Advisory Board October 20, 2025

The Commonwealth Fund on Thursday released its first ever State Medicare Scorecard, rating Medicare beneficiaries’ experiences in all 50 states and Washington, D.C.

About the scorecard

For the scorecard, the Commonwealth Fund rated states and Washington, D.C. on 31 measures across four key domains:

  • Access to care (5 indicators), including measures of access to a usual source of care, routine checkups, dental care among older adults, share of Medicare Advantage plans in a state requiring prior authorization, and Medicare beneficiaries referred for home healthcare who received timely services.
  • Quality of care (13 indicators), including measures of receipt of preventive care, falls with injury and prescriptions for medications that should be avoided among older adults, indicators of hospital and ED...

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