A report card on California health plans finds that, overall, they're not anywhere near doing an A+ job on getting patients the care they need.

But HMOs are doing a better job than PPOs, says the California Office of Patient Advocate, who released the analysis. They put out the annual report card to help consumers compare how well health plans and medical groups provide recommended care based on different measures. California's 10 largest HMOs, six biggest preferred-provider organization plans and more than 200 medical groups were analyzed.

They grade plans on 46 national care quality standards and 15 patient experience measures.

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