CAHP Fact Sheet: Key Facts for Providers on California’s Health Care Spending Target
The Office of Health Care Affordability (OHCA) in April 2024 adopted a statewide health care spending target, which will apply to health plans, providers and hospitals. The OHCA board adopted a phased-in target to gradually decrease health care system spending growth over time. The purpose of the spending target is to rein in health care costs and make health care more affordable, while also aiming to address inequities in the health care system.
CAHP Fact Sheet: California’s Essential Health Benefits: A Comprehensive Guide
California’s Essential Health Benefits (EHBs) were established in 2014 by California policymakers and stakeholders over robust discussion, research, and analysis with the goal of creating a comprehensive package of health care services that benefit the greatest number of people while keeping health care affordable.
CAHP Fact Sheet: AB 3275 Will Harm California’s Health Care Delivery System and Do Nothing to Save Distressed Hospitals
VOTE NO ON AB 3275 - Health plans understand the important role hospitals play within our health care system and we continue to support and make every effort to ensure hospitals stay operational so they can continue to provide quality care to all patients in the communities we serve. Unfortunately, AB 3275 will drive up health care costs, harm the existing health care delivery system, and DO NOTHING to help financially distressed hospitals in California.
CAHP Fact Sheet: Top Cost Drivers of 2025 Health Plan Premiums
California’s health plan premium costs in 2025 will be driven by several factors across the individual and small group marketplaces, particularly: continued inflation driving increased provider reimbursement rates, high hospital costs, the resumption of Medi-Cal redeterminations, and the continued rise in drug prices especially from weight loss drugs and other specialty drugs.
CAHP Fact Sheet: Hospitals are Marking Up Prices of Prescription Drugs, Driving Up the Cost of Healthcare for All
Hospitals are hiking the prices of hospital-administered drugs, making it even harder for patients to afford these often life-saving medications. A recent study found that hospitals markup drug costs by an average of 108%, which drives up the cost of patient hospital bills exponentially. Check out these hospital bill markups!
CAHP Press Release: Covered California Announces Preliminary 2025 Rate Change, Expanded Financial Support for Consumers
Covered California today announced preliminary health insurance rates for 2025, citing an average statewide rate change of 7.9 percent. This rate is lower than last year’s 9.6 percent rate change and most Covered California enrollees will experience little to no impact to their monthly health insurance costs. The governor and state lawmakers have provided more support for the state-enhanced cost-sharing reduction program, which will eliminate deductibles and lower the cost of care for more than one million Californians, Covered California said.
CAHP Press Release: ICYMI – Wall Street Journal: Surging Hospital Prices Helping Keep Inflation High
The Wall Street Journal recently published a report highlighting the fact that surging hospital prices have contributed to stubbornly high inflation in the United States. The article notes that the U.S. Labor Department found that hospital prices specifically jumped 7.7% in April from a year ago, the highest increase in any month since October 2010.
CAHP Press Release: ICYMI – Capitol Weekly: Health Care Affordability Efforts Must Include Everyone
Capitol Weekly this week published an opinion editorial authored by California Association of Health Plans (CAHP) President and CEO Charles Bacchi, arguing that the Office of Health Care Affordability (OHCA) must prioritize addressing hospital costs—the largest cost driver in the health care system.
CAHP Fact Sheet: California’s Health Plans Are Working to Address Affordability in Health Care Coverage
As California’s Office of Healthcare Affordability (OHCA) develops proposals to address health care affordability in California, health plans are actively engaged with the Office on efforts to manage health care costs and improve affordable health care coverage options. Californians deserve health care that is accessible, affordable, and high quality, and health plans are active participants in developing solutions.
CAHP Fact Sheet: SB 294 Will Delay Much Needed Health Care for CA’s Youth.
SB 294 is a counterproductive bill that will do the opposite of what it seeks to do by unnecessarily complicating and delaying care further for those seeking mental health care. It will also increase costs for the state’s health care system and all Californians.
CAHP Fact Sheet: Key Facts for Providers on California’s Health Care Spending Target