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Los Angeles: Fragmented Health Care Market Shows Signs of Coalescing, 2013

January 1, 2013

Although Los Angeles' diverse economy has provided some resiliency during the economic downturn, hospitals have experienced lower patient care revenues. This report provides a snapshot of the region's health care market.CHCF is updating a series of market studies in six areas: Fresno, Los Angeles, Riverside/San Bernardino, Sacramento, San Diego, and the San Francisco Bay Area. These regional market reports highlight variations in health care affordability, access, and quality of care across the state. The reports are published as part of the CHCF California Health Care Almanac, an online clearinghouse for key data and analysis examining California's medical system.Key findings of the Los Angeles report include:The area's dense urban environment has given rise to a large, fragmented health care market.Health care reform and a drop in private insurance enrollment have led to new affiliations among providers to gain more patients.The region's safety-net system has expanded its capacity to adapt to Medi-Cal's growing enrollment under health reform.

San Francisco Bay Area: Health Care Providers Shift Allegiances as Regional Networks Emerge

December 1, 2012

CHCF is updating a series of market studies in six areas: Fresno, Los Angeles, Riverside/San Bernardino, Sacramento, San Diego, and the San Francisco Bay Area. These regional market reports highlight variations in health care affordability, access, and quality of care across the state. The reports are published as part of the CHCF California Health Care Almanac, an online clearinghouse for key data and analysis examining California's medical system.Key findings from the San Francisco Bay Area issue brief include:Although two hospital systems account for half of inpatient discharges, as a result of geographic barriers, much of health care delivery occurs within local submarkets.Health care providers weathered the economic downturn comparatively well, with hospital systems showing strong financial performance. However, county hospitals and smaller safety-net hospitals continued to struggle. Health reform and other developing trends are expected to tamp down revenues in coming years. Substantial seismic construction projects underway raise concerns that hospitals may not be able to pay debt obligations in the face of declining income.Bay Area providers and health plans are aggressively aligning. Health plans and providers formed narrow-network accountable care organizations (ACOs) in 2011. Safety-net providers are working to coordinate care through the medical home model, while a surge of physicians and hospitals have collaborated to expand geographic reach.

Making Coverage for the Uninsured The Role of Community Initiatives: Findings from a Study of Five States

October 1, 2004

The Georgia Department of Community Health, with the Philanthropic Collaborative for a Healthy Georgia, developed a matching grants initiative focused on school health in Georgia.

Making Coverage for the Uninsured: The Role of Community Initiatives

December 31, 2000

An analysis of community initiatives in their efforts to bridge the growing gap between public and private health insurance coverage.