State Health Policy
CHCF's Sacramento office provides policymakers with a valuable local resource and serves as a link to experts and resources at the foundation's Oakland headquarters.
New & Noteworthy
CalAIM in Focus
CalAIM is a multiyear reform led by the California Department of Health Care Services to improve the health outcomes and the overall well-being of Medi-Cal enrollees. Explore CHCF’s collection of tools and resources aimed at helping organizations understand and implement CalAIM.
All Californians should have the opportunity to achieve their fullest potential for health. CHCF is working with a wide range of partners to remove structural barriers to care and build a just and equitable health care system that is designed to redress, not perpetuate, the inequities that too many of our fellow Californians face.
Medi-Cal is the foundation of California’s health care safety net and a major component of the state’s budget. The Medi-Cal Explained series provides an overview of the program, including the people it serves, the services it provides, and how it is organized, managed, and financed.
2020 Edition — Health Care Almanac Regional Markets Study
The markets included in the 2020 release — Humboldt/Del Norte, Los Angeles, Riverside/San Bernardino, Sacramento, San Diego, San Francisco Bay Area, and San Joaquin Valley, — reflect a range of economic, demographic, care delivery, and financing conditions in California.
The burden of untreated behavioral health conditions — encompassing mental health and substance use disorders — is both a major public health problem and a delivery system challenge. CHCF works to improve systems of behavioral health care and to focus on integrating mental health, substance use, and physical health services to achieve the best outcomes for Californians with low incomes.
Understanding California’s Community Health Worker/Promotor Workforce
A new series of reports aims to paint a more complete picture of the community health worker/promoter workforce in California, as well as challenges and opportunities related to training and employment. Reports will be released during the fall of 2022 and winter of 2023.
Listening to Black Californians
As part of its commitment to ending health inequities, CHCF partnered with EVITARUS, a Black-owned public opinion research firm in Los Angeles, to conduct a qualitative and quantitative study that listens to Black Californians via in-depth interviews, focus groups, and a statewide survey.
With the implementation of the Affordable Care Act (ACA), the health insurance landscape changed dramatically in California. Fewer Californians are uninsured, more than one in three is now enrolled in Medi-Cal, and over a million purchase insurance through the ACA-mandated health insurance marketplace, Covered California. CHCF reports analyze and track trends in health insurance coverage, how much that coverage costs, and who remains uninsured.
Over the next decade, California faces a number of health workforce challenges, including a population that is growing, aging, and becoming more diverse. To meet these and other challenges, California must develop a modern health workforce that delivers smarter, more affordable care. That will require a new generation of health professionals with roles, skills, and workflows that match our latest understanding of how best to deliver high-quality, high-value care.
Older Adults with Complex Needs
Too many older adults with complex health issues face multiple obstacles to getting the care and support they need. There are nearly three million Californians over age 50 who struggle to make ends meet while also facing significant health challenges. These adults, who get their care through Medi-Cal and, in some instances, Medicare, describe themselves as being in fair or poor health, and two-thirds report a disability due to a physical, mental, or emotional condition.
Improving Quality in Medi-Cal Managed Care
Everyone in Medi-Cal, regardless of where they live or their managed care plan, should have the same opportunity to get timely, high-quality care. But today, access and quality of care varies widely within the Medi-Cal managed care system.
Expanding Health Coverage
During the COVID-19 pandemic the percentage of Californians with insurance has hit an all-time high. However, much work remains to ensure that all Californians can get and stay covered. CHCF produces data and analyses to inform efforts to protect coverage gains and further expand coverage so that all Californians can get the health care they need.
Telehealth is the use of technology to better harness providers’ time and expertise and connect patients to the care they need more quickly and conveniently. For over a decade, CHCF has worked to expand the use of telehealth in the California safety net. This work takes on new urgency in the face of the COVID-19 pandemic.
Advancing Data Exchange in California
This series of reports sponsored by CHCF is aimed at helping inform California decisionmakers about statewide data exchange. These reports focus on how other states have approached statewide health information exchange; the existing electronic health record networks, regional health information organizations, and competing infrastructure that currently exist in California; and the challenges and policy options for the state going forward.