2022 Scorecard on State Health System Performance
Commonwealth Fund 6/16/22
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.
Selected State Rankings
| States | Hawaii | Mass. | Maryland | Minnesota | California | DC | Wisconsin | Texas |
| Overall Ranking | 1 | 2 | 7 | 9 | 11 | 13 | 21 | 48 |
| Access & Affordability | 3 | 1 | 11 | 9 | 18 | 6 | 14 | 51 |
| Prevention & Treatment | 7 | 1 | 16 | 8 | 45 | 26 | 12 | 44 |
| Avoidable Hospital Use & Cost | 2 | 35 | 17 | 8 | 19 | 33 | 21 | 40 |
| Healthy Lives | 2 | 1 | 14 | 4 | 5 | 3 | 21 | 27 |
| COVID-19 | 1 | 8 | 6 | 9 | 20 | 19 | 21 | 44 |
| Income Disparity | 3 | 2 | 15 | 7 | 8 | 38 | 25 | 34 |
| Racial & Ethnic Equity | 3 | 1 | 7 | 28 | 4 | 12 | 37 | 46 |
