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California was one of the states to expand its Medicaid program. [6] As of 2018, about one-third of California was covered by Medi-Cal. It is administered by the California Department of Health Care Services, which operates it in accordance with California's Medicaid State Plan and Title XIX of the Social Security Act. [7]
Rank Company Country Net premiums written (US$ Billion) 1 UnitedHealth Group United States: 226.2 2 Centene Corporation United States: 120.3 3 Elevance Health United States: 117.4 4 China Life Insurance China: 115.1 5 Ping An Insurance China: 114.7 6 Kaiser Permanente United States: 106.4 7 Axa France: 95.7 8 Allianz Germany: 88.9 9
However, not all health plans operating in California are under the jurisdiction of the DMHC; for example, some preferred provider organizations are regulated by the California Department of Insurance (CDI). Two state-based health insurance regulators is unusual in the United States, and has led to various additional work to synchronize laws. [3]
For example, California's Public Health Care Systems are only 6% of the hospitals in the state, yet provide care for 38% of all hospital care of uninsured in California- 123,000 of which are homeless, and 3.6 million of which live below the federal poverty line.
Health insurance coverage is provided by several public and private sources in the United States. Analyzing these statistics is challenging due to multiple survey methods [12] and persons with multiple sources of insurance, such as those with coverage under both an employer plan and Medicaid.
State Farm had the largest California market share in 2023 with 19.9%, followed by Farmers Insurance with 14.9%, as well as CSAA Insurance Exchange and Liberty Mutual with 6.5% each.
The state also ranked 11th in terms of health care, according to the list. Still, the low mark on quality of life provided fodder for some conservative news sites and politicians.
Blue Shield of California is a mutual benefit corporation and health plan [6] [7] founded in 1939 by the California Medical Association. It is based in Oakland, California, and serves 4.5 million health plan members and more than 65,000 physicians across the state. Blue Shield of California was founded as a not-for-profit organization.