HMO Quality Ratings Summary 2015-16 Edition
Quality health care is getting the right care at the right time.
This Report Card shows the quality of health care for millions of Californians who get their care through commercial insurance provided by Health Maintenance Organizations (HMOs). The 10 largest HMOs in the state are included in this Report Card.
The HMO Report Card includes health care quality scores for two major areas:
- Clinical Performance Scores – See the “HMO Provides Recommended Care” column below. To find more information on 11 health conditions/topics go to the dark blue box in the right column.
- Patient Experience Scores – See the 3 columns below under “Patients Rate their Experience.” Additional information is found in the light blue box in the right column.
The Report Card also provides other helpful information on each HMO. Click on each health plan name to find its consumer assistance number, service area, website and more.Click to learn more about these ratings.