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  • a ladder leaning against a wall, pointing towards a blue sky with fluffy white clouds
    Report

    The Sky’s the Limit

    California pays significantly more for common health care services than the rest of the country, and the gap has been widening. A critical factor in the fast growth of prices is market concentration — including hospital consolidation and physician integration…


  • surgical team preps pregnant patient for cesarian section operation
    Behind the Headlines

    When It Comes to C-Sections, All Hospitals Are Not the Same

    Stories That Caught Our Attention: Take a look at America’s cesarean section capital to see how challenging it is to reduce surgical childbirth for low-risk, first-time mothers.


  • Young client is seen by medical practitioner at La Clinica, Oakland, CA.
    Case Study

    New Study Shows Lagging Quality Improvement in Medi-Cal Managed Care

    Over the last decade, California hasn’t seen the level of quality improvement expected from Medi-Cal, one of the state’s most important programs.


  • Report

    A Close Look at Medi-Cal Managed Care: Statewide Quality Trends from the Last Decade

    This report examines the quality of care provided by Medi-Cal managed care plans between 2009 and 2018. In addition to reporting on overall trends in performance, this report also examines differences by type of ownership (public, nonprofit, for-profit) and model…


  • Interactive map of quality trends in Medi-Cal managed care
    Report

    California Map: Quality in Medi-Cal Managed Care, County by County

    Use this interactive map to learn more about the quality of care provided by local Medi-Cal managed care plans in your area between 2009 and 2018.


  • Hand holding a magnifying glass over grass
    Report

    A Close Look at Medi-Cal Managed Care: Stories of Quality Improvement Success

    This paper highlights examples of Medi-Cal managed care plans that have made significant progress on individual quality-of-care measures. The paper identifies several common, interconnected strategies that were key to improving quality and provides concrete examples of how plans put these…


  • Client at West County Health Center
    Behind the Headlines

    White House Puts National Spotlight on California Homelessness

    Stories That Caught Our Attention: President Trump’s new interest in California’s homelessness crisis has state officials questioning why White House proposals neglect key drivers of the problem.


  • medical practitioner enters patient information into an electronic health record system
    Expert Perspective

    Can Behavioral Health Entrepreneurs Finally Break Through?

    In 2018, health tech start-ups raised nearly $400 million in funding for technology investments related to behavioral health. In what areas are innovators making genuine progress?


  • Lifeling Medical Trust Clinic Partners pose for a group photo.
    Feature Story

    ‘Trust Our Patients So They Can Trust Us’

    At an Oakland clinic, patients who once lived on the streets are helping to improve care for the unsheltered.


  • Illustration of people walking in the rain, some with umbrellas and some without.
    Behind the Headlines

    Number of Uninsured Americans on the Rise While California Holds Steady

    Stories That Caught Our Attention: For the first time since the Affordable Care Act passed in 2010, a key Census Bureau survey found the number of uninsured Americans has increased.


  • computer keyboard with a bright pink key
    Report

    California’s POLST Electronic Registry Pilot

    From 2016 to 2018, a pilot project tested the feasibility of creating a statewide electronic registry for POLST (Physician Orders for Life-Sustaining Treatment) forms in California. This publication offers lessons for all stakeholders interested in pursuing electronic exchange of POLST…


  • Maria Isabel Bueso
    Behind the Headlines

    Deadly Policy Change Blindsides Immigrants with Severe Illnesses

    Stories That Caught Our Attention: After being widely criticized, the Trump administration has partially backtracked on its decision to stop protecting immigrants from deportation while they receive lifesaving medical care. However, the future of the medical deferred action program remains…


  • Illustration of people sitting at a circular table
    Expert Perspective

    Roundtables Highlight Common Tech Challenges Facing Medicaid Programs

    The innovation opportunity in California and across the nation is huge, with one in five Americans enrolled in a state Medicaid program.



  • The 1619 Project, by the New York Times, examines how the legacy of slavery continues to shape and define life in the United States.
    Behind the Headlines

    The Real Story of America

    Stories That Caught Our Attention: America’s struggle with race relations — including in health care — inspired an extraordinary effort by the New York Times Magazine to tell a four-century saga in ways that explain the challenges facing contemporary society.