FROM THE FOUNDATION

End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

The Think Tank

04/29/2013

Managing Medi-Cal With Enrollment Up, Spending Down

We asked legislators, state officials and consumer advocates how California should manage Medi-Cal with enrollment going up by millions next year and reimbursements going down perhaps by as much as 10%.

04/04/2013

Should Calif. Set Charity Minimum for Not-for-Profit Hospitals?

We asked legislators, stakeholders and consumer advocates to weigh in on a bill before the state Legislature calling for the state to establish a minimum amount of charity care for private, tax-exempt not-for-profit hospitals.

03/07/2013

Should California Expand Providers' Scope of Practice?

Hoping to bolster the ranks of providers able to deal with millions of newly insured Californians, the California Legislature this month will consider a proposal to give mid-level health care practitioners more autonomy and authority. We asked legislators and stakeholders if that's a good idea.

01/31/2013

How Might Immigration Reform Influence Health Care Reform?

We asked policymakers, immigration experts and consumer advocates how immigration reform might influence health care reform in California.

01/17/2013

Should Calif. Be Model for National Mental Health System?

We asked mental health experts and lawmakers how California and the nation should respond to the public debate triggered by the killing of 26 people at an elementary school last month. Senate President Pro Tempore Darrell Steinberg has urged the White House to use California's mental health system as a national model.

12/13/2012

Setting Priorities in Health Care Special Session and Beyond

We asked lawmakers and stakeholders to use post-election perspective to define priorities for both the state Legislature's special session on health care next month and the legislative session that follows.

11/05/2012

Move Toward Openness in Health Care Pricing, Performance

We asked stakeholders and experts if California should be actively pursuing changes to let consumers and purchasers get a clearer picture of pricing and performance in the state's health care system.

10/11/2012

How Should Exchange Handle Vision, Dental Coverage?

Federal guidelines provide some direction, but state insurance exchanges are largely on their own when deciding details of offering vision and dental coverage under the Affordable Care Act. We asked stakeholders and consumer advocates what California should do.

09/24/2012

Can Health Policy Contribute to Drop in Crime Rate?

Two significant changes in California's health system -- federal reform and realignment of state and county responsibilities for government health programs -- offer new opportunities to improve the way things work in California on many fronts, including the criminal justice system, according to some. We asked experts to explain how.

08/30/2012

Should California Follow Mass. Cost-Control Example?

We asked experts and stakeholders if California should be considering something similar to Massachusetts' new law designed to allow health care costs to grow no faster than the state's economy.

08/13/2012

Designing a New Tier of Dental Professional in California

The California Legislature this month will consider a bill that could set the stage for a new tier of oral health care provider -- people less educated than dentists but with enough training to perform some dental procedures. We asked stakeholders and experts how the state should proceed.

07/16/2012

How Active Should Exchange Be in Defining Market?

As the California Health Benefit Exchange board refines its design and marching orders, we asked stakeholders how far the exchange should lean in applying its considerable influence on the state's insurance marketplace.

06/28/2012

How Should California Deal With Obesity?

Battle lines against obesity are being drawn in several arenas -- from a proposed tax on sugary drinks in a Northern California city to a new national Walt Disney Company policy against accepting junk-food advertising. We asked experts what California should do.

06/04/2012

Creating a Culturally Competent Health Care System

Is California still leading the way toward cultural competence in health care? We asked stakeholders how California legislators, policymakers, educators and business leaders can best prepare the health care system for an increasingly diverse population.

05/21/2012

Basic Health Program: Good or Bad Idea for California?

The California Legislature is considering a proposal to create a Basic Health Program in California that would provide low-cost public health insurance for as many as one million Californians who otherwise might not qualify for subsidized coverage. We asked stakeholders and experts what California should do.

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