This explainer discusses current network adequacy standards for enrollees in California-regulated plans and policies, related federal and state regulations, and new and evolving issues that impact accessibility and coverage of health care for enrollees in California’s state-regulated insurance markets.
CHBRP analyzes health disparities and social determinants of health (SDOH) when evidence demonstrates that these factors influence health outcomes, providers, or access to health care tests, treatments, and services identified in the bill. Because many disparities in health outcomes have their roots in systemic racism, it is important to explore the impact that systemic racism has on health policies, practices, structures, and systems, as well as the information available to CHBRP for conducting its analyses.
This explainer includes an explanation of CHBRP, an overview of health insurance coverage in California, vocabulary to know for a better understanding of health policy legislation, and useful links to several other resources and organizations that provide additional useful health policy information.
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.
This explainer provides an overview of claims data, including how the data is collected, what information may be available within the datasets, and how the data are used to inform CHBRP's analyses.
This explainer explores California's existing regulations related to measuring the adequacy of provider networks, and begins to re-evaluate questions of network adequacy in light of new state and federal laws and new health care business models and practices.
