Medicare Spending Per Beneficiary (MSPB) measures the efficiency of hospital episodes and is an integral component of Centers for Medicare & Medicaid Services (CMS) quality measurement. We analyzed four years of CMS Hospital Compare datasets for MSPB (CY 2014-17). We grouped 3,070 hospitals by state.   The graphic illustrates by state the percentage of hospitals with three-year improvement and the percentage of hospitals with a three-year deterioration.

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