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Newsletter Article


New Health System Scorecard: States Made Little Progress in Years Prior to ACA

Our new Scorecard on State Health System Performance is out, and the results are disappointing: in the five years preceding implementation of the Affordable Care Act's major coverage provisions, the majority of states declined or failed to improve on two-thirds of the measures that could be tracked over time.

Commonwealth Fund researchers ranked the health systems of every state and the District of Columbia on a variety of health care measures. Of the 34 measures that could be tracked between 2007 and 2011–12, all states saw meaningful improvement on at least seven. But more than half of states lost ground on at least nine measures.

Visit to read the report, view our infographics, and use an interactive map to download individual state profiles and compare states' performance.

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