Medicare gives hospitals bonuses and penalties based on how well they performed on 26 quality measures. This chart shows what proportion of hospitals in each state will gain, lose or break even in the third year of the program. These percentages are based on hospitals that are eligible for the incentives; nearly 1,600 hospitals are excluded from the program and were omitted from these calculations. Maryland is not listed because the state has its own reimbursement relationship with Medicare. The incentives are applied to Medicare payments from October 2014 through September 2015.