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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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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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Community Health Worker/ Promotores/Representative Training Program Best Practices
This publication offers voluntary best practices for training community health workers, promotores, and representatives, helping programs strengthen quality while preserving community roots. Developed through broad stakeholder input, it promotes accessible, culturally responsive training that supports a trusted workforce statewide.
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In Their Own Words: How Undocumented Californians Are Navigating Medi-Cal Changes and Immigration Enforcement
Based on interviews with 39 undocumented Californians, this report examines how Medi-Cal policy changes and immigration enforcement are shaping health care decisions, coverage stability, trust, and access to care.
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Immigrants in California’s Health Workforce: How Federal Policy Changes Threaten Access to Care
This explainer examines how recent federal immigration policy changes could disrupt workforce recruitment, deepen provider shortages, and threaten access to culturally and linguistically concordant care across California.
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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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Trust and Distrust in California’s Health Care System: A 2026 Statewide Survey
Nearly half of Californians lack trust in the health care system, with cost barriers and lack of a regular doctor deepening distrust, a new CHCF-funded poll finds.
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Inland Empire — Regional Market Report 2025
The Inland Empire is one of seven markets included in the 2025 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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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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San Francisco Bay Area — Regional Market Report 2025
The San Francisco Bay Area is one of seven markets included in the 2025 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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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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Beyond Clinical Care: Closing California’s Data Exchange Gap
California has made significant strides in clinical health information exchange, but behavioral health, public health, and social services have mostly been left behind, contributing to fragmented care for people with complex needs. This report identifies actionable recommendations to help California…
