Affordable, quality health care. For everyone.

2020 Scorecard on State Health System Performance

About the 2020 State Scorecard

The Commonwealth Fund’s 2020 Scorecard on State Health System Performance assesses all 50 states and the District of Columbia on 49 measures of access to health care, quality of care, service use and costs of care, health outcomes, and income-based health care disparities.

View the report 

COVID-19. The 2020 Scorecard documents state-level variation in U.S. health care performance prior to COVID-19’s emergence. The report draws on the most currently available, comprehensive, state-level data, which unfortunately lags in this rapidly evolving environment. Still, the report provides important state-specific context for discussing the pandemic’s implications.

What’s New? The 2020 Scorecard introduces new performance measures:

  • State-based public health spending.
  • Primary care spending among Medicare beneficiaries and those with employer coverage.

Also included are data on racial and ethnic inequity, focusing on the disparity between white people and communities of color for a subset of indicators spanning health care access, quality, and health outcomes. (These data are referenced throughout the report but are not used to calculate state rankings.)

For the first time, the 2020 Scorecard also reports price information for health services at a state level (not used in state rankings).

View the report 

In addition, you can download the full report, and a two-page summary for each state.

Publication Details

Publication Date: September 11, 2020

Experts

David Radley
Senior Scientist, Tracking Health System Performance, The Commonwealth Fund
Sara Collins
Vice President, Health Care Coverage and Access, The Commonwealth Fund
Jesse Baumgartner
Research Associate, Health Care Coverage and Access & Tracking Health System Performance, The Commonwealth Fund