The report developed by the Health Economics and Evaluation Research (HEER) Program through a contract with the California Health and Human Services Agency (CalHHS) examines various aspects of health care financing, such as the role of health plans, provider payments, and benefits; their respective impact on access, quality, and equity; and key considerations if California opted to implement a unified health care financing system. 

The key design considerations for unified financing in California discussed in the report include: 

• Models of unified financing 
• Eligibility and enrollment rules 
• Benefits options 
• Approaches to premiums and cost sharing 
• Provider payment methods 
• Approaches to promoting effectiveness, efficiency, and equity