CHCF’s work touches on a range of health care topics from the ACA to the workforce. We publish reports and policy papers, host briefings and webinars, and share data and analyses. Explore our body of work by topic.
The burden of untreated behavioral health conditions – encompassing mental health and substance use disorders – is both a major public health problem and a delivery system challenge. CHCF works to improve systems of behavioral health care and to focus on integrating mental health, substance use, and physical health services to achieve the best outcomes for low-income Californians.
CHCF partners with a variety of organizations in the health care system to improve care for Californians, with a special focus on the state's safety net of federally qualified health centers and public hospitals. CHCF provides targeted financial assistance, funds for pilot projects, assistance in acquiring and implementing clinical systems, and learning opportunities and technical assistance around quality improvement and payment reform.
The opioid epidemic is the worst drug crisis in American history. More than 42,000 people nationally died of an opioid overdose in 2016, including nearly 2,000 people in California. CHCF is working with partners statewide to promote safer opioid prescribing and increase access to addiction treatment. Our goal is to decrease opioid-related deaths 20% by 2020.
Health Care Costs
Rising health care costs remain a major challenge in California and across the nation. CHCF's work sheds light on trends in state and national health care spending as well as on the affordability of health care for consumers to spur dialogue and action around policy solutions.
With the implementation of the Affordable Care Act (ACA), the health insurance landscape changed dramatically in California. Fewer Californians are uninsured, more than one in three is now enrolled in Medi-Cal, and over a million purchase insurance through the ACA-mandated health insurance marketplace, Covered California. CHCF reports analyze and track trends in health insurance coverage, how much that coverage costs, and who remains uninsured.
Serious Illness & End-of-Life Care
As serious illness progresses, too many people receive ineffective, unwanted, and expensive medical treatments while their physical, spiritual, and emotional needs are poorly addressed. CHCF invests in projects that promote palliative care, which focuses on improving quality of life and relieving suffering at all stages of serious illness, and communicating patient preferences across care settings.
Too often, health care decisions and treatments are driven by people and processes other than the person at the center of these decisions: the patient. CHCF is working to turn the health care system toward patient-centered care, where patients are in partnership with doctors and other providers. We fund projects that help health care systems and providers redesign care around the real needs of patients.