August 2023
Essential Health Benefits: An Overview of Benefits, Benchmark Plan Options, and EHBs in California
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This issue brief is part of a two-brief series that provides background on EHBs in California. This brief focuses on EHBs. 

Issue Brief
Sources of Health Insurance in California in 2024
Nuts and Bolts
Introduction to CHBRP
Nuts and Bolts
Tips on Reading a CHBRP Report
Nuts and Bolts
Understanding Health Insurance Benefit Mandates and Repeals
Nuts and Bolts
November 2022
California's Population Aged 65 Years and Older
Two pairs of hands, one from a younger person and one from an older person, hold each other.

This explainer provides an overview of the population aged 65 and older in California, including sources of health insurance, demographic information, and how legislation and regulations may impact insurance coverage for this population

Explainer
July 2022
Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)
Silver lead pencil with black grip on top of a black and white checklist for proffessionalism.

This article discusses key issues in relation to adverse childhood experiences (ACEs) and potential changes in screening utilization and associated expenditures resulting from the recent ACEs legislation in California. 

External Publication
December 2021
Medical Necessity Determination Process for Covered Benefits
A family of 4 wooden people covered by a mini red umbrella held by a human.

This issue brief discusses the medical necessity determination process, which may involve multiple clinicians, for enrollees in health plans and health policies regulated by the Department of Managed Health Care (DMHC) or the California Department of Insurance (CDI).

Issue Brief
November 2021
Public Health Insurance Option Plans
Person stacking a cube with a medical cross sigin on top of 5 cubes with varying medical symbols similar to a pyramid style.

This policy snapshot provides an overview of a public option and details recent public option related state activity from 2018 to 2021.

Policy Snapshot
November 2021
Balance Billing Prohibitions and the No Surprises Act
Blue clipboard that has a paper list with Medical Bill printed on it. A stethoscope and calculator are next to it.

This issue brief discusses laws and regulations that prohibit out-of-network (OON) providers from issuing surprise bills to enrollees in plans or policies regulated by DMHC or CDI.

Issue Brief