State Health Policy
CHCF's Sacramento office provides policymakers and the media with a valuable local resource, and serves as a link to experts and resources at the foundation's Oakland headquarters.
New & Noteworthy
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.
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.
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.
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.
Focus on CalAIM
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.
Health Care Cost Commissions: How Eight States Address Cost Growth
Health Care Costs
This issue brief documents efforts in eight states that have established new independent commissions or increased the authority of an existing regulatory body to monitor and limit unnecessary growth in health spending.
State and Federal Relief Prevented Deep Backslide in Health Care Affordability in California in 2020
Health Care Costs
This analysis of the 2020 California Health Insurance Survey shows that Californians were largely protected from experiencing a major erosion in their ability to pay for health insurance and care during the first year of the pandemic.
Data Exchange Explainer Series
CHCF's Data Exchange Explainer Series seeks to create a better understanding among stakeholders of statewide health information exchange. These four papers highlight other states' pathways to provide incentives for participation in data exchange, approaches to governance adopted by policymakers, digital identity management, and data sharing agreements.
Progress Since the California Future Health Workforce Commission
Progress Since the California Future Health Workforce Commission: State Policy and Budget Actions on Priority Recommendations provides an overview of how California has acted on Commission recommendations to grow and diversity its health workforce.
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.
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.
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.
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.
Listening to the Voices of Californians
CHCF believes that our health care system — especially public programs like Medi-Cal — should reflect the needs, experiences, and priorities of the people they serve. We engage in “listening work” to help policymakers and health care partners understand the experiences and attitudes of health care consumers, as well as the doctors, nurses, and other health professionals who provide frontline care.
A Primer on Dual-Eligible Californians
Amber Christ, Georgia Burke
Medi-Cal, Older Adults with Complex Needs
More than a million Californians receive health care coverage from both Medicare and Medi-Cal. These dual-eligible enrollees are older adults with low incomes and people with disabilities. The goal of the paper is to help stakeholders understand the complexities of service delivery for dual-eligible enrollees and to assess the impact of proposed changes on how enrollees can access care under both Medicare and Medi-Cal.
Hanging On to Coverage?
Katherine Wilson, Laurel Lucia
Millions of Californians lost jobs during the COVID-19 pandemic. But early information from California’s insurance regulators suggests that — at least through June — the number of Californians with job-based health insurance has not changed as dramatically as feared. This may help partially explain why the state’s Medicaid program, Medi-Cal, has not yet experienced a big surge in enrollment.
Expanding Payer and Provider Participation in Data Exchange
This report outlines a spectrum of policy, contracting, and financing levers available to states working to advance interoperability, with a special focus on California's potential paths forward.
Health Workforce Strategies for California
This collection of publications examines the evidence on the impact of key health workforce policy interventions, such as pipeline and loan repayment programs, to achieve goals like diversifying the workforce, increasing the number of health professionals who provide care in a language other than English, and increasing access to care in medically underserved areas.