U.S. News & World Report Best Hospitals Rankings

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U.S. News & World Report Best Hospitals Rankings is a hospital rating publication of U.S. News & World Report .

Contents

Opinions on validity

In 1997, one research team said that the value of the ratings were limited because at that time public medical data was difficult to access, and a lack of quality data limited the usefulness of any ratings. [1]

In 2001, a research paper said that US News ratings were based on medical school assessments, counts of research publications, student opinion surveys, and counts of faculty. [2] The paper noted that the rankings were broadly accepted, cited, and used to make decisions by all sorts of stakeholders. [2] The public image of the rankings was that they were unbiased. [2]

A 2005 study considered U.S. News ratings with "Hospital Compare", which is a rating published by Centers for Medicare and Medicaid Services. [3] That study found that the two ratings systems frequently made different recommendations for the best hospitals. [3]

A 2009 study concluded that when a hospital's place in U.S. News rankings changed, then consequently there could be as much as a 5% change in certain kinds of patient admissions to that hospital which might be attributed to that change in rankings. [4]

A 2010 study criticized the U.S. News rankings for not disclosing the relationship between their ranking methodology and the reputation of any given hospital. [5] The study stated that US News rankings matched other rankings about the market reputation of hospital brands, and alleged that US News rankings are overly influenced by brand image while doing less to assign a rank by health outcome metrics of patients who use medical services in those hospitals. [5]

A 2012 study compared the U.S. News rankings with hospital rankings at Consumer Reports. [6] That study said that the two systems ranked hospitals differently, with 8% of graded hospitals having a similar position in each other's rankings. In larger urban areas with multiple hospitals, the two ranking systems made different recommendations in 81% of cases. [6]

In 2023, David Chiu, City Attorney of San Francisco, launched an investigation into U.S. News after learning some endorsed hospitals might have paid for their inclusion in the rankings, in potential violation of California consumer protection laws. Chiu sent subpoenas to the company for information; U.S. News filed a lawsuit in response. In April 2025, the two sides reached a settlement, requiring U.S. News to include a disclaimer on their website about receiving payments from ranked hospitals. The publication also published an op-ed by Chiu on August 29 as part of the settlement. [7] [8]

References

  1. Green, Jesse (1997). "In Search of America's Best Hospitals". JAMA. 277 (14): 1152. doi:10.1001/jama.1997.03540380066033. ISSN   0098-7484.
  2. 1 2 3 McGaghie, WC; Thompson, JA (October 2001). "America's best medical schools: a critique of the U.S. News & World Report rankings". Academic Medicine. 76 (10): 985–92. doi: 10.1097/00001888-200110000-00005 . PMID   11597837. S2CID   32733791.
  3. 1 2 Halasyamani, Lakshmi K.; Davis, Matthew M. (2007). "Conflicting measures of hospital quality: Ratings from "Hospital Compare" versus "Best Hospitals"" (PDF). Journal of Hospital Medicine. 2 (3): 128–134. doi: 10.1002/jhm.176 . hdl:2027.42/56098. ISSN   1553-5592. PMID   17549759.
  4. Pope, Devin G. (2009). "Reacting to rankings: Evidence from "America's Best Hospitals"". Journal of Health Economics. 28 (6): 1154–1165. doi:10.1016/j.jhealeco.2009.08.006. ISSN   0167-6296. PMID   19818518.
  5. 1 2 Sehgal, Ashwini R. (2010). "The Role of Reputation in U.S. News & World Report's Rankings of the Top 50 American Hospitals". Annals of Internal Medicine. 152 (8): 521–525. doi:10.7326/0003-4819-152-8-201004200-00009. ISSN   0003-4819. PMID   20404383. S2CID   207535951.
  6. 1 2 Manian, Farrin A.; Gillman, Melissa; Spitznagel, Ed L. (2012). "A Comparison Between Rankings of Top Hospitals by the U.S. News & World Report and the Consumer Reports Patient Ratings: Clarity or Confusion for the Empowered Consumer?". Journal of Consumer Health on the Internet. 16 (2): 162–169. doi:10.1080/15398285.2012.673462. ISSN   1539-8285. S2CID   57584266.
  7. Larson, Amy (September 4, 2025). "San Francisco reaches settlement with U.S. News over rankings". KRON 4 . Retrieved September 8, 2025.
  8. Chiu, David (August 29, 2025). "Reflections on U.S. News & World Report's Best Hospitals Ranking Methodology". U.S. News & World Report . Retrieved September 8, 2025.