December 2010

Health policy experts in Sacramento hash over details and discuss trade-offs in designing and implementing the state's health insurance exchange in the context of health reform.

Electronic Release of Clinical Laboratory Results: A Review of State and Federal Policy

January 2010

The sharing of lab results with providers and patients is subject to an array of federal and state laws. This paper provides information to help policymakers understand the issues.

The Impact of Federal Stimulus Efforts on the Privacy and Security of Health Information in California

May 2009

This issue brief analyzes the health privacy legal landscape in California before 2009 and discusses changes made by the enactment of the American Recovery and Reinvestment Act of 2009.

Employer Cafeteria Plans: States' Legal and Policy Issues

October 2008

This report reviews state and federal requirements for employer-sponsored health insurance plans, or "cafeteria" plans. It describes the standards governing certain classes of employees, as well as responsibilities under COBRA, HIPAA, and ERISA.

Health Care on the California Ballot: An Historical Review

May 2007

This publication summarizes a report reviewing the health-related measures that have come before California voters in the past decade at both the state and county levels.