Description
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.
Resources
| Name | Format | Description | Link |
|---|---|---|---|
| 2016-2017 Methodology | Detailed information on the methodology behind the Report Card ratings. | Open resource | |
| 2016-2017 Scoring Overview | Overview of how the 2016-2017 Health Quality Report Card ratings are organized. | Open resource | |
| 2016-2017 Health Care Quality Report Card Ratings | XLS | This resource contains multiple tabs of 2016-2017 Report Card ratings. The data on each tab is in a machine-readable format, but the resource needs to be downloaded as the API selection will not work with it. Refer to the Data Dictionary Data file for explanations of each column in this file. | Open resource |
| 2017-2018 Health Care Quality Report Card Ratings | XLS | This resource contains multiple tabs of 2017-2018 Report Card data. The data on each tab is in a machine-readable format, but the resource needs to be downloaded as the API selection will not work with it. Refer to the Data Dictionary file for explanations of each column in this file. | Open resource |
| RC16-17 Data | XLS | This resource contains multiple tabs of 2016-2017 Report Card data. The data on each tab is in a machine-readable format, but the resource needs to be downloaded as the API selection will not work with it. Refer to the Data Dictionary RC16-17 Data file for explanations of each column in this file. | Open resource |
| Data Dictionary | XLS | The data contains definitions of the codes used in the Health Care Quality Report Cards. | Open resource |
| 2017-2018 Scoring Overview | Overview on how the 2017-2018 Health Care Quality Report Card ratings are organized. | Open resource | |
| Category/Topic/Measure Dictionary | XLS | This data provides definitions for each category, topic, or measure that is rated in OPA's Health Care Quality Report Cards. | Open resource |
| RC17-18 Data | XLS | This resource contains multiple tabs of 2017-2018 Report Card ratings. The data on each tab is in a machine-readable format, but the resource needs to be downloaded as the API selection will not work with it. Refer to the Data Dictionary Data file for explanations of each column in this file. | Open resource |
| 2017-2018 Methodology | This dataset contains the methodology used in the 2017-2018 Health Care Quality Report Card. | Open resource | |
| All resource data | ZIP | https-opainternetauthoring-reportcards-pages-default-aspx-fzaurn.zip | Open resource |