California and Nevada hospice providers had the lowest care-quality scores despite spending the most per beneficiary to provide care between Jan. 1, 2023, and Dec. 31, 2024, according to CMS data released Feb. 18.
Rhode Island and West Virginia had the highest hospice care quality scores during the data collection period.
CMS’ Hospice Quality Reporting Program includes data submitted directly by hospice providers, from Medicare hospice claims, and from the Hospice Consumer Assessment of Healthcare Providers and Systems survey.
Here are the hospice care quality scores and per-beneficiary spending amounts by state between Jan. 1, 2023, and Dec. 31, 2024, according to CMS:
| State | Hospice Care Index Overall Score | Per-beneficiary spending |
| Alabama | 9.3 | $16,588 |
| Alaska | 8.8 | $13,013 |
| Arizona | 8.8 | $19,693 |
| Arkansas | 9.4 | $14,880 |
| California | 8.3 | $26,927 |
| Colorado | 9.5 | $15,010 |
| Connecticut | 9.6 | $13,702 |
| Delaware | 9.5 | $16,216 |
| District of Columbia | 8.3 | $16,270 |
| Florida | 9.7 | $15,498 |
| Georgia | 8.8 | $17,489 |
| Hawaii | 9.6 | $16,248 |
| Idaho | 9.3 | $15,675 |
| Illinois | 9.1 | $15,181 |
| Indiana | 9.4 | $15,110 |
| Iowa | 9.5 | $11,469 |
| Kansas | 9.1 | $14,806 |
| Kentucky | 9.2 | $8,963 |
| Louisiana | 8.7 | $16,633 |
| Maine | 9.5 | $14,401 |
| Maryland | 9.7 | $12,484 |
| Massachusetts | 9.2 | $17,496 |
| Michigan | 9.0 | $16,300 |
| Minnesota | 9.2 | $15,390 |
| Mississippi | 8.6 | $17,427 |
| Missouri | 9.0 | $14,795 |
| Montana | 8.9 | $11,921 |
| Nebraska | 9.2 | $11,522 |
| Nevada | 8.1 | $21,733 |
| New Hampshire | 9.7 | $14,753 |
| New Jersey | 9.2 | $16,230 |
| New Mexico | 9.0 | $13,829 |
| New York | 9.2 | $11,765 |
| North Carolina | 9.5 | $14,453 |
| North Dakota | 9.3 | $9,600 |
| Ohio | 9.3 | $16,297 |
| Oklahoma | 8.7 | $15,649 |
| Oregon | 9.0 | $14,820 |
| Pennsylvania | 9.0 | $14,102 |
| Rhode Island | 9.8 | $15,028 |
| South Carolina | 9.1 | $16,788 |
| South Dakota | 9.0 | $10,390 |
| Tennessee | 9.6 | $13,528 |
| Texas | 8.4 | $19,852 |
| Utah | 9.2 | $16,794 |
| Vermont | 9.4 | $13,204 |
| Virginia | 9.2 | $14,079 |
| Washington | 9.0 | $13,612 |
| West Virginia | 9.8 | $12,734 |
| Wisconsin | 9.4 | $16,880 |
| Wyoming | 9.2 | $10,410 |
