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Health care finance has changed dramatically in the last ten years. Despite a long history of investor-owned dominance in some parts of health care, 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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The Impact of Federal Stimulus Funds on Community Health Centers in California

July 2009


This issue brief summarizes the many opportunities for using federal stimulus funds to bolster and improve California's community health centers, while also helping to ease the financial pressures produced by the recession.

What California Stands to Gain: The Impact of the Stimulus Package on Health Care

March 2009


This issue brief describes the major American Recovery and Reinvestment Act of 2009 health care provisions and their funding, and highlights actions required by the state or other stakeholders.

California Health Plans and Insurers

January 2009


This graphic report provides an overview of health plans and insurers, including market share, enrollment, financial performance, consumer satisfaction, and pay for performance participation.

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.

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.

Incentives and Rewards Best Practices Primer: Lessons Learned from Early Pilots

August 2006


Incentive programs are all about behavior change. Program sponsors must consider whose behavior must change to improve quality and contain costs. Key to successful strategies is learning from past mistakes.

The Financial Health of the California Nursing Home Industry

June 2003


This project provides an assessment of the financial performance of the skilled nursing industry in California. Highlighted are critical public policy issues and financial context for the decisions that industry leaders, policymakers, and patient advocates must address.

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.

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