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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.

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.

CEO Mark Smith Addresses Governor's Summit on Health Care Affordability

July 2006

On July 24, 2006, Gov. Schwarzenegger convened the Summit on Health Care Affordability to discuss California's cost and coverage challenges. This video clip from the event features remarks by CHCF President and CEO Mark Smith.

Consumers in Health Care: Creating Decision-Support Tools That Work

June 2006

Two reports examine the types of tools available to consumers making health care decisions, including online cost comparison tools. They explore the effectiveness of these tools and offer strategies for promoting their widespread use.

Massachusetts-Style Coverage Expansion: What Would It Cost in California?

April 2006

This study examines the potential cost of implementing a health coverage plan in California similar to the near-universal coverage plan unveiled in April 2006 in Massachusetts, which requires all residents to purchase health coverage.

When the Price Isn't Right: How Inadvertent Payment Incentives Drive Medical Care

August 2005

This Health Affairs article by Ginsburg et al. finds inflated prices are spurring physicians and hospitals to focus on highly profitable services, a trend which could become a new factor in driving up the cost of health care.

Challenges and Alternatives for Pay-or-Play Program Design

March 2005

This report analyzes the requirements assigned to MRMIB under SB 2 and offers implementation and policy options for the expansion of employer-based coverage strategies.

Coverage Expansion Options and California Trends

March 2005

This report and chartbook from the Economic and Social Research Institute (ESRI) identifies options for health coverage expansion in California.

ERISA Implications for Employer Pay or Play Coverage Laws

March 2005

This issue brief discusses potential problems for pay or play laws posed by ERISA, a federal employee benefits law that preempts certain types of state laws affecting employer-sponsored health benefits.

Public Perceptions of Cost Containment Strategies: Mixed Signals for Managed Care

November 2004

This Health Affairs article by Schur et al. finds that consumers are willing to accept limits on health care service use in exchange for lower costs.

Coverage Expansion Resource Center

August 2004

The Coverage Expansion Resource Center offers resources to better understand the trade-offs made with different types of health insurance coverage expansion proposals in an effort to foster constructive dialogue.

What Would Association Health Plans Mean for California?

January 2004

Pending federal legislation would permit trade and professional associations to offer association health plans exempt from state regulatory oversight and consumer protections. Two studies conclude that in California, AHPs are likely to disrupt the existing small group insurance market without decreasing the state's uninsured population.

Group Purchasing Arrangements: Implications of MEWAs

July 2003

Multiple employer welfare arrangements (MEWAs) cover a small fraction of Californians, but legislative activity at the state and federal level could increase their significance both in California and nationally.

Methods of Cost Containment: Some Lessons from Europe

June 2003

This paper discusses health care cost control mechanisms used across Europe and was presented at the International Health Economics Association's Fourth World Congress in San Francisco.

Independent Medical Review Experiences in California, Phase I and II

April 2003

A 1998 California law allows patients to receive an independent medical review when HMOs deny treatment in certain cases. This study assesses the effectiveness of the external review process and suggests recommendations.

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