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Resource
The 25% Solution: A Health Care Affordability Agenda for California
California faces a health care affordability crisis. Here are 10 recommendations informed by surveys of +4,000 Californians.
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Blog
The Payment Model That’s Holding Back California’s Health Care System
Fee-for-service arrangements pay clinicians to treat health crises. Prevention goes unreimbursed.
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Blog
California Health Reform Requires Us to Take the Long View
California spends over $1 billion a day on health care. A former lawmaker explains why lasting reform demands a unified approach to controlling costs.
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Resource
Policy Options to Improve Health Care Affordability: What California Can Learn from Other States
This issue brief presents policies from other states that California can learn from to address the health care affordability crisis.
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Funding Opportunity
Request for Proposals: California Hospitals Almanac
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Almanac
National Health Spending Almanac — 2026 Edition
National health care spending totaled $5.3 trillion in 2024. The Almanac report provides a detailed look at national health care spending.
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Resource
Payer Strategies for Primary Care Investment in California
California has set an ambitious goal to increase primary care spending to 15% of health care expenditures by 2034. This issue brief outlines six practical strategies health plans can use to strengthen primary care, improve health outcomes, reduce disparities, and…
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Resource
Los Angeles — Regional Market Report 2026
Los Angeles is one of seven markets included in the 2026 Regional Markets Study, which focuses on gaining key insights into the organization, financing, and delivery of care in communities across California and over time.
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Blog
Mitchell Exits California’s Health Care Affordability Board With a Warning: The System Will Not Reform Itself
After three years helping build the nation’s strongest state cost reform framework, a board member says patients, employers, and policymakers must drive the change.
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Almanac
Californians with Low Incomes Almanac — 2026 Edition
All Californians should have access to the care they need, when they need it, at a price they can afford. Californians with low incomes often face greater barriers to care than those with higher incomes. This Almanac quick reference guide…
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Resource
Inland Empire — Regional Market Report 2026
The Inland Empire is one of seven markets included in the 2026 Regional Markets Study, which focuses on gaining key insights into the organization, financing, and delivery of care in communities across California and over time.
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Resource
The New Uninsured: State Policy Options for Californians Losing Medi-Cal Coverage
Up to two million Californians could lose Medi-Cal. This analysis examines two state coverage alternatives and the tradeoffs between cost, benefits, and access.
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Blog
4 Priorities for a Pivotal Moment in California Health Care
In this unprecedented policy environment, we’ve identified four areas where CHCF can make the greatest difference right now.
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Resource
Medi-Cal Bold Idea — Partially Unified Financing: Covered California for Most
This proposal suggests transitioning most Californians — including many currently enrolled in Medi-Cal — into Covered California plans. The model aims to create a more continuous and equitable coverage system.
