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  • Primary Care Physician speaks with patient in exam room.
    Issue Brief

    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 Workforce, Primary Care
  • A depressed man reads a letter

    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.

    •Health Care Costs/Affordability
  • A depressed man reads a letter

    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. 

    •Health Care Costs/Affordability
  • A depressed man reads a letter

    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.

    •Health Care Costs/Affordability
  • A depressed man reads a letter
    Issue Brief

    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?

    •Health Care Costs/Affordability
  • Table that describes planned health care development milestones from July 2024 to June 2028.
    Cal Health Care 101

    Overview of the Office of Health Care Affordability

    •Health Care Costs/Affordability
  • Illustration of person changing the direction of a chart
    Case Study

    Health Care Cost Commissions: How Eight States Address Cost Growth

    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.

    •Health Care Costs/Affordability
  • Group of medical practitioners having a serious discussion at a conference table.
    Report

    California’s Physician Practice Landscape: A Rapidly Changing Market with Limited Data

    Physician services account for 20% of total health care spending. Yet information about the structure, characteristics, and financing of physician practices is piecemeal and often not publicly available. This paper reviews available information sources on the physician practice landscape in…

    •Health Care Costs/Affordability, Health Workforce