OPA Releases Annual Health Plan Report Cards

California’s Office of the Patient Advocate (OPA) has released its annual health plan report cards, and Kaiser Foundation Health Plan again received the top scores. The report cards measure the state’s 10 largest HMOs and six largest PPOs.

            The Oakland-based Kaiser was the only plan rated “excellent” (four out of four stars) by patients in Northern and Southern California for the quality of the care received. It received three stars (“good”) for patient experience in both regions.

            Sharp Health Plan in San Diego was the only carrier to receive four stars for patient experience.

Cigna and Blue Shield of California’s PPOs both received only “fair” grades (two stars) for quality of care and patient experience.

The health plans were also graded on facets of care delivery, such as asthma and lung care, cancer screenings, diabetes care, cardiac care, and preventing hospital readmissions after discharge.

“This detailed and unbiased health plan information is a valuable, easy to use tool,” said OPA Director Elizabeth Abbott. “I hope these report cards can continue to help Californians make informed healthcare choices.”

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