2019 Edition — Health Disparities by Race and Ethnicity
California is the most racially diverse state in the country, and addressing health disparities experienced by people of color is critically important. This Almanac report shows that people of color face barriers to accessing health care, often receive suboptimal treatment, and are most likely to experience poor outcomes in the health care system.
New & Noteworthy
Health Affairs’ Rural Health Issue Has Special Relevance to California
December 9, 2019
Xenia Shih Bion
Behavioral Health, Maternal Health, Providers, Workforce
Stories That Caught Our Attention: Millions of Americans in rural areas face significant barriers to care and in almost every state are burdened with higher mortality rates than people in urban areas.
eConsult for Psychiatrists Treating Perinatal Women with Serious Mental Illnesses
Emily C. Dossett, Christopher Benitez, Natalia Garcia
Behavioral Health, Maternal Health, Patient-Centered Care
Nearly one in five of California’s pregnant and postpartum women suffer from depression, anxiety, or other severe illness such as bipolar disorder (perinatal mood and anxiety disorders, or PMADs). A pilot project sought to increase capacity of psychiatrists in Los Angeles County to provide medication management to women with severe PMADs.
Expanding the Role of Nurse Practitioners
Providers, Workforce, Behavioral Health
In 2019, the California Future Health Workforce Commission released a plan to address the state’s shortages of primary care and behavioral health providers. One of the Commission’s top recommendations was to maximize the role of nurse practitioners (NPs) and to expand their practice authority. In doing so, they noted that California is 1 of 28 states — and the only western state — that restricts NPs by requiring them to work with physician oversight.
2019 Edition — Maternity Care in California
Nearly half a million babies were born in California in 2018, representing one in eight of all births in the US. While the number of births has declined since 2000, childbirth remains the number one reason for hospitalization in the state. Maternity Care in California: A Bundle of Data provides an overview of the delivery of maternity care in California and compares the state’s performance by demographic groups, over time, and provides a comparison to national numbers.
Health Care System Accepting New Math: Housing = Health
November 18, 2019
Xenia Shih Bion
Health Care Costs
Stories That Caught Our Attention: The nation's largest health insurer is trying a new strategy -- improving care for Medicaid enrollees with complex medical problems by providing social assistance, including housing.
Left Behind in California: Comparing Community Paramedicine Policies Across States
Janet Coffman, Connie Kwong
This overview of state laws governing community paramedicine across the US can inform California's efforts to build upon its ongoing pilot community paramedicine project. Read the brief and explore an interactive map of the US to learn about legislation in each state.
Help Wanted: Californians’ Views and Experiences of Serious Illness and End-of-Life Care
PerryUndem Research/Communication, Jen Joynt
Serious Illness & End-of-Life Care
In 2019, CHCF commissioned a statewide survey to better understand the type of medical care and services Californians would prefer to receive if they had a serious illness or if they were approaching the end of life, and to explore the experiences of those actually dealing with these issues themselves or with loved ones. This report shares selected findings from the survey, including key differences by race/ethnicity and income level.
Expanding Payer and Provider Participation in Data Exchange
This report outlines a spectrum of policy, contracting, and financing levers available to states working to advance interoperability, with a special focus on California's potential paths forward.
CHCF Health Innovation Fund
From ending the opioid crisis to making care affordable for all, solving health care's most intractable challenges will require innovative solutions. The CHCF Health Innovation Fund invests in market-based solutions with the potential to improve access and health outcomes for low-income Californians.