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  • Primary Care Physician speaks with patient in exam room.
    Report

    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…

    •Health Equity, Health Workforce, Primary Care
  • Crowd of people enjoying a sunny day at Griffith Park in Los Angeles, CA.
    Report

    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.

    •Facts and Data, Health Insurance Coverage
  • 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.

    •Health Workforce
  • 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.

    •Health Equity, Medi-Cal
  • Pathent and doctor having a friendly interaction in exam room
    Report

    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.

    •Health Equity, Health Workforce
  • Illustration of a female doctor and patient with medical symbols and a ribbon representing kidney disease awreness.
    Report

    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.

    •Health Equity, Technology and Innovation
  • 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.

    •Health Care Costs/Affordability, Health Insurance Coverage
  • Downtown shopping area in the Inland Empire region of California
    Report

    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.

    •Facts and Data, Health Insurance Coverage
  • A nurse holds a stethoscope to the chest of a toddler boy sitting in his mother's lap.
    Report

    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.

    •Health Insurance Coverage, Primary Care
  • Illustration of a group of people walking towards an arrow.
    Report

    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…

    •Behavioral Health
  • California state capitol building, Sacramento
    Report

    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.

    •Technology and Innovation
  • San Francisco as seen from the East Bay withthe Bay Bridge in the foreground.
    Report

    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.

    •Facts and Data, Health Insurance Coverage
  • Elderly man looks at tablet with doctor
    Report

    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.

    •Technology and Innovation
  • Elderly male patient talks to clinicians.
    Report

    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.

    •Health Workforce, Medi-Cal, Older Adults
  • 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…

    •Behavioral Health, Health Workforce, Technology and Innovation