2016

Doing What Works: The Public's Perspectives on Reducing The Use of Unnecessary, Harmful Or Wasteful Healthcare Services

Working with the Statewide Workgroup on Reducing Overuse, this project involved 117 Medi-Cal, Covered California, and CalPERS members in discussions on strategies for reducing overuse.

2014

Common Cents: The Public’s Views on If and How To Reduce The Use of Low-value Medical Care

This report summarizes pilot project findings on the views of the public regarding various actions to reduce the overuse of ineffective or unnecessary medical interventions.

Re-Designing Medicare: Findings from the California Medicare CHAT Collaborative

810 current and future Medicare beneficiaries, healthcare professionals and community leaders in California offered their insights which comprise this report on how Medicare can best meet the needs of future generations. A 4-page Executive Summary is also available.

2013

As a sub-contractor to AIR, CHCD worked on this national 3-year AHRQ-funded grant to learn how the general public responds to the use of evidence in healthcare decision-making. Executive Summary: Community Forum Deliberative Methods Demonstration, Evaluating Effectiveness and Eliciting Public Views on Use of Evidence

2012

Sharing in the Cost of Care: Perspectives from Potential Health Plan Users of the California Health Benefit Exchange

For this project, uninsured Californians considered the fairest way to structure health plan cost-sharing when trying to meet the needs of many Californians.

Value-Based Insurance Design: Probing the Public's Views on V-BID?

In this report, employees discuss V-BID options for encouraging high-value healthcare and discouraging low-value care.

2010

Hospital Quality: How and Why the Public Cares About Certain Quality Domains

Californians prioritized four IOM hospital quality domains during this project to help guide corrective actions by California hospitals.

2009

What Matters Most: Californians' Priorities for Healthcare Coverage?

In this project, 1200 Californians identified the medical situations they felt were most essential for healthcare coverage and those that are not.

2007

Designing Coverage: Uninsured Californians Weigh the Options

Developing health coverage with a limited budget, uninsured Californians conveyed their coverage priorities and trade-offs.

2006

Just Coverage: Citizens Define The Limits of "Basic" Coverage

Northern Californians constructed a lower-cost health plan for the uninsured by identifying key aspects of minimum coverage for this study.

Getting Good Value: Consumers Debate Costly Treatments - Is the Gain Worth the Expense?

For this project, consumers debated when it is appropriate to deny coverage if the expense of treatment greatly exceeds the benefit.

2004

Making Tough Choices: Adults with Disabilities Prioritize Their Medi-Cal Coverage Options

Medi-Cal beneficiaries conveyed their views and priorities about Medi-Cal coverage in the face of budget cuts for this study.

2003

When Options Exceed Resources: Making Trade-offs in Healthcare Benefits

Public and private sector employees weighed in on their healthcare coverage -- and found ways to compromise.

2001

Visible Fairness: Cost-effectiveness as a Criterion for Medical and Coverage Decisions?

In this study, physicians and consumers had different views on medical treatment that offers small benefits at high costs.

1997

ECHO Community Recommendations for Appropriate, Humane Medical Care for Dying or Irreversibly Ill Patients

Sacramento Area consumers and health professionals collaborated in this study on how to improve care at the end of life.

CHCD is often invited to state and national meetings and conferences to present and discuss its work related to healthcare reform or improving end-of-life care. Some of these presentations are listed below.

Select presentations on issues related to healthcare reform:

  • American Society on Aging annual conference: Identifying the public’s coverage priorities for re-designing Medicare. San Diego, March 2014.
  • Agency for Healthcare Research and Quality webinar: Facilitating Deliberative Discussion Groups. June 2013.
  • Institute of Medicine: Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement, Washington D.C., February 2013.
  • California Health Benefit Exchange Board of Directors Meeting, Sacramento, June 2012.
  • Insuring the Uninsured Conference: Institute of Medicine’s Committee on the Essential Health Benefits. Sacramento, February 2012.
  • Association of Physicians Groups Conference: ACOs: but how will they play in Peoria? Palm Springs, May 2011.
  • Health Affairs Issue Briefing: Designing Insurance To Improve Value In Health Care. Washington, D.C., November 2010.
  • Roundtable discussion with MedPAC staff re: consumer views on high- and low-value medical care. Washington, D.C., September 2010.
  • Center for Health Improvement’s Health Policy Forum: Leveraging Public Reports of Health Care Provider Performance to Improve Quality. Sacramento, November 2009.
  • AcademyHealth Annual Research Meeting: Citizens' Priorities for Healthcare Coverage. Chicago, June 2009.
  • Association of Health Care Journalists Annual Meeting: Explaining Costs in Health Stories. Seattle, April 2009.
  • AARP/Consumers Union, Solutions Forum: What Do Consumers Have To Gain From Comparative Effectiveness Information? Panel on Patient and Consumer Perspectives. Washington, D.C., October 2008.
  • State Coverage Initiatives, Summer Workshop for State Officials: Using CHAT to identify citizens’ coverage priorities. San Francisco, August 2008.
  • AcademyHealth, Annual Research Meeting, Panel on comparative effectiveness: What does this mean to citizens? Washington, D.C., June 2008.
  • National Governors Association, Center for Best Practices, Conference on Defining Benefit Packages in Health Reform, Lunch speaker: How Consumers View Benefit Design. Philadelphia, March 2008.
  • New America Foundation, Capitol Briefing, Health Insurance: What Should Everyone Be Covered For? Washington, D.C., November 2007.
  • California Health Care Foundation, Capitol Briefing, Designing Coverage: Uninsured Californians Weigh the Options, Sacramento, July 2007.
  • Integrated HealthCare Association, Webinar, The Role of the Citizen Voice in Reducing Overuse,May 2016.
  • California Health Care Foundation Fall Alumni Meeting: The Public as Policy Makers in Overuse, September 2016.
  • Executive Fellows, California State University Sacramento: CHAT, Sacramento, October 2016.

Select presentations on end-of-life care:

  • Swedish Hospital Palliative Care Conference: Community Process to Improve Care at the End of Life, 2010.
  • National Hospice and Palliative Care Organization: End-of-life Issues in the Workplace, audio web seminar, 2008.
  • Final Journeys conference panel: Death and Dying – Is It a Personal Journey, 2007.
  • American Society on Aging/National Council on Aging workshop: The Clinical Realities and Advance Care Conversations That Count, 2006.
  • National Rallying Points conference: Working with Faith Communities on End-of-Life Issues, 2003.
  • Rallying Points Leadership Development Workshop: Leadership Update from the Front Lines—Engaging Leaders from California’s Latino and Chinese Communities, 2003.
  • National Health Ministries Association Annual Meeting: Helping People Prepare, 2002.
  • California Hospice Foundation Annual Meeting: Taking Care of our Communities: Working with Moyers’On Our Own Terms, 2001.
  • KQED San Francisco, Panelist: Difficult Decisions, 2000.