Value-based purchasing scores by state

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

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