Health Plan Performance Report

How Covered California as an Active Purchaser Drives Clinical Quality, Equity, and Value

Covered California is dedicated to ensuring that consumers consistently receive accessible, equitable, high-quality care. To hold Qualified Health Plan and Qualified Dental Plan Issuers accountable, Covered California evaluates performance in the areas of quality, cost, and disparities reduction, to give insight into Covered California’s health delivery system and health coverage in California. All data is validated for accuracy and completeness and publicly released annually as mandated by California law (AB 929).

The Plan Performance Report includes all-population and plan-specific data, allows for performance comparisons between plans, and includes disaggregated results to reveal differences between subpopulations. The data included in this report comes from a number of sources, including Covered California's all-plan claims database, the Healthcare Evidence Initiative, the Center for Medicare and Medicaid's Quality Ratings System, plan-submitted performance data, as well as other publicly available data sources.