2025 Scorecard on State Health System Performance
https://www.commonwealthfund.org/publications/scorecard/2025/jun/2025-scorecard-state-health-system-performance
Scorecard Highlights
Topping the 2025 Scorecards overall health system rankings are Massachusetts, Hawaii, New Hampshire, Rhode Island, and the District of Columbia, based on 50 measures of health care access and affordability, prevention and treatment, avoidable hospital use and costs, health outcomes and healthy behaviors, income disparity, and equity.
The lowest-ranked states are Mississippi, Texas, Oklahoma, Arkansas, and West Virginia.
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The infant mortality rate (deaths within the first year of life) worsened in 20 states between 2018 and 2022, with considerable variation across states.
Premature, avoidable deaths vary considerably across states the rate in West Virginia is more than twice as high as the rate in Massachusetts. Not only are avoidable mortality rates higher in the United States than in other high-income countries, but they are also on the rise, even as they fall elsewhere.

