California Health Care Foundation
  • Our Approach
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          The California Health Care Foundation is an independent, nonprofit philanthropy that works to improve the health care system so that all Californians have the care they need.

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          CHCF works on many different fronts to support California’s health care system. Explore resources, events, or networks related to each topic.

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          CHCF publishes reports, articles, issue briefs, explainers, data snapshots, infographics, fact sheets, and other resources to help make meaningful change in California’s health care system.

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          CHCF funds projects that are aligned with its strategic goals and relevant to California health care as outlined in these goals.

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  • About Us
        • About Us

          The California Health Care Foundation is an independent, nonprofit philanthropy that works to improve the health care system so that all Californians have the care they need.

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Health Care Costs/Affordability

Our work in health care costs and affordability addresses the financial burden of care on Californians. We analyze spending trends and promote solutions that reduce costs while maintaining quality, particularly for Californians with low income.

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    Featured Publications

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    Knowledge Center

    The 25% Problem: Why Health Care Is So Expensive (And What We Can Do About It)

    Health care costs hurt Californians every day. Millions can’t afford the care they need. More than half of all Californians skip or delay getting care because it costs too much. How did we get here?

    October 13, 2025
    Health Care Costs/Affordability
    Vickie Villegas sits in the waiting room at the West Coast Neurology office in Pasadena on April 24, 2024. She has faced steep health care costs since she was diagnosed with multiple sclerosis. Photo by Brandon Tauszik for CalMatters sits in the waiting room at the West Coast Neurology office in Pasadena on April 24, 2024. She has faced steep health care costs since she was diagnosed with multiple sclerosis. Photo by Brandon Tauszik for CalMatters

    California’s Cap on Health Costs Is the Nation’s Strongest. Will Patients Notice?

    September 24, 2024
    Health Care Costs/Affordability
    Table that describes planned health care development milestones from July 2024 to June 2028.

    Overview of the Office of Health Care Affordability

    June 24, 2024
    Health Care Costs/Affordability
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    Getting to Affordability: Spending Trends and Waste in California’s Health Care System

    January 22, 2020
    Health Care Costs/Affordability
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    Top Five Takeaways from CHCF’s 2024 California Health Policy Poll

    February 1, 2024
    Facts and Data

    Subtopics

    • Cost and Quality Data
    • Hospital Financing
    • Medical Debt
    • Office of Health Care Affordability

    Recent Resources

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    Resource

    Not Enough Prevention in Health Care

    The U.S. spends only about 5 cents of every health care dollar on primary care. Other high-income countries spend three times that much. This chronic underinvestment creates a cascade of problems.

    October 13, 2025
    Resource
    A depressed man reads a letter
    Resource

    Unfair Pricing and Too Few Choices

    Health care spending depends on two things: how much care patients get and the prices that are charged for that care. In California, there is a big problem with pricing. 

    October 13, 2025
    Resource
    A depressed man reads a letter
    Resource

    The 25% Problem: Why Health Care Is So Expensive (And What We Can Do About It)

    Health care costs hurt Californians every day. Millions can’t afford the care they need. More than half of all Californians skip or delay getting care because it costs too much. How did we get here?

    October 13, 2025
    Resource
    Knowledge Center
    Resource

    How Massive Federal Cuts Will Create Unprecedented Challenges for Medi-Cal Patients and Providers

    H.R. 1 cuts $30 billion a year from Medi-Cal, reducing access, increasing costs, and threatening hospitals and vulnerable patients.

    October 3, 2025
    Resource
    Behind the Headline

    More Topics

    Learn more about other topics we focus on.

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    OAKLAND
    1438 Webster Street #400
    Oakland, CA 94612
    Tel: 510.238.1040 Fax: 510.201.2991
    Directions to CHCF Oakland

    SACRAMENTO
    1415 L Street #820
    Sacramento, CA 95814
    Tel: 916.329.4540 Fax: 916.329.4544
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