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
Proposed Hospital Sector Spending Target Values
In January 2025, the Health Care Affordability Board voted to establish a hospital health care sector to include hospitals defined in Health and Safety Code section 1250 et seq. All hospitals are subject to the statewide target unless and until the Board adjusts the target for all or a specified subset of hospitals within the sector.
At the February 2025 Health Care Affordability Board meeting, OHCA presented recommendations on a methodology to identify high-cost hospitals and adjust target values for those hospitals.
- A 45-day public comment window commenced on February 25th and will end on April 11, 2025.
- The Board will have until June 1st to set sector targets for 2026 and can set targets for beyond 2026 at this time.
Quality and Equity Performance
- The Office is seeking public comment on its proposed OHCA Quality and Equity Measure Set.
- Read about the proposed OHCA Quality and Equity Measure Set.
Expanded Non-Claims Payments Framework
- Read about the Expanded Non-Claims Payments Framework.
OHCA Newsletter
Read the latest OHCA Newsletter: December 2024 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.