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  • Distressed woman holds and looks at a hospital bill

    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
  • 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
  • Crowd of people enjoying a sunny day at Griffith Park in Los Angeles, CA.
    Regional Market 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.

    •Community Health Workers, Health Care Costs and Financing, Health Insurance Coverage, Health Workforce, Hospital Financing, Los Angeles and Orange County, Regions
  • Patient and Doctor at West County Community Clinic
    Almanac

    Californians with Low Incomes Almanac — 2026 Edition

    All Californians should have access to the care they need, when they need it, at a price they can afford. Californians with low incomes often face greater barriers to care than those with higher incomes. This Almanac quick reference guide…

    •Consumer Affordability, Health Care Costs and Financing
  • 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
  • Downtown shopping area in the Inland Empire region of California
    Regional Market Report

    Inland Empire — Regional Market Report 2026

    The Inland Empire 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.

    •Community Health Workers, Health Care Costs and Financing, Health Insurance Coverage, Health Workforce, Hospital Financing, Inland Empire, Regions
  • San Francisco as seen from the East Bay withthe Bay Bridge in the foreground.
    Regional Market Report

    San Francisco Bay Area — Regional Market Report 2026

    The San Francisco Bay Area 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.

    •Community Health Workers, Health Care Costs and Financing, Health Insurance Coverage, Health Workforce, Hospital Financing, Regions, San Francisco Bay Area
  • 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
  • Mount Shasta, California, USA - June 17th 2025: Main street of Mount Shasta town leading towards Mount Shasta Volcano, at dusk in summer
    Regional Market Report

    Shasta and Lassen Counties — Regional Market Report 2026

    Shasta and Lassen Counties are one of seven markets included in the 2026 Regional Market Report, which focuses on gaining key insights into the organization, financing, and delivery of care in communities across California and over time. 

    •Community Health Workers, Health Care Costs and Financing, Health Insurance Coverage, Health Workforce, Hospital Financing, Regions, Rural Northern California
  • Regional Market Report

    San Joaquin Valley — Regional Market Report 2026

    San Joaquin Valley is one of seven markets included in the 2026 Regional Market Report, which focuses on gaining key insights into the organization, financing, and delivery of care in communities across California and over time. 

    •Community Health Workers, Health Care Costs and Financing, Health Insurance Coverage, Health Workforce, Hospital Financing, Regions, San Joaquin Valley
  • 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
  • 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 and Financing
  • 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 and Financing
  • 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 and Financing
  • 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 and Financing