The Affordable Care Act (ACA) allows state variation in implementing health reform. Critical to a stable health insurance market under reform is the use of risk adjustment to share risks across insurance plans. The ACA requires states to implement risk adjustment, but a California-specific risk...

Enrollment in Health Savings Accounts (HSAs) and the high deductible health insurance plans that go with them is increasing rapidly. The accounts benefit from favorable tax status, and President Bush has proposed further expanding tax incentives that favor HSAs. The goal of these policies is to...

Abstract In 2012, the share of California’s Gross State Product consumed by healthcare was 15.4%, and approximately 50% of healthcare spending went to care for 5% of the population. To address such cost challenges as well as to improve quality of care and patient outcomes, a group of...

Abstract The ACA’s passage was followed by great uncertainty about how the healthcare landscape would transform. During this tumultuous period, a unique group of California’s private sector health systems, medical groups and health plans, alongside public sector leaders, came together to...