Medical Economics January 9, 2026
Austin Littrell

New Hampshire, Massachusetts and Vermont lead the 2025 America’s Health Rankings, but even the highest-scoring states are juggling chronic disease, affordability and access gaps that show up in exam rooms.

The United Health Foundation’s” is the latest edition of a state-by-state snapshot first published in 1990. The 2025 report analyzes 99 measures drawn from 31 data sources, grouped into five broad categories: health outcomes, social and economic factors, physical environment, behaviors and clinical care.

This year’s national picture is mixed. Premature death and drug death rates improved, and more adults are getting recommended cancer screenings and being physically active. Volunteerism also increased.

At the same time, the prevalence of multiple chronic conditions went up, homelessness...

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