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  • Distressed woman holds and looks at a hospital bill
    Issue Spotlight

    The 25% Solution: A Health Care Affordability Agenda for California

    California faces a health care affordability crisis. Here are 10 recommendations informed by surveys of +4,000 Californians.

    •Consumer Affordability, Health Care Costs and Financing, Health Insurance Coverage, Medical Debt
  • Report

    Worried Sick: Californians on a Health Care System They Can’t Afford

    Californians can’t afford health care. Read testimonies from Californians about the hard choices, whom they hold responsible, and which policies they feel will move us forward.

    •Consumer Affordability, Medical Debt, Surveys and Polls
  • Issue Brief

    Policy Options to Improve Health Care Affordability: What California Can Learn from Other States

    This issue brief presents policies from other states that California can learn from to address the health care affordability crisis.

    •Consumer Affordability, Health Care Costs and Financing, Hospital Financing, Medical Debt
  • 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.

    •Consumer Affordability, Health Care Costs and Financing
  • Future of Medi-Cal Illustration of a lightbulb filled with colorful balls
    Expert Perspective

    Medi-Cal Bold Idea — Partially Unified Financing: Covered California for Most

    This proposal suggests transitioning most Californians — including many currently enrolled in Medi-Cal — into Covered California plans. The model aims to create a more continuous and equitable coverage system.

    •Consumer Affordability, Medi-Cal, Medi-Cal Payment and Financing
  • 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.

    •Consumer Affordability, Facts and Data, Health Care Costs and Financing, Health Insurance Coverage
  • 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.

    •Consumer Affordability, Health Care Costs and Financing, Health Insurance Coverage
  • Illustration of the State of California with speech bubbles
    Report

    The 2024 CHCF California Health Policy Survey

    Conducted in fall 2023, this survey collected Californian adults’ opinions and experiences on various health care topics, including mental health, medical debt, racial equity, and more.

    •Behavioral Health, Consumer Affordability, Racial Health Equity, Surveys and Polls
  • Stethoscope laying on top of document that reads "Explanation of benefits"
    Almanac

    California Employer Health Benefits Almanac — 2023 Edition

    In 2022, 64% of firms in California offered health benefits to at least some of their employees. Premium costs are typically shared between employers and workers. This report presents data compiled from the 2022 KKF Employer Health Benefits Survey.

    •Consumer Affordability, Health Insurance Coverage, Private Insurance Market
  • Report

    Access, Affordability, and Respect: California Poll Shows Benefits Associated with Having a Primary Care Provider

    An analysis of poll findings reveals significant differences between insured Californians who have a primary care provider and those who do not across topics related to health care utilization, experience, affordability, and health behaviors.

    •Consumer Affordability, Health Workforce Diversity, Primary Care, Racial Health Equity, Surveys and Polls, Telehealth
  • 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.

    •Consumer Affordability, Health Care Costs and Financing, Health Insurance Coverage, Private Insurance Market
  • Explainer

    California’s Individual Market and Affordability

    What policymakers need to know: Learn about consumer affordability challenges in California’s individual health insurance market. In this resource center, you’ll find background information, definitions of key terms, an explanation of key Affordable Care Act provisions, data, and real-life scenarios…

    •Consumer Affordability, Health Care Costs and Financing, Health Insurance Coverage, Private Insurance Market
  • A group of people sit in chairs listening to presentation.
    Issue Brief

    ACA Reduces Racial/Ethnic Disparities in Health Coverage Rates in California

    New data from the California Health Insurance Survey show that coverage in California remained stable in 2016–17. Of particular note is how the Affordable Care Act has narrowed disparities in coverage between different racial and ethnic groups.

    •Consumer Affordability, Health Insurance Coverage, Racial Health Equity
  • hands typing on laptop keyboard
    Report

    All-Payer Claims Databases: Recommendations for California

    While an all-payer claims database (APCD) could offer Californians new ways to keep track of health care costs, lawmakers must take steps to guarantee that data would remain secure.

    •Consumer Affordability, Health Care Costs and Financing, Health Insurance Coverage, Private Insurance Market