2022 Scorecard on State Health System Performance

Commonwealth Fund June 16, 2022
David C. Radley, Jesse C. Baumgartner, Sara R. Collins

Toplines

States that entered the COVID-19 pandemic with stronger health systems had lower rates of preventable deaths and healthier populations

Hawaii and Massachusetts top the Commonwealth Fund’s 2022 Scorecard on State Health System Performance, based on measures that include health outcomes during COVID-19 in 2020; the lowest-performing states were Mississippi, Oklahoma, and West Virginia

Highlights

• COVID-19 took a huge toll on Americans’ health, directly and indirectly, but that toll varied dramatically by state.
• Hawaii and Massachusetts top the 2022 State Scorecard rankings, based on overall performance across 56 measures of health care access and quality, service use and cost, health disparities, and health outcomes during the COVID-19 pandemic in 2020. The lowest-performing states were Mississippi, Oklahoma, and West Virginia.
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