Covered California: Jessica Altman on Access, Equity & Affordability

Covered California is leading the way in making healthcare more accessible and equitable. Under the leadership of Executive Director Jessica Altman, the state’s health insurance marketplace has reached nearly 2 million enrollees, setting new records for affordable health coverage in California. In this episode, Jessica dives into how Covered California’s innovative outreach, tailored language support, and affordability programs are closing the coverage gap, especially for freelancers, gig workers, and families who often fall through the cracks.

Jessica draws on her roots in healthcare policy, shaped by family and her work at the US Department of Health and Human Services, to explain why insurance is so complex and how California’s unique blend of state and federal policy makes a real-world difference. We discuss why the “last mile” to coverage is often the hardest, how creative partnerships with community organizations break down language and cultural barriers, and why affordability remains the foundation of any successful health insurance system.

This episode also tackles the impact of the Affordable Care Act, the pros and cons of state vs. federal insurance regulation, and what other states can learn from California’s investments in outreach, Medi-Cal expansion, and targeted subsidies. Jessica shares real examples of how public opinion around coverage is shifting as families experience the benefits firsthand, and why Covered California’s commitment to customer service is rebuilding trust in a system long seen as confusing and impersonal.

Join us for this compelling conversation hosted by Christine Winoto of the UCSF Rosenman Institute.

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