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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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Blog
California’s Vast Rural North Deserves a Real Seat at the Health Policy Table
California’s Rural North faces the state’s steepest health care challenges. CHCF is elevating local voices to shape real policy solutions.
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Blog
CHCF Testifies to State Lawmakers About Health Care Affordability
Kristof Stremikis: We cannot address this consumer affordability crisis without getting at the underlying cost of health care.’
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Our Top 10 Reads of 2025
CHCF’s most popular resources of 2025 reflected your need to understand unprecedented changes in the state health care system.
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Not Enough Prevention in Health Care
The U.S. spends only about 5 cents of every health care dollar on primary care. Other high-income countries spend three times that much. This chronic underinvestment creates a cascade of problems.
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Unfair Pricing and Too Few Choices
Health care spending depends on two things: how much care patients get and the prices that are charged for that care. In California, there is a big problem with pricing.
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Administrative Waste
The U.S. spends five times more on administrative health care functions than other wealthy nations, on average. It’s like this because our systems are not standardized, automated, or easily connected.
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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?
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Blog
Californians Need Strong Data Sharing to Lower Health Costs and Improve Care
Why building a connected, efficient health system starts with transparent governance of California’s electronic data framework.
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Resource
Investing in Primary Care: Why It Matters for Californians with Commercial Coverage
This study measures primary care spending, as a proportion of overall spending, among commercial health plans and provider organizations (POs) in California. Among POs, more investment in primary care was associated with better quality, fewer ED visits, and lower total…
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Blog
Through the Looking Glass: What’s Behind Hospital Prices for Care
Glimpses behind the veil of secrecy that surrounds pricing decisions in the health care industry are often shocking and almost always bewildering.
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Blog
Hospitals Slow to Comply with New Price Transparency Rule
Stories That Caught Our Attention: US hospitals have been slow to comply with the disclosure regime that was implemented on January 1.
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Blog
Has COVID-19 Changed Prescription Drug Pricing Forever?
Whether patients gain broader access to drugs they need will depend on whether policymakers choose to leverage lessons learned from the pandemic.
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Blog
Health Industry Consolidation in California: What’s Left to Settle?
When court proceedings in the Sutter Health antitrust case are finally over, the work of promoting competition in California’s health care marketplace won’t be finished.
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Blog
When the Court Speaks, What Will It Say About the ACA?
Stories That Caught Our Attention: The Supreme Court on November 10 heard oral arguments in California v. Texas, the third time a major legal challenge to the ACA has reached the high court.
