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Key Findings:

• Seventeen percent of residents in this region lacked coverage by the end of 2014, compared to just under 12 percent for California as a whole, although Medi-Cal enrollment continued to climb throughout 2015.
• The market continues to grapple with a short supply of hospital beds and physicians, particularly primary care physicians and psychiatrists. Many hospitals lack the financial resources to build new capacity and address state seismic requirements.
• Although many physicians remain in independent or small practices, an eroding payer mix and other pressures are driving physicians to seek help in remaining independent or to trade independence for the stability of larger organizations, such as Kaiser.
• Despite some improvements, the community lacks a robust, extensive safety net to adequately serve the health care needs of low-income people.