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.



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 …


Full Practice Authority for Nurse Practitioners Increases Access and Controls Cost

Simply put: an inefficient delivery system that unnecessarily restricts health professionals from practicing to the full extent of their training is bad for the economy and bad for business. Fully utilizing the role of nurse …


The Economic Impact of the Affordable Care Act on California

As with any piece of federal lawmaking, the ACA was the product of political compromise among parties and interests. Hence, it is not the dramatic change its supporters had hoped for, and it goes much further than its de- tractors would prefer. The focus of this analysis, though, is not on the policies embedded in the ACA, but rather on their cumulative economic impact.