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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.


Publication

Implementation Guide for the California Federally Qualified Health Center Alternative Payment Model

March 2023
Center for Health Care Strategies
Payment & Financing
This guide is for leaders and staff in FQHCs that are considering or have committed to participating in the California Federally Qualified Health Center Alternative Payment Model.
Publication

2023 Edition — California Health Care Spending

March 2023
Katherine Wilson
Health Care Costs, Payment & Financing
Between 2010 and 2020, health care spending in California grew faster on an annual average basis than health spending in the US and the economic growth in the state. This Almanac quick reference guide provides an overview of spending in California.
Publication

Infographic — US Health Care Spending: Who Pays?

June 2022
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

2021 Edition — Health Care Costs 101

June 2021
Katherine Wilson
Health Care Costs, Payment & Financing
Health Care Costs 101: US Spending Growth Outpaces Economy provides a detailed look at national health care spending in 2019, just prior to the onset of the COVID-19 pandemic.
CHCF Blog

Health Disparities Require Bolder Action on Medi-Cal Managed Care Contracts

June 24, 2021
Christopher Perrone
Health Equity, Medi-Cal, Payment & Financing
The draft RFP for Medi-Cal managed care procurement is a significant step forward, but California must do more to eliminate disparities in access and outcomes
Publication

Medi-Cal Explained: Managed Care Plan Procurement

May 2021
Mari Cantwell, Sarah Brooks
Medi-Cal, Payment & Financing
This brief explains what the 2021 Medi-Cal managed care reprocurement process is and what it means for millions of Californians served by Medi-Cal.
CHCF Blog

A Golden Opportunity to Narrow California’s Racial Health Disparities

April 12, 2021
The Los Angeles Times Editorial Board
Medi-Cal, Payment & Financing
The state now has a rare opportunity to force health insurers to do more to improve the care that people with low incomes receive through Medi-Cal.
CHCF Blog

Medi-Cal: California Has a Rare Opportunity to Improve Health Care Equity

March 26, 2021
Sandra R. Hernández
Medi-Cal, Payment & Financing
About 10 million Californians get their health care through a Medi-Cal managed care plan, but the state's contracts with those plans fail to ensure that these enrollees get the high-quality care they deserve.
CHCF Blog

The Doctor Will Call Me Maybe

March 9, 2021
Lori Uscher-Pines, Maggie Jones, Jessica L. Sousa, Zach Predmore, Allison J. Ober
Telehealth, Payment & Financing
Eliminating payment for audio-only telehealth visits will disproportionately affect safety-net settings and patients who are not equipped for video visits.
CHCF Blog

Use ‘Carrots and Sticks’ to Spur Better Quality, Equity From Medi-Cal Managed Care Plans

February 4, 2021
Christopher Perrone
Medi-Cal, Payment & Financing, Health Equity
California has a rare opportunity to institute long-overdue financial incentives tied to health plan performance.
Publication

Paying Medi-Cal Managed Care Plans for Value: Design Recommendations for a Quality Incentive Program

January 2021
Bailit Health
Medi-Cal, Payment & Financing
This report recommends a new way to pay Medi-Cal managed care plans (MCPs) designed to improve the quality of care for Medi-Cal enrollees. The Department of Health Care Services would withhold part of its capitation payments to MCPs, who could earn back some or all of the amount withheld depending on their performance on quality measures.
Publication

Video: How Health Center Patients Benefit Under Patient-Centered Payment

July 2020
Payment & Financing, Medi-Cal
This short animated video explains how old payment rules are hurting three fictional health center patients, Veronica, Michael, and Janelle, and how each would benefit under the switch to patient-centered payment.
CHCF Blog

Washington Begins Horse Trading over Next Phase of COVID-19 Aid

June 30, 2020
Billy Wynne, Dawn Joyce
Payment & Financing, Telehealth
A legislative package is expected to pass before Congress adjourns for the August recess.
Publication

How Health Centers Can Improve Patient Care Through Value-Based Payment Models

June 2020
Center for Health Care Strategies
Payment & Financing, Medi-Cal
Patients in health centers across the country are benefiting from state-led value-based payment models that reward high-quality, cost-effective care. The value-based payment models described in this brief aim to provide patients with coordinated, team-based health care that is convenient to access and best meets their needs.
CHCF Blog

Health Care Costs Accounted for 17.7 Percent of GDP in 2018

June 2, 2020
Katherine Wilson
Health Care Costs, Payment & Financing
New CHCF Almanac shows hospital care was the biggest spending category.
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OAKLAND
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Oakland, CA 94612
Tel: 510.238.1040 Fax: 510.201.2991
DIRECTIONS TO CHCF OAKLAND
SACRAMENTO
1415 L Street #820
Sacramento, CA 95814
Tel: 916.329.4540 Fax: 916.329.4544
DIRECTIONS TO CHCF SACRAMENTO

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