Hawaii has the highest value-based purchasing score, a metric established by the Affordable Care Act to measure quality of care and number of services provided by hospitals, according to a report from Definitive Healthcare.
The ACA's value-based purchasing program gives hospitals financial incentives for providing high-quality care to Medicare patients.
CMS calculates a total performance score by considering a hospital's clinical outcomes, safety, person and community engagement, and efficiency and cost reduction.
Forty-nine states and Washington D.C. ranked by average value-based purchasing score:
1. Hawaii: 48.32
2. Oregon: 48.16
3. Alaska: 48.13
4. Minnesota: 47.17
5. Montana: 45.07
6. Wyoming: 41.75
7. Wisconsin: 40.94
8. Iowa: 40.34
9. Vermont: 39.88
10. North Dakota: 38.55
11. Michigan: 38.45
12. Oklahoma: 38.00
13. Colorado: 37.36
14. Maine: 36.94
15. South Dakota: 36.80
16. Idaho: 36.21
17. Washington: 36.18
18. Kansas: 36.17
19. Utah: 35.93
20. North Carolina: 35.89
21. Virginia: 35.59
22. Massachusetts: 34.65
23. Nebraska: 34.56
24. New Mexico: 34.31
25. Illinois: 34.02
26. Arizona: 34.01
27. Ohio: 33.94
28. California: 33.74
29. Missouri: 33.68
30. Alabama: 33.40
31. Louisiana: 32.51
32. South Carolina: 32.46
33. New Hampshire: 32.27
34. Pennsylvania: 32.25
35. Georgia: 32.06
36. Connecticut: 32.06
37. Rhode Island: 32.01
38. Texas: 31.93
39. Kentucky: 31,59
40. Arkansas: 31.15
41. New York: 30.78
42. Indiana: 30.71
43. West Virginia: 30.71
44. Florida: 30.31
45. Tennessee: 29.93
46. Mississippi: 29.25
47. Washington D.C.: 27.94
48. Delaware: 27.36
49. New Jersey: 27.29
50. Nevada: 27.16