Special Features

In this paper we look at six Southern California counties, their implementation of the Affordable Care Act and care and financing for the remaining uninsured in the local safety nets. The landscape has changed swiftly and dramatically from large numbers of uninsured seeking care in over-burdened and under-financed county health […] more


This four part series examines the upcoming Medicaid Waiver. Section 1 is background on waivers; Section 2 reviews California’s implementation of the Affordable Care Act; Section 3 provides 2012 data on Southern California’s safety nets on the eve of ACA implementation, and Section 4 discusses the 11 key issues brought […] more


Latest Reports

Solo and small group (fewer than 10) physician practices are an important piece in California’s healthcare landscape. They serve as access points for consumers to receive healthcare services, emphasize relationship-based continuity of care and serve the geographically and socio-economically underserved. More specifically, solo and small group physicians commonly serve ethnically […] more


The Affordable Care Act in many ways represented the triumph of Republican ideas (dating back to President Richard Nixon, Senator Bob Dole and ultimately enacted by Governor Mitt Romney), passed by a narrow margin with Democratic votes only and implemented amidst enormous partisan criticism and unparalleled scrutiny. It was not […] more


Latest Blog Posts

For the last 5 years since the passage of the Affordable Care Act, health care costs have been under control; per capita spending in Medicare has shown very slow growth, same with Medicaid and recently most private insurance. There have been debates about causation; some suggest the Great Recession and […] more


In a 6-3 decision authored by Chief Justice Roberts, the Supreme Court upheld the premium assistance provisions of the Affordable Care Act for federally operated Exchanges. The court introduced the issues at stake as follows: “the Patient Protection and Affordable Care Act adopts a series of interlocking reforms to expand […] more