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LOS ANGELES—The Milken Institute’s annual Best-Performing Cities index for 2016 shows that tech is still tops, as cities that excel in innovation drive the nation’s economic dynamism. With an ecosystem for entrepreneurship, San Jose, CA, claimed the top spot again.

“America’s best-performing cities yet again demonstrated their innovation advantage aligned with high levels of entrepreneurship,” says Ross DeVol, chief research officer of the Milken Institute and one of the report’s authors. “That is witnessed not just in ‘traditional’ technology but in medical and financial services.”