Health care system performance of all 50 states - ranked

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The Commonwealth Fund ranked the health-care-system performance of all 50 states and the District of Columbia, aggregating measurements in 32 benchmarks spread across five categories: access to health care (determined by the number of insured residents); quality of care; unnecessary hospital use and procedures; equity of access based on income and ethnicity; and the overall health of the population. The average of all these measurements determined a state's rank.

Overall Rank State Average Rank Access Rank Quality Rank Avoidable Hospital Use and Costs Equity Rank Healthy Lives Rank

1 HAWAII 7.8 1 18 4 8 8

2 IOWA 8.2 3 5 13 11 9

3 NEW HAMPSHIRE 8.6 6 6 20 5 6

3 VERMONT 8.6 8 7 11 3 14

5 MAINE 10 5 2 21 2 20

6 RHODE ISLAND 10.8 4 1 23 4 22

7 CONNECTICUT 12 7 4 25 7 17

8 MASSACHUSETTS 12.2 2 3 35 1 20

9 WISCONSIN 12.8 11 8 16 13 16

10 SOUTH DAKOTA 14.6 19 10 17 16 11

11 MINNESOTA 15.2 9 12 10 38 7

12 NEBRASKA 15.8 13 9 14 20 23

13 NORTH DAKOTA 16.2 18 20 9 17 17

14 DELAWARE 19.4 19 15 31 6 26

15 PENNSYLVANIA 22.6 15 14 36 9 39

16 MICHIGAN 22.8 10 11 38 18 37

17 MONTANA 23.4 46 13 7 23 28

17 WASHINGTON 23.4 27 34 6 37 13

19 MARYLAND 24.4 21 17 34 11 39

20 KANSAS 24.6 17 19 26 34 27

21 WYOMING 24.8 40 35 12 32 5

22 COLORADO 25 35 30 15 43 2

22 NEW YORK 25 11 30 39 15 30

24 UTAH 26 38 48 1 42 1

24 OHIO 26 15 23 37 14 41

26 NEW JERSEY 27.4 25 16 46 22 28

26 ALASKA 27.4 36 49 19 29 4

26 ARIZONA 27.4 33 47 8 40 9

29 VIRGINIA 27.8 23 24 29 31 32

30 IDAHO 28.4 43 39 3 45 12

30 NORTH CAROLINA 28.4 32 22 22 32 34

32 DISTRICT OF COLUMBIA 28.6 13 25 47 10 48

33 SOUTH CAROLINA 29.8 28 27 26 25 43

34 OREGON 30 45 36 2 48 19

35 NEW MEXICO 30.2 50 41 5 41 14

36 ILLINOIS 30.4 24 29 40 23 36

37 MISSOURI 31.2 22 33 30 26 45

38 INDIANA 31.6 30 28 33 34 33

39 CALIFORNIA 31.8 44 50 18 44 3

40 TENNESSEE 32.6 26 26 42 27 42

41 ALABAMA 32.8 31 20 41 34 38

42 GEORGIA 34.2 37 37 32 30 35

43 FLORIDA 35 40 45 26 39 25

44 WEST VIRGINIA 35.6 38 32 42 21 45

45 KENTUCKY 36 29 38 45 19 49

46 LOUISIANA 40.6 33 41 51 28 50

46 NEVADA 40.6 47 51 24 50 31

48 ARKANSAS 43.2 42 40 44 46 44

49 TEXAS 43.6 51 46 48 49 24

50 OKLAHOMA 47.8 49 43 50 50 47

50 MISSISSIPPI 47.8 48 44 49 47 51

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