2018 Edition — Substance Use in California
About 8% of Californians met criteria for substance use disorder, but only 10% of people with a substance use disorder received any type of treatment. CHCF's first Almanac publication to address this topic provides an overview of substance use and addiction in the state.
California’s Physician Assistants: How Scope of Practice Laws Impact Care
Timothy Bates, Joanne Spetz, Miranda Werts
Health Care Costs, Providers, Workforce
Physician assistants (PAs) provide high-quality care and are more likely to work in rural areas and with underserved populations than are physicians. This paper offers an overview of how PAs operate in California, and explores the research behind the evidence for practice expansion.
Infographic: The Overmedicalization of Childbirth
This infographic highlights results from a survey of California mothers that finds women are getting too many unwanted and unneeded interventions during childbirth, even when less invasive alternatives are available.
California’s Nurse Practitioners: How Scope of Practice Laws Impact Care
California is one of a handful of states that restricts nurse practitioners' ability to work without physician oversight. This paper examines how these restrictions impact care.
A Guide to Graduate Medical Education Funding in California
University of California, San Francisco, The Robert Graham Center
This comprehensive overview describes the landscape of graduate medical education (GME) funding in California, including sources, amounts, and distribution across the state. This series also includes a report outlining recommendations for expanding GME and six issue briefs covering key issues facing GME in this state.
2018 Edition — California’s Uninsured
Insurance Coverage, ACA/Health Reform
Since the implementation of the ACA in 2014, the uninsured rate in California dropped to an all-time low of 9% in 2016. However, 2.9 million Californians remained uninsured. This Almanac report takes a look at who was uninsured in 2016.
Medi-Cal Moves Addiction Treatment into the Mainstream
Molly Brassil, Carol Backstrom, Erynne Jones
Behavioral Health, Medi-Cal, Opioid Safety
A fundamental shift is underway in California to expand, improve, and reorganize Medi-Cal’s system for treating people with substance use disorders. This report summarizes the experiences of the first counties to implement this new approach.
Overcoming Data-Sharing Challenges in the Opioid Epidemic
Robert Belfort, Alex Dworkowitz
Behavioral Health, Opioid Safety
Federal confidentiality rules, such as the "Part 2" rules, can be a stumbling block for primary care practices seeking to integrate substance use disorder treatment. This paper summarizes the rules and outlines steps that practices can take to coordinate care and stay within the law.
2018 Edition — California Employer Health Benefits
Heidi Whitmore, Jon Gabel
California's workers are shouldering more of the costs for their health care with increasing premiums and higher deductibles and copays. This Almanac report, California Employer Health Benefits: Workers Shoulder More Costs, presents data from the 2017 California Employer Health Benefits Survey.
California’s Physician Supply and Distribution: Headed for a Drought?
Janet Coffman, Margaret Fix, Michelle Ko
According to data from physician surveys, California's medical doctors are unevenly distributed across the state, and new doctors aren't being trained in great enough numbers to address this imbalance.