As California’s health care landscape continues to evolve, one of the most significant areas where change can and is starting to occur is within the local health care delivery systems. There is a shift towards providing more integrated, better-coordinated care that emphasizes value, managed care, and better integrated health care systems. At the same time, some areas are experiencing health care workforce shortages, problems with subscriber access to primary and specialty care, and increased use of hospital emergency departments for services that are not emergencies.
ITUP conducted 11 regional workshops throughout California to learn and discuss first-hand the delivery system and payment reforms and challenges occurring in each region. This report is a summary of ITUP’s findings from these workgroups.