Turning Alignment Into Action: CQC’s 2025 Impact
Across California, the health care delivery system continues to face growing pressure to improve quality, advance equity, integrate care and manage cost—often all at once.
While alignment across these priorities is widely recognized as essential, it remains difficult to implement consistently at scale.
At the California Quality Collaborative (CQC), our focus is turning alignment into action.
For nearly two decades, CQC has served as the vehicle through which health plans, providers and purchasers come together to define shared priorities and implement them in real-world care settings. This means moving beyond agreement to the operational changes that improve care delivery for patients across California.
In 2025, CQC’s programs directly reached more than 900,000 Californians through coordinated improvement efforts, technical assistance and multi-stakeholder collaboration. Across initiatives, this work helped strengthen primary care, expand access to behavioral health services and embed equity into delivery system transformation.
2025 Highlights
- 900,000+ patients reached through CQC initiatives
- Three commercial health plans co-implemented a shared value-based payment model demonstration
- Five Medi-Cal health plans aligned around quality reporting and data infrastructure to reduce administrative burden
- 730,000+ patients served through CalHIVE Behavioral Health Integration provider organizations
- 25.1% relative improvement in depression screening and follow-up, resulting in more than 64,000 additional patients receiving care
- 31 independent practices achieved measurable improvements in blood pressure control, cancer screening and diabetes care
- 12 hospitals engaged in coordinated safety improvement through CQC’s hospital safety work
- Multiple publications and implementation resources released to support statewide learning and adoption
From Strategy to Implementation
CQC’s work in 2025 reflects a continued shift across the health care system—from defining shared goals to operationalizing them.
Across programs, this includes:
- Aligning payment models to support advanced primary care
- Expanding behavioral health integration within primary care settings
- Reducing variation and administrative burden through shared reporting approaches
- Supporting practices with coaching, data and implementation tools
- Advancing equity through targeted improvement strategies
These efforts are helping make alignment usable—creating clearer expectations, more consistent workflows and stronger support for care teams on the ground.
Building a More Connected, Equitable System
From statewide collaboratives to practice-level transformation, CQC’s work is designed to scale what works.
By bringing stakeholders together and supporting implementation at the point of care, CQC is helping build a more connected, equitable and effective health care system for Californians.
Explore the 2025 Impact Report