Regional Markets - California Health Care Foundation

California Health Care Almanac

Regional Markets

California’s large size means that health care is organized, delivered, and financed differently throughout the state. CHCF commissioned studies of seven large and diverse regional markets that provide details of local health care systems and identify common themes and emerging issues that influence how Californians receive their health care.

- Cost & Quality
- Health Conditions
- Insurance Coverage
- Providers
- Regional Markets

The Changing Landscape of California’s Federally Qualified Health Centers

Blue Sky Consulting Group

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.

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.

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.

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.

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.

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 different collaborative efforts.

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.

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.

2012 Edition — Health Care Almanac Regional Markets Study

This is the second round in CHCF’s Regional Market Series; CHCF published the first set of regional reports in 2009. Six markets are included in the 2012 release — Fresno, Los Angeles, Riverside/San Bernardino, Sacramento, San Diego, and the San Francisco Bay Area. These reports are part of the CHCF California Health Care Almanac.

2009 Edition — Health Care Almanac Regional Markets Study

This is the first round in CHCF’s Regional Market Series. Six markets are included in the 2009 release — Fresno, Los Angeles, Oakland/San Francisco, Riverside/San Bernardino, Sacramento, and San Diego. These reports are part of the CHCF California Health Care Almanac.