Office of Health Care Affordability (OHCA)
Introduction to OHCA
Established in 2022, the Office of Health Care Affordability (OHCA) recognizes that it is in the public interest that all Californians receive health care that is accessible, affordable, equitable, high-quality, and universal.
Slow Spending Growth
- Statewide Spending Target
- Total Health Care Expenditures (THCE)
Promote High Value
- Primary Care
- Behavioral Health
- Workforce Stability
- Alternative Payment Models
- Equity
- Quality
Assess Market Consolidation
- Material Change Notices (MCN)
- Cost and Market Impact Reviews (CMIR)
Office Updates
Hospital Sector Spending Target Values
At the April 2025 Health Care Affordability Board meeting, the Board voted to define high-cost hospitals and set hospital sector spending target values. The motion specified that the hospital sector spending target is set equal to the statewide spending target. Additionally, the Board identified seven hospitals as high-cost hospitals and adjusted the spending target for these facilities to 1.8% in 2026, 1.7% in 2027 and 2028, and 1.6% in 2029. Annually, the Office shall provide the Board with an updated list of hospitals which meet the high-cost criteria and an updated list of factors to be considered in identifying high-cost hospitals.
You may read about the hospital sector target values in detail on the April Health Care Affordability Board Meeting webpage.
Quality and Equity Performance
- The Office adopted its Quality and Equity Measure Set in April 2025.
- Read about the OHCA Quality and Equity Measure Set.
OHCA Newsletter
Read the latest OHCA Newsletter: March 2025 Newsletter
OHCA Newsletter Archive:
Public Meetings
Health Care Affordability Board
Health Care Affordability Advisory Committee
Investment & Payment Workgroup
Total Health Care Expenditures (THCE) Data Submitter Workgroup
OHCA Workshops
Statutes & Regulations
HCAI and OHCA program enabling statutes and regulations (existing and proposed).
Background & Resources
Program overview and FAQ.
Contact
Contact OHCA at ohca@hcai.ca.gov with any questions.
Subscribe to OHCA News
To receive regular informational updates about the program, please subscribe to our mailing list by completing the form on HCAI’s subscription page.