The premise that competition will improve health care assumes that con
sumers will choose plans that best fit their needs and resources. Howe
ver many consumers are frustrated with currently available plan compar
ison information. We describe results from 22 focus groups in which Me
dicare beneficiaries, Medicaid enrollees, and Privately insured consum
ers assessed the usefulness of indicators based on consumer survey dat
a and Health Employer Data Information Set (HEDIS)-type measures of qu
ality of care. Considerable education would be required before consume
rs could interpret report card data to inform plan choices. Policy imp
lications for design and provision of plan information for Medicare be
neficiaries and Medicaid enrollees are discussed.