Projected Savings for California under CCH-Style Reforms
~$3,000 saved / year
Estimated savings per California family (directional). Based on statewide savings and selected
household size.
$409B → $368B
Illustrative statewide spend if 10% net savings are achieved (OHCA baseline 2023).
3 peopleSavings are computed per person and multiplied by household size.
California's Office of Health Care Affordability (OHCA) reports Total Health Care Expenditures (THCE) of
~$409B in 2023 (up 8.2% from 2022). A conservative 10% net savings from
reduced waste and better pricing yields meaningful relief statewide and at the family level.
Projected Savings Breakdown for California (Illustrative)
Administrative simplification (40%), drug price negotiation (25%), care delivery & coordination (25%),
fraud/abuse controls (10%).
California Spend Before vs. After Reforms (Example)
Uses OHCA's 2023 total (~$409B) and applies a conservative 10% net savings assumption to show
directional impact.
Average Family Saved — California Example
We compute per-capita savings from statewide totals, then multiply by your household size (above). For
employer-sponsored families, replacing worker premiums (and typical OOP) with a payroll contribution often
yields **~$1,500–$3,500** savings per year (illustrative).
Metric (family coverage)
Before
After (Payroll-based financing)
Worker premium contribution
$6,296 / year
$0
Deductibles + copays
Often >$2,000 / year
$0 for covered services
Payroll contribution (illustrative)
$0
$4,800 / year
Net change
~$1,500–$3,500 saved / year (directional)
Replace the payroll figure with the Board's actuarial rate. For statewide context, CA has **~13.43M
households**; a 10% net savings on **$409B** equals **~$41B**, or **~$3,000 per household per year**
(directional).
References (California)
Office of Health Care Affordability (OHCA) — Baseline Report: Health Care Spending Trends in California,
2022–2023 (statewide THCE and 2023 growth).
[1](https://jamanetwork-com.libproxy.catholic.ac.kr/journals/jama/fullarticle/2752663)
U.S. Census Bureau — California QuickFacts: households and population used for per-capita scaling.
[2](https://calbudgetcenter.org/resources/qa-whats-behind-californias-rising-medi-cal-spending/)
KFF — 2024 Employer Health Benefits Survey: family premium and worker share benchmarks.
healthcare-changed-time/)
JAMA — Shrank et al. (2019): waste and achievable savings domains.
[4](blob:https://m365.cloud.microsoft/5af81d20-7395-4909-a861-8acd45996bc3)