California HealthCare Foundation – Supporting ideas and innovations to improve health care for all Californians.

Costs & Financing

Health care finance has changed dramatically in the last ten years. Despite a long history of investor-owned dominance in some areas, most of the system has never been subject to market forces. The result? Many once-thriving health care organizations are floundering. CHCF has created a body of work to help industry stakeholders innovate and stabilize their institutions and services.

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Doing More with Less: Operational and Financial Strategies of Eight Community Clinics

November 2011

For community clinics, financial stability can vary tremendously. This study finds a continuing divide between "have" and "have not" clinics in California.

SIRUM: Supporting Initiatives to Redistribute Unused Medicine

July 2011

CHCF invests in SIRUM, a committed group of social entrepreneurs who run an application that matches safety-net clinics in need of drugs with medical facilities that have them to donate.

Health Care Costs 101

May 2011

As health costs edge ever upward, see where we spend our health care dollars and estimates of future spending. This annual snapshot tracks national spending with California data when it is available.

Transparency's Effect Unclear

November 2010

Can price transparency control spiraling hospital costs? Maybe, says CHCF's Maribeth Shannon in a commentary for Modern Healthcare, though market conditions and benefit design may matter more.

Innovating for the Health Care Safety Net: Sources of Funding

October 2010

This paper examines funding for new medical technologies, particularly traditional financing mechanisms and the barriers that commercial investment criteria create for medical technology innovations with high social value but relatively low potential returns.

Success Under Duress: How Five Hospitals Thrive Despite Challenging Payer Mix

September 2010

Despite their challenging payer mix, a number of California’s safety-net hospitals have achieved robust financial success. To find out how, researchers conducted in-depth interviews with the leadership teams at five such institutions.

Financial Health of Community Clinics

September 2010

Community clinics, which serve California's neediest people, are growing in revenue, patients served, and staff. This CHCF Almanac report provides a checkup on clinics' financial health.

How Much Is Too Much? An Analysis of Health Plan Profits and Administrative Costs in California

October 2008

With California health insurance premiums rapidly rising, policymakers have suggested regulating health plan administrative costs and profits. This issue brief examines the causes of the rise and the effects of such regulations in other states.

Making Health Care Costs More Transparent to Consumers: A Summary for Policymakers

February 2008

Health care price information, to be most useful to consumers, should be tailored to a specific audience and include provider and treatment option comparisons. Read more recommendations in these two fact sheets.

County Innovations in Financing Care for California's Medically Indigent Adults

November 2007

Based on a survey of county representatives, this issue brief attempts to document the experience of select California counties in providing health services to low-income and indigent people with no other source of care.

Evaluation of Consumer Decision Support Tools: Helping People Make Health Care Decisions

September 2007

This report examines the strengths and weaknesses of several leading web-based support tools. In particular, it presents evaluation frameworks and ratings in three decision categories: treatment options, hospital choice, and personal cost.

Financial Health of California Hospitals

June 2007

This snapshot focuses on the financial health of California's 355 general acute care hospitals from 2001 to 2005, and provides an overview of the major findings of the full report, also available for download.

Disruptive Innovation: Can Health Care Learn from Other Industries? A Conversation with Clayton M. Christensen

March 2007

In this Health Affairs Web Exclusive, CHCF President and CEO Mark Smith interviews Harvard Business School Professor Clayton Christensen about technology and disruptive innovation in health care.

California Health Care Market Report

March 2007

This annual report of California's health plans, hospital systems, and physician organizations chronicles important trends and changes in the state's health care industry. It documents financial results, enrollment trends, market share, and measures of utilization and effectiveness of care.

Shopping for Price in Medical Care

February 2007

This Health Affairs article by Ginsburg finds that much work remains to be done to ensure consumers have accessible information about cost and quality when shopping for medical care.

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