There are many tools used by health plans, health insurers, and pharmacy benefit managers to help ensure patient safety, increase efficiency, and manage costs in the healthcare system. These are generally referred to as utilization management techniques. Learn more about some common tools in this overview.
A brief introduction to Medi-Cal Rx, the state program responsible for pharmacy benefits for Medi-Cal recipients. Learn about the history of the program, who it serves, and how it differs from commercial insurance.
This resource has been prepared by CHBRP to inform interested parties of existing state and federal health insurance benefit mandate laws that may relate to the subject or purpose of a proposed state health insurance benefit mandate or repeal bill.
Resource
Benefit mandates
Health Insurance Coverage
State and Federal Law
Health Insurance Benefit Mandates in California State and Federal Law
This resource discusses deductibles and their interaction with other forms of cost sharing, as well as estimates regarding their presence among state-regulated health insurance, potential impacts of new prohibitions on their application, and related state and federal law.
Resource
Cost Sharing
Health Insurance Coverage
Deductibles in State-Regulated Health Insurance for 2026
There are many tools used by health plans, health insurers, and pharmacy benefit managers to help ensure patient safety, increase efficiency, and manage costs in the healthcare system. These are generally referred to as utilization management techniques. Learn more about some common tools in this overview.
