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  • A group of adults at a volunteer training meeting.
    Report

    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.


  • Woman conducting an informational interview via video call.
    Report

    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.


  • Illustration of two people talking across a divided landscape.
    Report

    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.


  • Illustration of a map of California with a network of lights.
    Report

    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…


  • Report

    The 2026 CHCF California Health Policy Survey

    CHCF and NORC at the University of Chicago conducted a representative, statewide survey of residents’ views and experiences on a variety of health care topics.


  • Stethoscope laying on top of document that reads "Explanation of benefits"
    Report

    California Health Benefits Survey 2025

    The California Health Benefits Survey tracks trends in employees’ coverage, including premiums, employee premium contributions, cost sharing, offer rates, and employer benefit strategies.


  • Four people participate in a group discussion.
    Report

    What Californians Are Saying About AI in Health Care

    CHCF conducted focus groups in California and found that Californians are open to AI’s potential to improve care quality and provide medical providers with more time to spend with patients. However, only if it’s used safely, transparently, and with an…


  • Home health care worker helping client rise from bed.
    Report

    How Could Cuts to Medi-Cal Home and Community-Based Services Impact California?

    Analysts modeled the impact of cutting Medi-Cal HCBS programs. They found that a 10% cut to these programs could lead to over $1 billion in new costs over five years as many people move to nursing homes for care.


  • Composite image of Californians with complex health needs who participated in interviews about their experiences in Medi-Cal
    Report

    Listening to Californians with Complex Needs

    Learn about the first-hand experiences of Californians with complex health and social needs as they seek care. Read the full report and its fact sheets from EVITARUS.


  • Composite image of Californians with complex health needs who participated in interviews about their experiences in Medi-Cal
    Report

    CalAIM Renewal in Context​

    This report examines CalAIM’s Enhanced Care Management (ECM) and Community Supports through interviews with Medi-Cal enrollees with complex needs and a survey of providers. It highlights early implementation successes, identifies payment and administrative challenges, and points to opportunities to strengthen…


  • Three LGBTQ elders march in a Pride parade.
    Report

    Aging with Pride and Authenticity: LGBTQIA+ Older Adults

    A comprehensive UC Berkeley study reveals the unique experiences and challenges facing LGBTQIA+ older adults across California, highlighting critical needs for affordable housing, inclusive health care, and economic security.


  • Report

    Lessons from the Medi-Cal Unwinding: Enrollee Experiences and How They Would Fix Renewals

    This research summarizes the experiences of Medi-Cal enrollees procedurally disenrolled during the Medi-Cal “unwinding” and their recommendations to improve Medi-Cal renewals.


  • Report

    Lessons from the Medi-Cal Unwinding: How California Protected Coverage and Policy Options to Improve Renewals

    This report examines California’s approach to the Medi-Cal unwinding, highlights key successes and challenges, and identifies opportunities to improve future Medi-Cal renewals.


  • Composite image of Californians with complex health needs who participated in interviews about their experiences in Medi-Cal
    Report

    In Their Own Words: What Californians with Multiple Health and Social Needs Say About Their Care

    Learn about the first-hand experiences of Californians with complex health and social needs as they seek care. Their insights reveal both the promise of CalAIM’s vision and how implementation can be improved.


  • hospital in a rural setting
    Report

    Does Shift Happen? Key Concepts and Evidence in the Hospital Cost-Shifting Debate