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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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Language Access in California Health Care: Key Issues and Opportunities for Improvement
This issue brief examines where California stands today, why language access matters, and the policy opportunities that could strengthen implementation across the health care system.
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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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Modernizing Medicaid Eligibility: How to Reduce Hidden Friction in County-Administered States
This paper focuses on the limitations of state-supervised, county-administered eligibility systems. It identifies structural and programmatic challenges associated with this governance model and outlines potential policy considerations.
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The Long Tail of Bias: Clinical Algorithms and A Path to Equitable Care in California
Clinical tools that use race as a biological proxy continue to shape care in California. This brief maps the problem and calls for coordinated action to eliminate them.
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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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Assisted Living: A Community-Based Housing Option for People with Behavioral Health Needs
Assisted living facilities are an underutilized yet powerful housing option for Californians with behavioral health needs — this explainer outlines how Medi-Cal and county safety net programs can expand access, improve referral pathways, and help more people thrive in community-based…
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Health AI Policy in California: Insights for Decisionmakers
This report examines 26 California AI bills and offers policymakers a framework for regulating health care AI that protects patients, advances health equity, and fosters innovation for all Californians.
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AI and Language Access in Health Care: Opportunities, Risks, and Early Lessons
AI-powered tools are reshaping how California health care organizations deliver language services. This brief examines how AI can responsibly expand access to care for Californians with limited English proficiency.
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Building Medicare Capacity in California Community Health Centers
California’s community health centers face critical Medicare readiness gaps. This OCHIN brief identifies key barriers and offers actionable strategies to help CHCs better serve a growing older adult population.
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Street Medicine: A Critical Pathway for Behavioral Health in California
The California Street Medicine Collaborative is the statewide voice for street medicine. It brings together more than 80 street-medicine programs, more than 1000 members, and more than 275 organizations to strengthen the field statewide. Hosted by USC Street Medicine, the…
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Beyond Realignment: Options for Modernizing California’s Behavioral Health System
Read recommendations for improving California’s behavioral health system written by nationally recognized health policy leader Jacey Cooper.
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How Medi-Cal Uses Financial Incentives to Improve Access, Quality, and Equity
This paper describes the role that financial incentives to Medi-Cal managed care plans and behavioral health plans play in improving timely access to high-quality care and advancing health equity.
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The 25% Problem: Why Health Care Is So Expensive (And What We Can Do About It)
Health care costs hurt Californians every day. Millions can’t afford the care they need. More than half of all Californians skip or delay getting care because it costs too much. How did we get here?















