OHCA, established in 2022, will profoundly shape health care in California. Its legislated goals are to slow health care spending growth, promote high-value system performance, and assess market consolidation. CHA is actively engaged in the implementation process, advocating to improve affordability for patients while ensuring hospitals are able to make much-needed investments to improve access, quality, and equity.
Latest News
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OHCA Board Ignores Hospitals’ Concerns, Approves Stricter Spending Targets for Seven ‘High-Cost’ Hospitals
CHA News -
OHCA Cuts Will Create Real Pain for Real People
CEO Message, CHA News -
Engage Now: OHCA Could Decide Hospital Sector Targets on April 22
CHA News -
OHCA Board Reviews Initial Feedback on Hospital Sector Target Proposal, But Persistent Hospital Engagement Is Needed
CHA News
Advocacy
In addition to in-person advocacy at OHCA meetings, CHA has submitted the following comment letters.
“Statewide, $2 out of every $3 of health care spending goes to providers and payers other than hospitals. And yet, OHCA is poised to adopt a hospital sector after giving no consideration to other potential sectors, prejudicially targeting a single set of providers for which data just happen to be available.”
CHA Letter to OHCA Board – March 2025
“OHCA’s proposal unfairly targets a single class of providers, comes before OHCA has done the necessary groundwork, relies on unsound methodologies and anomalous data, is inconsistent with key aspects of state law, and would endanger access to health care in communities across California.”
CHA Requests Withdrawal of Proposed Hospital Sector Spending Target
Recommendations to the Board – April 2025
Additional Letters
Resources
Education
Education Briefs
OHCA Updates on Implementation – This series provides background and updates on implementing several tasks including increasing transparency of health care spending.
On-Demand Recordings
Executive Update: Office of Health Care Affordability Focuses Its Attention on Hospitals – February 19, 2025 – 59 min
Office of Health Care Affordability (OHCA) – A Deep Dive on Spending Targets – February 12, 2024 – 59 min
Office of Health Care Affordability Cost & Market Impact Review Process – January 8, 2024 – 72 min
Office of Health Care Affordability (OHCA) 101: What You Need to Know and What Is to Come – Dec. 18, 2023 – 46 min
Hospital Finance Week: Spotlight: California’s New Office of Health Care Affordability – Aug. 24, 2022 – 90 min