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  1. Jun 22, 2023 · Massachusetts, Hawaii, and New Hampshire top the 2023 State Scorecard rankings for health system performance, based on 58 measures of health care access, quality, use of services, costs, health disparities, reproductive care and women’s health, and health outcomes. The lowest-performing states were Oklahoma, West Virginia, and Mississippi.

  2. Jun 29, 2023 · According to a new report from the Commonwealth Fund, Massachusetts had the best overall health system performance in the United States and Mississippi had the worst, based on seven broad dimensions, including access and affordability, income disparity, and racial and health equity.

  3. on State Health System Performance: Americans’ Health Declines and Access to Reproductive Care Shrinks, But States Have Options (Commonwealth Fund, June 2023).

    • Hawaii. #31 in Best States Overall. Hawaii is the most recent addition to the United States, becoming a state on Aug. 21, 1959. The state, comprised of eight islands, is known as a tourism paradise, and as the site of a Japanese attack in 1941 that prompted the U.S. to join World War II.
    • Rhode Island. #32 in Best States Overall. Rhode Island's independent streak – it was the only state to reject ratification of the 18th Amendment banning the manufacture and sale of alcohol in 1920 – dates back to its 17th century roots as the land of self-governance and individual freedoms.
    • Massachusetts. #11 in Best States Overall. Separatists fleeing religious persecution in England arrived aboard the Mayflower at Plymouth Harbor in 1620.
    • Maryland. #22 in Best States Overall. Home to the Chesapeake Bay, Maryland is known for its blue crabs and the city of Baltimore, a major historic trading port, baseball destination and birthplace of the national anthem.
    • Racial Disparities
    • Maternal Mortality
    • Access to Reproductive Health Care
    • Mental Health
    • Other Highlights from The Report

    People of color experienced higher death rates amid COVID-19, and Black, American Indian and Alaska Native people had the highest rates of preventable deaths from treatable causes. Along with Hispanic people, Black and Indigenous people saw the largest drops in life expectancy, driven by structural inequities and systemic racism. South Dakota had t...

    Maternal deaths surged for all women during the pandemic, but disproportionately among women of color as communities across the nation lose maternal health care. Maternal death rates for American Indian and Alaska Native womenmore than doubled from 2020 to 2021, rising from about 48 to 118 deaths per 100,000. Similarly, Black women’s deaths rose fr...

    The report also breaks down state rankings for access to reproductive care as more than a dozen states enacted abortion bans. The five states ranking lowest for reproductive care and women’s health were New Mexico, Mississippi, Texas, Alaska and Oklahoma, while the highest were Massachusetts, Rhode Island, New Hampshire, Maine and Connecticut. Near...

    Mental health-related deaths saw an alarming surge during the pandemic: Combined deaths from drug overdoses, alcohol and suicidecaused more than 200,000 deaths in 2021 – roughly 50,000 more than 2019 before the pandemic. Teenagers and adults with mental health needs lacked access to care: Nearly 60% of adolescents ages 12 to 17 who experienced a ma...

    The Scorecard measures deaths from preventable causes and causes that are treatable with timely health care interventions. Preventable deaths rose during the pandemic across all states, with Missis...
    The South had the highest rates of medical debt.
    Firearm-related deaths rose 23% since 2019, with mass shootings and suicides in part driving the surge.
    • Nada Hassanein
    • Environmental And Health Inequities Reporter
  4. Oct 13, 2023 · Key Takeaways. Georgia tops the list of worst states for healthcare, while Minnesota is the state with the best healthcare. Seven of the top 10 worst states for healthcare are in the South,...

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  6. The scorecard ranks states across 58 total measures and finds that Massachusetts, Hawaii, and New Hampshire have the highest overall health system performance in 2023. Users can explore state rankings by domain and download individual state profiles (states A-M) and states (N-W).

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