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Abstract
Report cards have become a prominent feature of the health policy landscape (F. Thompson 1994; Epstein 1995; Corrigan and Rogers 1995; Brennan and Berwick 1996). Although the federal government no longer distributes annual hospital report cards, many state governments do. Some state governments also have begun to distribute report cards on health maintenance organizations (HMOs). In addition, one state government releases periodic reports on nursing homes, based on state inspections.
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