The California Office of the Patient Advocate recently released “report cards” that rate major health plans on selected clinical care services, including cancer treatment, mental health, chronic disease management and patient satisfaction. The state timed the release of this year’s report cards to coincide with the second round of open enrollment in Covered California, the state’s online health exchange, which kicks off Nov. 15. Several plans included in the report cards are offered on the exchange. This is the 14th year the agency has generated health care quality report cards. This year, the organization aggregated claims and electronic medical record data and patient satisfaction surveys for the state’s biggest insurance plans and more than 200 medical groups which are available online at www.opa.ca.gov.