Description
The California Health Care Quality 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.
Note: This data is maintained by CDII and was formerly created by the CA Office of the Patient Advocate. For more information please visit the CDII OPA webpage
Resources
| Name | Format | Description | Link |
|---|---|---|---|
| Report Card Data: 2017-2018 | 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 |
| Quality Report Card Ratings: 2017-2018 | 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 |
| Scoring Overview: 2017-2018 | Overview on how the Health Care Quality Report Card ratings are organized. | Open resource | |
| Scoring Overview: 2016-2017 | Overview on how the Health Care Quality Report Card ratings are organized. | Open resource | |
| Quality Report Card Ratings: 2016-2017 | 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 file for explanations of each column in this file. | Open resource |
| All resource data | ZIP | health-care-quality-report-rshjpp4q.zip | Open resource |
| Data Dictionary | XLS | The data contains definitions of the codes used in the Health Care Quality Report Cards. | Open resource |
| Methodology: 2017-2018 | This dataset contains the methodology used in the current year Health Care Quality Report Card. | Open resource | |
| Category Topic Measure Dictionary | XLS | This is the file for Certified Eligibles by Race/Ethnicity and Age Group | Open resource |
| Methodology: 2016-2017 | This dataset contains the methodology used in the current year Health Care Quality Report Card. | Open resource | |
| Report Card Data: 2016-2017 | 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 |