About the Report Card Ratings
The Health Care Quality Report Cards are created using several sources of data. Learn more about the specific data sources and methodology for calculating the ratings for each report card below.
Background
The California Health Care Quality Report Cards were established by the Office of the Patient Advocate (OPA), with the first report card on health plans published in 2001. OPA expanded the Report Cards in subsequent years to address medical group quality and cost data. Due to a statutory change in October 2021, OPA’s Report Cards transitioned to the Center for Data Insights and Innovation (CDII).
CDII now publishes new data annually for three Report Cards:
- Health Plan Report Card, with quality and patient experience ratings for commercial HMO and PPO plans
- Medical Group Report Card, with quality, cost, and patient experience ratings for provider groups that serve members of commercial health plans
- Medicare Medical Group Report Card, with quality ratings for provider groups that serve members of Medicare Advantage plans
Report Cards Methodologies
Learn more about the data sources and methodology for each Report Card:
- About the Health Plan Report Card ratings
- About the Medical Group – Commercial Report Card ratings
- About the Medical Group – Medicare Report Card ratings
Data Partners
Our data partners are leaders in measuring and aggregating health care performance data. We are proud to work with the National Committee for Quality Assurance, the Integrated Healthcare Association, and the Purchaser Business Group on Health in our efforts to improve and report on health care performance quality.
- National Committee for Quality Assurance (NCQA)
- Integrated Healthcare Association (IHA)
- Purchaser Business Group on Health (PBGH)
Older Editions
Some of the data files from prior annual Health Care Quality Report Cards published by OPA are available through the CalHHS Open Data Portal.
Files for other editions of the California Health Care Quality Report Cards may be available upon request.
Requesting Report Card Data
To request a Report Card data file from CDII, please provide the following information:
- Your name, title and contact information
- Name of your organization
- Research topic and an explanation on how the data will be used and/or published
- The data that you need.
Please email your request to cdii@chhs.ca.gov for CDII to review.