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Health System Transformation


North Bay Leadership Council works with policymakers and other stakeholders to advocate for programs, reforms, and best practices that will raise the quality of healthcare, drive down costs to employers and individuals, and improve the overall health and wellness of all Californians.

The effective implementation of federal healthcare reform legislation, the Affordable Care Act (ACA), represented a historic step towards creating a healthcare system that provides universal access to high-quality affordable care in the United States.  The next critical step is to bring renewed focus to the effort to rein in healthcare costs and improve health through delivery system reform and community transformation.


California is experiencing a healthcare affordability crisis as businesses struggle to pay spiraling healthcare costs. American companies spend thousands more on healthcare per employee than foreign competitors without better health outcomes to show for this investment. The Affordable Care Act was not a panacea for rising healthcare costs. However, healthcare reform has put in place a framework that will allow insurers, providers, purchasers and policymakers to work together on solutions that get at the biggest drivers of cost: lack of competition among healthcare providers, perverse payment incentives for physicians and hospitals, and an unhealthy patient population struggling with costly chronic conditions.


NBLC urges:

  • Promote policies that control rising health costs, including encouraging the development of competing integrated delivery systems and transparent marketplaces to encourage effective care.
  • Focus on improving patient outcomes and appropriate use of resources by ensuring that payments to providers reward quality and affordability.
  • Maintain our commitment to public health goals by addressing “upstream” causes of disease and supporting the development of healthy communities.
  • Provide better information for all consumers to easily compare health plans and products on the basis of quality and price.
  • Maintain the Bay Area as a worldwide center of health innovation through research and development of biotechnology and pharmaceutical developments that improve health outcomes.
  • Support for the development of tailored, integrated networks of doctors and hospitals, the most effective way to control healthcare costs
  • Support for SB 243 (Hernandez) and AB 366 (Bonta), which would eliminate the state’s ability to prospectively implement a 10 percent Medi-Cal provider rate cut that was enacted in 2011 through AB 97. The cut would affect all Medi-Cal providers. The bills would also eliminate the state’s ability to "claw back" payments from various Medi-Cal providers retroactive to June 1, 2011. These bills also increase Medi-Cal provider rates so that they are closer to Medicare rates paid to providers.
  • Continue to help employers start or improve wellness programs and offerings as a long term cost containment strategy


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