Sort by:

Explore


  • 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.


  • 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.


  • 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. 


  • 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.


  • 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?


  • Doctor listens to heartbeat of small child
    Issue Brief

    Strengthening Independent Primary Care Practice in California

    The objective of this brief is to increase understanding of small independent primary care practices in California among purchasers and policymakers, with the goal of identifying opportunities to strengthen and sustain them.


  • Illustration of private equity investors evaluating a hospital for profitability.
    Explainer

    Private Equity in Health Care: Prevalence, Impact and Policy Options for California and the U.S.

    This brief describes national and California-specific trends in private equity acquisitions of health care service providers, such as outpatient clinics, hospitals and nursing homes.


  • Illustration of partners building a pyramid.
    Issue Brief

    A Partnership of Equals: Early Lessons from Mergers of Similarly Sized and Positioned Health Centers

    This issue brief explores two mergers of similarly sized FQHCs in California in the last two years.


  • Report

    Health Insurance and Health Care Affordability Perceptions Among Individual Insurance Market Enrollees in California in 2021

    This 2021 survey sought to better understand if Californians purchasing their health insurance on the individual market perceived their coverage to be affordable.


  • Seal of the Attorney General of California
    Issue Brief

    Examining the Authority of California’s Attorney General in Health Care Mergers

    The health care industry has recently experienced horizontal, vertical, and cross-market consolidation unprecedented in scale and scope. This report examines the California attorney general’s existing merger oversight authority, compares that to the authority held by other state AGs, and then…


  • A young woman sits on a couch working at a computer, and examining her bills. She looks distressed.
    Issue Brief

    Affordability on California’s Individual Market Under the ACA

    This issue brief explores trends in key data on the affordability of health coverage in California, to highlight both progress and remaining challenges to affordability on the state’s individual market under the ACA.


  • Quick Read

    Health Care Sharing Ministries: Characteristics and California Market

    This presentation describes health care sharing ministries (HCSMs), how prevalent they are in California, the current landscape of state and federal regulations around them, and potential questions for regulators.


  • Issue Spotlight

    Health Insurance in California: A Recent History

    CHCF offers a snapshot of the health insurance market in California, where 93% of people are enrolled in private or public coverage, with only 7% of the population remaining uninsured. These infographics provide a breakdown of current enrollment in commercial…


  • Lationo child holding an American flag
    Report

    What’s at Stake for Health Care in Your District This Midterm Election?

    On November 6, 2018, Californians will head to the polls and vote for who will represent them in Congress. The outcome of races could have significant implications for health care in California and nationwide. Find out what’s at stake in…


  • Report

    Perceptions of Affordability Among Individual Market Enrollees in California in 2017

    A 2017 survey of Californians enrolled in the individual health insurance market reveals that 40% had trouble paying premiums and about one in four who needed care delayed care due to cost.