California Advancing and Innovating Medi-Cal (CalAIM) is a far-reaching, multiyear plan to transform California’s Medi-Cal program and to make it integrate more seamlessly with other social services. The goal of CalAIM is to improve outcomes for the millions of Californians covered by Medi-Cal, especially those with the most complex needs. This fact sheet includes a high-level overview of the plan's details.

California offers a multitude of home and community-based services to people with low incomes who rely on Medi-Cal for health coverage. Yet few public data exist to demonstrate whether these services are equitably available and used by those who qualify. This paper aims to support state staff, policymakers, and other stakeholders in ensuring the robust collection and reporting of HCBS data.

Most California health care markets are highly concentrated, with hospital markets in particular approaching monopoly levels in many counties. Studies show that mergers of health care companies result in increased prices for services. This report compiles evidence about consolidation and provides potential considerations for policymakers.

This publication reviews the barriers to hiring providers in this specific sector of the health care system, the role of the temporary workforce, and the emergence of technology-enabled staffing companies as a potential alternative to traditional staffing agencies. An accompanying snapshot outlines data on key characteristics of vacancies, perceived recruitment challenges, and hiring of registry and contract providers.

This brief seeks to support the regulatory process in California by shedding light on how transition to practice (TTP) has played out around the country for nurse practitioners (NPs), sharing the existing evidence on how full practice authority and TTP periods for NPs affect patients’ access to care and outcomes.

CHCF commissioned interviews with 54 people enrolled in Medi-Cal who are dually diagnosed with mental illness and substance use disorder. The paper and accompanying videos highlight what is working — and not working — for them in the health care system.