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Health Policy

California's large and turbulent health care environment presents real challenges for stakeholders to be effective agents of change in setting health policy. From managed care to managing the health care workforce, CHCF presents the facts about health care in California.

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Briefing — California's Independent Medical Review: History, Impact, and Prospects for Change

February 2, 2012

For more than 10 years, consumers in most private health plans have had the right to obtain an Independent Medical Review (IMR) of coverage denials. This briefing highlights the potential for improvements.

Health Care Payment in Transition: A California Perspective

January 2012

The way health care is paid for is changing, and California health care stakeholders can help shape this transformation. This report looks at the state landscape, and some payment alternatives.

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?

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.

The Affordable Care Act in California

November 2011

The federal Affordable Care Act will transform how Californians obtain health insurance. CHCF examines what the law means for the state, and the building blocks moving forward.

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?

Income Volatility Creates Uncertainty About the State Fiscal Impact of a Basic Health Program (BHP) in California

September 2011

Two reports find that, based on income eligibility, if California implements a Basic Health Program, turnover rates would be high, and average enrollment periods would be short.

Overview of Proposed Exchange, Medicaid, and IRS Regulations

September 2011

Many details remain unclear on how California consumers and small businesses will obtain coverage under the Affordable Care Act. An analysis of draft federal regulations provides a look at what's ahead.

What to Expect from the Affordable Care Act: Six Videos

September 2011

Major changes are on the horizon in the way Americans get and pay for their health care. A series of CHCF videos explores the central ways the system will be remade under health reform and who will gain new coverage.

Briefing — Consumer Perspectives on Health Coverage Enrollment Pathways

August 16, 2011

Hear preliminary findings about the health coverage enrollment experiences of Californians. Through a range of interviews and focus groups, researchers chronicled the perspectives of a cross-section of low-income Californians applying for insurance.

California's Health Benefit Exchange: The Future Envisioned

August 2011

Four visions for the California Health Benefit Exchange see it leading premium reductions, putting consumers first, reforming care delivery and payment, and aligning with Medi-Cal.

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.

Accountable Care Organizations in California: Programmatic and Legal Considerations

July 2011

Health reform includes ambitious experiments to improve coordination of care. This report examines whether California's regulatory framework can support new ACO models.

Continuity for (Former) Medi-Cal Enrollees and Affordability for the Low-Income Exchange Population

July 2011

A policy analysis presents options for maintaining continuity of care for low-income Californians when people's incomes fluctuate. One proposal is to offer Medi-Cal plans, under specified conditions, through the Exchange.

State of California Financial Feasibility of a Basic Health Program

July 2011

In 2014, health reform will expand coverage for uninsured, low-income Californians and allow states to create a Basic Health Program alternative. A report looks at what it could cost.

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