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Washington state and Minnesota were the only states that got an A from the Health Care Incentives Improvement Institute, a nonprofit group that designs programs aiming at boosting health care quality and affordability. ?California received a ?C,? and the rest of the states got either ?D?s or ?F?s. The report scored states on several factors, including the percentage of doctors they rated, whether those ratings included information about patient outcomes and consumer experiences and how easy it was to find them through an Internet search.