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Reports & Initiatives

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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Assessing Health Reform's Impact on Four Key Groups of Americans

July 2010

This Health Affairs article by Newhouse finds that while federal health care reform promises to overhaul the U.S. health care system, it does not adequately address growing Medicare spending.

HealthVote.org Makes Sense of California Health Ballot Measures

June 2010

HealthVote.org provides an easy-to-use, nonpartisan resource on health-related measures. It features facts and analysis, supporters and opponents, campaign contributions, statewide poll results, and news.

The Affordable Care Act in California

June 2010

Signed into law in March, the federal Affordable Care Act (ACA) will transform the way Californians obtain and pay for health insurance. CHCF has published a variety of materials assessing the legislation's impact on the state and individual consumers.

Health Care Reform in California: The End of the Beginning

June 2010

Dr. Mark Smith makes five recommendations about how to proceed with implementing health care reform legislation in California. Read the complete version of Dr. Smith's opinion piece that appeared in The Sacramento Bee on June 2, 2010.

Health Care Forecast Conference

May 2010

A UC Irvine Web site provides streaming video and slide presentations of the sessions from this annual conference on health care issues, sponsored by CHCF.

What Will Federal Health Reform Mean to Californians?

March 2010

CHCF considers the promise of the moment and the challenges that remain. If the legislative package is passed and implemented as envisioned, it has the potential to have a meaningful impact on the lives of millions of Californians.

Hearing — Marian Mulkey Testimony to California Assembly Health Committee

February 2010

With the recent Anthem Blue Cross rate hikes as a backdrop, Marian Mulkey testified on medical costs and insurance premiums before the California Assembly Committee on Health.

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.

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."

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.

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.

Building a National Insurance Exchange: Lessons from California

July 2009

An insurance exchange is a key element of most health reform proposals now being debated in Washington, D.C. This issue brief offers lessons from California's attempt to establish such an exchange at the state level.

Facts and Findings for Policymakers: Individual Health Insurance in California

July 2009

Californians who buy their own health insurance on the individual market often face higher costs and less comprehensive coverage than those who are insured through an employer. Individuals also encounter difficulties understanding and comparing the many policy options that are available.

Unexpected Charges: What States Are Doing about Balance Billing

April 2009

This paper examines the phenomenon of providers billing managed care patients for unreimbursed charges. It describes how states have responded and offers guidance for policymakers considering balance billing regulation in California and elsewhere.

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.

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