Plan Performance Report 2025

Healthcare Evidence Initiative (HEI): Utilization Domain

Covered California requires all contracted health plan issuers to submit claims and utilization data into its own claims database, called the Covered California Healthcare Evidence Initiative, or HEI. Covered California also collects information on members' income level, geographic location, language preference, and race/ethnicity as part of the member enrollment application whose data is stored in CalHEERS. The goal of HEI is to both inform Covered California's policy choices and requirements as an active purchaser and inform public and private policy more broadly.