The Bay Area has been a global leader in health, pioneering advances from biotechnology to how healthcare organizations deliver care. However, like the rest of the United States, our costs are much higher than those in the rest of the world and our outcomes, in many areas, worse. We must work to build a system that creates more health at a more sustainable price to our society. And we must build a culture of health in which individuals are empowered to make healthy choices for their lives.



Price Controls or Managed Competition? Lessons for California

This report examines the ongoing, mostly state-based efforts aimed at lowering health care prices. It asks whether there are lessons California can learn from these experiments as well as limitations to importing similar practices into the state and expecting the same results. It also explores whether reinvigorating managed competition—a “made in California” alternative that tries to reduce total health care costs while improving quality of care—has the potential both to moderate prices and avoid the drawbacks of price controls.

Building a Climate-Smart Healthcare System for California

Climate change remains a serious threat to human health, and healthcare organizations in California, across the U.S., and globally can be catalysts in creating a climate-smart future.

Health Care Reform in the Balance

This report traces how California successfully built an Affordable Care Act (ACA) marketplace and what its options are in this period of retrenchment.

Improving Individual Health Insurance Markets

This report asks what steps could be taken to make the individual marketplaces more robust, stable, and affordable in the United States.

International Healthcare Systems and the US Health Reform Debate

The ongoing challenges within the US healthcare system include its high costs, uneven access, and tremendous complexity. When considering the desirability of reforms, whether they come from the right or the left, it makes sense to look at how other developed countries are tackling their own healthcare challenges.

A Pragmatic Approach to Medicaid Reform

A series of proposals at the federal level have focused on Medicaid, the healthcare coverage program for low-income people that goes by the name “Medi-Cal” in California. There has been an intense focus, in particular, on the budgetary cost of coverage through this program...

A Study of Affordable Care Act Competitiveness in California

California was the first state to pass enabling legislation and create its own insurance marketplace following the passage of the Affordable Care Act (ACA). Since then, the state has been a leader in the implementation of the ACA and has reduced the uninsured rate from 17.2 percent in 2012 to 8.1 percent in 2015 while seeing some of the lowest premium rate increases in the country...

Obamacare Critics — Be Careful What You Wish For

The following piece was written by Institute President Micah Weinberg in 2010, and despite its age, it still very relevant to the future of American health policy. August 9th, 2010 — Last week, opponents of …


Healthcare Jobs Are the New Manufacturing Jobs

The presidential election focused on the disappearance of manufacturing jobs in the United States as well as the move to repeal the Affordable Care Act, which if it does nothing else, will dramatically decrease the …


Mainstreaming Medi-Cal

Improving the Medi-Cal program is not simply about raising reimbursement levels. There are important reforms that will get the state better value for its spending on Medi-Cal, many of which are being advanced through a landmark agreement that California has just negotiated with the federal government.

Delivering on the Promise of Precision Medicine

In conjunction with partners Genentech and Oracle as well as the members of its active and diverse healthcare committee, the Bay Area Council convened a summit on exciting recent advances in precision medicine on February …

Launch of the Prematurity Cost of Business Estimator

In partnership with the March of Dimes Foundation the Bay Area Council Economic Institute unveiled the Cost of Prematurity to Business Estimator. Prematurity is the number one cause of death for newborns in the United States, with …

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