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Payment & Financing
US health care spending is still too often based on the amount of services provided to a patient rather than the value of those services in improving a patient's health. This encourages more — not better — health care and increases costs. CHCF is helping to move health care payment and financing in California to a value-based system that supports the Triple Aim of improved population health and patient experience as well as lower costs.
Sign up for CHCF updates on Payment & Financing
Collection

Modernizing Payment to California’s Community Health Centers

Health centers are crucial to California's response to COVID-19. But the care they provide is still dictated by old payment rules that severely hamper health centers' ability to care for patients during COVID-19 and, in some cases, keep their doors open. This collection focuses on how California can change the way it pays health centers to better serve patients and to create a more resilient foundation for primary care in Medi-Cal.
CHCF Blog

Why a Shared Savings Program Is Critical to CalAIM

January 28, 2020
Anne Sunderland
Medi-Cal, Payment & Financing
Chris Perrone, CHCF’s director of Improving Access, explores California's rare opportunity to chart a new course for Medi-Cal for years to come.
Publication

Shared Savings: Financial Incentives to Spur Better Care for Medi-Cal Patients

January 2020
Medi-Cal, Payment & Financing
The Department of Health Care Services's CalAIM process would change the way it pays Medi-Cal managed care plans to incentivize long-term improvements in quality of care and health outcomes for patients. It specifically calls out the need and potential benefit of a shared savings program, which would be an important, and overdue, advancement.
Publication

2019 Edition — Health Care Costs 101

May 2019
Katherine Wilson
Health Care Costs, Payment & Financing
National health spending grew by 3.9% in 2017, slower than the 4.8% growth in 2016. This Almanac report, Health Care Costs 101: Spending Keeps Growing, details how much is spent on health care in the US, which services are purchased, and who pays.
Publication

2018 Edition — Health Care Costs 101

May 2018
Katherine Wilson
Health Care Costs, Payment & Financing
US health spending reached $3.3 trillion in 2016, and is expected to grow faster than the economy over the next decade. This Almanac report, Health Care Costs 101: A Continuing Economic Threat, details how much is spent on health care in the US, which services are purchased, and who pays.
Publication

Intended Consequences: Modernizing Medi-Cal Rate Setting to Improve Health and Manage Costs

April 2018
Manatt Health, Optumas Healthcare
Medi-Cal, Payment & Financing
The current Medi-Cal rate-setting methodology can hurt health plans that invest in initiatives that lower costs (such as care coordination), thereby discouraging more plans from making those investments. A new rate-setting methodology is needed.
CHCF Blog

The Health Implications of Tax Reform

December 19, 2017
Billy Wynne, Dawn Joyce, Devin Zatorski
Expanding Health Coverage, Payment & Financing, Telehealth
Tax legislation moving rapidly through Congress has far-reaching implications for health and health care. Three health policy experts summarize the health-relevant components of the Tax Cuts and Jobs Act.
CHCF Blog

For Better Outcomes and Significant Savings, Medi-Cal Must Pay Health Plans Differently

April 4, 2018
Christopher Perrone
Medi-Cal, Payment & Financing
California can strengthen its use of payment as a tool to drive performance improvements and create greater value in the Medi-Cal program, and to enhance care for Medi-Cal's more than 13 million members.
Project

Piloting Use of Consensus Standards in Payer-Provider Contracts

Payment & Financing, Serious Illness & End-of-Life Care
Contracting processes between payers and providers to deliver palliative care can often be cumbersome. This project evaluates the use of consensus standards across multiple payer-provider contracts.
Publication

Infographic — US Health Care Spending: Who Pays?

May 2020
Health Care Costs, Payment & Financing
Over the past 60 years, the way health care is financed has changed, with public insurance paying for more care. This graphic shows who paid for health care and how much it cost.
Publication

CIN Partners Share: Success in Payment Reform Requires More and Better Data, Plus a Dose of Experimentation

April 2017
Coverage Trends, Payment & Financing
Amid debate on health care funding in Washington, DC, California Improvement Network partners met to discuss payment reform.
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Sacramento, CA 95814
Tel: 916.329.4540 Fax: 916.329.4544
DIRECTIONS TO CHCF SACRAMENTO

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