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

Policy & Reform

CHCF efforts around health policy and reform seek to analyze policy developments and market trends to inform or guide decision-makers to expand access to affordable care and coverage. Projects include efforts to develop independent analyses of pending legislation and provide publications and briefings that report on market trends and policy developments.

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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 Sacramento 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?

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.

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.

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.

A Framework for Tracking the Impacts of the Affordable Care Act in California

June 2011

This report identifies metrics to chart health reform's progress in California in the areas of health insurance coverage; affordability and comprehensiveness of coverage; and access to care.

Briefing — Ready for Reform? Health Insurance Regulation in California Under the ACA

June 23, 2011

California's dual health insurance regulatory structure contributes to consumer confusion, and government and insurance carrier administrative burdens. The major changes required by the federal ACA provide an opportunity to reexamine the regulatory system.

Ready for Reform? Health Insurance Regulation in California Under the ACA

June 2011

California has two agencies that regulate health insurance. In advance of major changes ahead under health reform, a report considers whether this dual structure is the most efficient approach.

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