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Medi-Cal enrollment declined by approximately 5%, or 730,000 people, between June 2025 and March 2026. Enrollment fell from 14.78 million to 14.05 million, according to recent data from the California Department of Health Care Services and published in


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In 2024, national health spending reached $5.3 trillion, or $15,474 per person. Spending grew 7.2% in 2024, similar to growth in 2023 (7.4%) and higher than the 10-year average (5.8%). Health spending growth in 2024 was driven mainly by increases in the use and intensity of health care goods and services. Health spending accounted for 18.0% of gross domestic product (GDP) in ...


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California Gov. Gavin Newsom and legislative leaders finalized the 2026-27 state budget on June 29, prioritizing fiscal discipline and delivering California’s first comprehensive response to sweeping federal policy changes under H.R. 1, which imposed substantial budget cuts on the nation’s Medicaid programs, including Medi-Cal. While the final agreement preserves critical...


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Key Takeaways California has established a benchmark to raise primary care spending to 15% of total health care expenditures by 2034, requiring coordinated action across health plans, purchasers, and providers. Meeting the benchmark will require more than increased spending. Health plans can advance progress through three priority levers: contracting, network design and...

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Introduction

The Los Angeles County health care market is vast, complex, and fragmented — balancing the needs of nearly 9.8 million residents, almost half of whom are covered by Medi-Cal. At its center is a resilient safety net anchored by the Los Angeles County Department of Health Services (LA Health Services), which operates four public hospitals and a countywide networ...


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