California Health Care Quality Report Cards

This dataset includes the Office of the Patient Advocate’s Health Care Quality Report Card ratings for years 2016, 2017, and 2018. The Report Cards show the quality of health care for millions of Californians who get their care through medical groups and commercial insurance plans. Quality health care is getting the right care at the right time.

  • The Health Plan Report Card data includes the 10 largest Health Maintenance Organizations (HMOs) and the 5 largest Preferred Provider Organizations (PPOs).
  • The Medical Group - Commercial Report Card data includes 204 medical groups that have contracts with the HMOs listed in the Health Plan Report Card.
  • The Medical Group - Medicare Report Card data includes 186 medical groups that have contracts with the Medicare Advantage plans listed in the Health Plan Report Card and serve Medicare Advantage members.
  • The Counties data lists the counties served by each health plan and medical group included in the Report Cards.

Data and Resources

Additional Info

Field Value
Contact Email [email protected]
Program Office of the Patient Advocate
Homepage URL https://www.opa.ca.gov/reportcards/Pages/default.aspx
Temporal Coverage

Report card published in 2017 and early 2018, based on information from 2016. Report card published in 2016 and early 2017, based on information from 2015.

Geographic Granularity Statewide
Language English
Frequency Other
License Terms of Use
Limitations Use of this data is subject to the CHHS Terms of Use and any copyright and proprietary notices incorporated in or accompanying the individual files.
Additional Limitations

HMO and PPO Data Disclaimer: The source for data contained in this publication is Quality Compass® 2016-2018 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass 2016-18 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). The HEDIS® measures and specifications were developed by and are owned by the NCQA. The HEDIS measures and specifications are not clinical guidelines and do not establish standards of medical care. NCQA makes no representations, warranties, or endorsement about the quality of any organization or clinician that uses or reports performance measures or any data or rates calculated using the HEDIS measures and specifications and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the data and can rescind or alter the data at any time. Users of the data shall not have the right to alter, enhance, or otherwise modify the data. Anyone desiring to use or reproduce the data without modification for a noncommercial purpose may do so without obtaining any approval from NCQA. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. Use by health care providers in connection with their own practices is not commercial use. A "commercial use" refers to any sale, license, or distribution of the data for commercial gain, or incorporation of the data into any product or service that is sold, licensed, or distributed for commercial gain, even if there is no actual charge for inclusion of the data. ©2004-2019 National Committee for Quality Assurance, all rights reserved.

Medical Group Data Disclaimer: The rating scores in this dataset are generated by comparing scores across reported medical groups. For example, the dataset may identify those medical groups in the top 25th or top 10th percentiles, but does not identify a “#1” or “best” medical group, and should not be used to rank medical groups in a particular order or to assert that one medical group is “better” than another. Any data display, analysis, interpretation or conclusion based on these data is solely that of the author and do not necessarily reflect the views of the Integrated Healthcare Association.

Last Updated October 28, 2019, 19:34 (UTC)