2020 Edition — Health Care Almanac Regional Markets Study - California Health Care Foundation

2020 Edition — Health Care Almanac Regional Markets Study
The markets included in the 2020 release — Humboldt/Del Norte, Los Angeles, Riverside/San Bernardino, Sacramento, San Diego, San Francisco Bay Area, and San Joaquin Valley, — reflect a range of economic, demographic, care delivery, and financing conditions in California.

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: Regional Health Systems Vie for Market Share

Caroline Davis, Katrina Connolly

Over the last 20 years, the Bay Area health care market has consolidated, leaving four dominant systems — Kaiser, Sutter Health, UCSF Health, and Stanford Health Care. At the same time, smaller systems, such as John Muir Health and El Camino Health, play key roles in geographic submarkets, making them attractive partners for the larger systems seeking to expand market share.

Humboldt and Del Norte Counties: Community Collaboration in the Face of Health Adversity

Jill Yegian, Katrina Connolly

The rural North Coast California counties of Humboldt and Del Norte face multiple health and health care challenges, including high death rates from preventable causes and shortages of health care providers. The region is addressing these challenges through strong collaborative efforts.

Inland Empire: Increasing Medi-Cal Coverage Spurs Safety-Net Growth

Matthew Newman, James Paci

Following the implementation of the Affordable Care Act, this region, comprising Riverside and San Bernardino Counties, has seen a decrease in people who are uninsured and an increase in people with Medi-Cal coverage. In turn, the number of Federally Qualified Health Centers has grown, and patient visits more than doubled in just a few years.

San Joaquin Valley: Despite Poverty and Capacity Constraints, Health Care Access Improves

Len Finocchio, James Paci

Federally Qualified Health Centers and Rural Health Clinics continue to expand across the region. They are also working with hospitals to improve care integration and access to specialty services for Medi-Cal patients.

Sacramento Area: Large Health Systems Grow in a Pricey and Tumultuous Market

Len Finocchio, James Paci

The Sacramento area — a region spanning El Dorado, Placer, Sacramento, and Yolo Counties — stands out among other inland California localities in boasting relatively high household incomes and a stable economy. Yet the region's hospital market continues to be dominated by four large health systems, a trend that likely contributes to the area’s high private health insurance premiums.

San Diego: Competing, Collaborating, and Forging Ahead with Population Health

Caroline Davis, Katrina Connolly

The San Diego health care market has long been dominated by four health systems: Kaiser Permanente, Sharp HealthCare, Scripps Health, and University of California San Diego Health. Despite significant gains in health coverage, access to care for people with lower incomes, especially for behavioral health services, remains a challenge.

Los Angeles: Vast and Varied Health Care Market Inches Toward Consolidation

Jill Yegian, Katrina Connolly

The Los Angeles health care market juggles the needs of more than 10 million people. The vast county includes 88 cities, and the historically fragmented health care sector tends to serve distinct geographic areas where people live and work.

Webinars — 2020 CHCF Regional Market Reports

For the fourth time since 2009, CHCF commissioned reports of seven health care markets in California. The markets in the 2020 release — Humboldt/Del Norte, Inland Empire, Los Angeles, Sacramento, San Diego, San Francisco Bay Area, and the San Joaquin Valley — reflect a diverse range of conditions in California. Each report was accompanied by a webinar featuring the report's author and local health care experts.

Medi-Cal Behavioral Health Services: Demand Exceeds Supply Despite Expansions

Blue Sky Consulting Group

Behavioral Health, Medi-Cal

This paper is the second of two cross-site analyses drawn on insights from the seven publications in the 2020 Regional Market Report series. It explores factors contributing to behavioral health access issues, including workforce shortages and the complexity of the Medi-Cal system for behavioral health services. It also highlights efforts to improve and integrate services to Medi-Cal enrollees.

The Changing Landscape of California’s Federally Qualified Health Centers

Blue Sky Consulting Group

This paper is one of two cross-site analyses drawn on insights from the seven publications in the 2020 Regional Market Report series. In the post-ACA period, FQHCs have added patients and clinic sites at a rapid pace, and many health centers have increased offerings of specialty services and of care for elderly patients. This paper examines the changing FQHC landscape, focusing on emerging trends and regional differences in FQHCs across the state.