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Health insurance is the primary financial vehicle for obtaining access to quality medical care and for reimbursing providers who deliver care. Approximately two-thirds of Californians obtain health insurance through the private market; yet, almost one in five Californians remains uninsured. CHCF analyzes market dynamics and their implications for both the insured and the uninsured in California.

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Health Affairs Journal in Conversation with Mark D. Smith

February 2010


As national health reform hangs by a thread, the journal Health Affairs explores challenges facing the care delivery system, and features an interview with CHCF President and CEO Mark D. Smith about CHCF's accomplishments and goals.

California Employer Health Benefits Survey

December 2009


This annual report provides information on employer offering rates, premium increases for single and family coverage, benefit design, and employee cost sharing.

California's Uninsured

December 2009


This snapshot provides an overview of the uninsured in California, including data on likelihood of being uninsured by employer size and type, family income, eligibility for public programs, age, ethnicity, and citizenship.

Value Proposition: The Role of Cost-Effectiveness in Coverage Decisions

November 2009


This issue brief looks at research on public and industry acceptance of cost-effectiveness analysis (CEA) in coverage decisions. CEA is a method for weighing the value of different health care interventions in terms of finding the "best bang for the buck."

Magnetic Resonance Imaging and Low Back Pain Care for Medicare Patients

October 2009


A Health Affairs Web exclusive by Baras and Baker finds that the increase in MRI availability results in higher use and more surgeries in Medicare patients with low back pain despite questions about their usefulness in diagnosing the cause of the pain.

County Programs for the Medically Indigent in California

October 2009


All of California's counties have health services programs for uninsured adults who cannot afford care. This fact sheet gives an overview of the county programs, while the attachments provide updated details of each program in both a summary format and as an interactive spreadsheet.

Reforming Physician Payments: Lessons from California

September 2009


This issue brief reviews California's experience with capitation payments and explores the implications for policymakers seeking to ensure affordability and quality as they pursue health care reform on a national scale.

Coverage Matters: The Role of Insurance in Access to Dental Care in California

September 2009


This issue brief explores the relationship between dental insurance, out-of-pocket spending, and overall oral health. It finds that while dental insurance enables people to obtain care, it does not remove all financial barriers to needed services.

Dental Insurance in California: Scope, Structure, and Availability

September 2009


Although structured similarly to health insurance, dental insurance is often more limited in scope and availability. This issue brief examines the basic structure of dental insurance to illustrate how it enables Californians' access to dental care.

Connecting the Ivory Tower to Main Street: Setting Research Priorities for Real-World Impact

August 2009


Rising costs are forcing purchasers, plans, and regulators to use resources more efficiently. This Health Affairs article by Schur et al. ranks the types of data leaders need to make policy decisions.

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