2016 Edition — Health Care Almanac Regional Markets Study

This is the third round in CHCF’s Regional Market Series; CHCF published the first set of regional reports in 2009. Seven markets are included in the 2016 release — Fresno, Los Angeles, Orange County, Riverside/San Bernardino, Sacramento, San Diego, and the San Francisco Bay Area. These reports are part of the CHCF California Health Care Almanac.

See all of CHCF's regional market studies

Since 2009, CHCF has published a series of regional market studies that examine the health care markets in specific regions across California. These studies highlight the range of economic, demographic, and health care delivery and financing conditions in California. They are published as part of the CHCF California Health Care Almanac, an online clearinghouse for key data and analyses examining California’s health care system.

San Francisco Bay Area: Major Players Drive Regional Network Development

Ha Tu, Len Finocchio, Annie Doubleday, Kristie Liao

Expanding Health Coverage, Workforce, Payment & Financing

In the San Francisco Bay Area, large players are consolidating control of hospitals and physician organizations. This issue brief documents the region's fast-evolving health care marketplace.

Empire Building by the Bay: Consolidating Control of Hospitals and Physician Organizations in the Bay Area

In the San Francisco Bay Area, health care empires are being built as providers form affiliations with other providers and with health plans. This interactive infographic provides a county-by-county look at which health players are consolidating control of the market.

Sacramento: Pressures to Control Costs Persist Alongside Growing Capacity and Access Challenges

Mathematica Policy Research

Payment & Financing

The Sacramento region's health care sector has been mostly stable, but capacity constraints and access challenges remain. This report provides a snapshot.

Riverside/San Bernardino: Despite Large Medi-Cal Expansion, Many Uninsured Remain

Mathematica Policy Research

Payment & Financing

Though the economy in Riverside and San Bernardino Counties continues to recover from the 2008 recession, high rates of uninsured remain.

Orange County: Changing Market Fuels New Models of Provider Collaboration

Mathematica Policy Research

Payment & Financing

Orange County has largely recovered from the economic downturn, yet socioeconomic variation persists, and Medi-Cal coverage has spiked.

Fresno: As Uninsured Rate Falls, Capacity Constraints Grow

Mathematica Policy Research

Payment & Financing

Insurance coverage and financial stability have greatly improved in the Fresno region, but capacity and access challenges have grown.

San Diego: Major Providers Pursue Countywide Networks and New Patient Care Models

Mathematica Policy Research

Payment & Financing

San Diego hospitals remain stable, but face increasing cost pressures from payers emphasizing provider affordability and value.

Los Angeles: Thriving or Surviving in a Fragmented Market

Mathematica Policy Research

Payment & Financing

Los Angeles is a large, densely populated, racially and ethnically diverse county with wide income variation, traits that contribute to a fragmented health care market.

Many Routes to the Top: Efforts to Improve Care Quality, Coordination, and Costs Through Provider Collaborations

Payment & Financing

To slow the growth of health care spending and improve coordination and quality of care, providers and payers are working together to change how care is delivered and paid for.

Stepping Up to the Plate: Federally Qualified Health Centers Address Growing Demand for Care

2016 Edition — Health Care Almanac Regional Markets Study

This paper focuses on collaborations and innovative approaches developing among California's FQHCs, other safety-net providers, and agencies to meet the health care needs of populations with low incomes.