Managed Care

Quality doesn't have to be costly

According to Health Risk Management Inc., a consulting company, states with higher quality of care generally have lower per-capita health care costs. HRM's annual "Quality First" index includes 46 weighted quality indicators that consider what individuals, health care systems, and states do to affect health status and care, and the degree to which those efforts improve outcomes. One of the most compelling findings is that the top 10 states in quality had an average per-capita health care cost of $239 in 1999, 11 percent lower than the bottom 10 states' average of $268.

Top 10 states in quality Lowest 10 states in quality
Rank State Per-capita cost Rank State Per-capita cost
1 Minnesota $228 49* Mississippi $255
2 Hawaii $227 49* Louisiana $317
3 Wisconsin $218 48 Arkansas $248
4 New Hampshire $235 47 Tennessee $295
5 Vermont $218 46 Oklahoma $242
6 Massachusetts $315 45 South Carolina $231
7 Connecticut $274 44 New Mexico $223
8 Washington $230 43 Alabama $281
9 Maine $221 42 Texas $253
10 Iowa $222 41 Kentucky $253

* Tie.


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