California Health News

Health Plan Report Cards Released for 2017 Open Enrollment

California HMO, PPO and Medical Group quality report card ratings for 2016 from the Office of the Patient Advocate

The California Office of the Patient Advocate (OPA) has released their health plan quality report cards in time for the 2017 open enrollment period. Now in its 16th year, the 2016/2017 OPA Health Care Quality Report Cards are available online at www.opa.ca.gov. This timely release of the Report Cards is critical as consumers prepare in making the important decision of choosing a new health plan for themselves and their families during 2017 open enrollment. Quality matters when consumers choose a health plan or medical group, and this free tool helps ensure they have the information they need to make an educated decision.

The Report Cards detail how California’s 10 largest HMOs, five largest PPOs and over 200 Commercial Medical Groups on meeting national standards of care, specific health conditions and patient experience. For the second year running, the Commercial Medical Group Report Card also includes ratings on total cost of care. Users are able to search for health plans and medical groups by county and their scores can be compared side by side.  In addition, the Report Cards also offer an overview of different health conditions that may be of particular interest to consumers such as diabetes, heart care, asthma, cancer, maternity care and mental health.

HMO Health Plan Quality Report Card Summary

2016 California HMO health plan quality ratings.

PPO Health Plan Quality Report Card Summary

2016 California PPO health plan quality ratings.

If you have any questions about the Report Cards, contact OPA at contactopa@opa.ca.gov or by phone at (916) 324-6407.

Health Plan Quality Questions and Methodology

Health Plan Quality Rating Questions, Methodology 2016
OPA_Health_Plan_Evaluation_2016-17-Edition-CAHPS_Final.pdf
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Platforms:Windows 8
Category:Office of Patient Advocate
License:Freeware
Date:October 26, 2016