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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Pinpoint: Innovation Center Grantees in California

April 2013

This map of grantees shows the breadth of Innovation Center investments in California working to test innovative payment and care delivery models to reduce costs and maintain or improve quality of care for recipients of Medicare, Medicaid, and CHIP.

Briefing — Data Match: Streamlining Eligibility and Enrollment Under the Affordable Care Act

January 30, 2013

Learn about how the state might streamline eligibility determination for Covered California and Medi-Cal using data matching under the Affordable Care Act.

A Bridge to Reform: California's Medicaid Section 1115 Waiver

October 2012

In 2010, California began gearing up for health reform by launching major changes to Medi-Cal and care for the uninsured. A midpoint analysis sheds light on accomplishments and lessons learned.

Monitoring the Impacts of the Affordable Care Act in California: Stakeholder Input and Priorities

August 2012

CHCF is guiding an effort to monitor the effects of the ACA on California. Valuable feedback from stakeholders suggested data and metrics for tracking progress.

The Affordable Care Act in California

June 2012

The federal Affordable Care Act will radically transform how Californians obtain health insurance. CHCF examines the changes for the state and scopes out the winding road ahead.

A Mandate for Health Reform

June 28, 2012

The US Supreme Court decision upholding key pillars of the Affordable Care Act clears the way for California to accelerate implementation of the law.

Briefing — The Basic Health Program: What Would It Mean for California?

April 27, 2012

A Sacramento briefing on how a BHP aligns with various policy and market goals, including its potential effects on low-income consumers, safety-net providers, the state general fund, the California Health Benefit Exchange, and the health insurance marketplace.

Briefing — California's Independent Medical Review: History, Impact, and Prospects for Change

February 2, 2012

For more than 10 years, Californians in most private health plans have had the right to an Independent Medical Review of coverage denials. This 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?

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.

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