The 2018 Scorecard finds more improvement than decline between 2013 and 2016 in the functioning of state health care systems.
All 50 states and the District of Columbia were assessed on more than 40 measures of access to health care, quality of care, efficiency in care delivery, health outcomes, and income-based health care disparities.
Across all states on 43 indicators of health care system performance
Which states improved on the most indicators?
New York improved on 18 of the 37 indicators we track over time — the most of any state. Arkansas, Louisiana, Oklahoma, and West Virginia each improved on 17 indicators.
How does performance vary regionally?
New England, the Upper Midwest, and several states in the West are at the top of our overall rankings. Southern states generally rank at the bottom. The Scorecard shows how states perform relative to their geographic neighbors.
What’s the trend?
Following a long period of decline, premature death rates are flattening or trending upward in many states. Nonetheless, across all dimensions of performance there was more improvement than decline between 2013 and 2016 — a reversal of what happened during the 2000s, when progress stalled or worsened.