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2019 Scorecard on State Health System Performance: Deaths from Suicide, Alcohol, Drugs on the Rise; Progress Expanding Health Care Coverage Stalls; Health Costs Are a Growing Burden

2019 Scorecard on State Health SystemPerformance


The Commonwealth Fund’s 2019 Scorecard on State Health System Performance reveals that most states are losing ground on key measures related to life expectancy as premature deaths from suicide, alcohol, and drug overdose continue to increase. Several states that most recently expanded eligibility for their Medicaid programs saw meaningful gains in access to health care; in other states prior gains eroded between 2016 and 2017. Finally, the Scorecard found that health care costs are placing an increasing financial burden on families across the nation.

View the report 


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

Screenshot of scorecard homepage


The Commonwealth Fund has also launched a new, comprehensive state data center that will allow users to explore state health system performance and policy data, as well as trends over time, through custom tables, graphs, and maps. Users can view data at a glance by selected topic or state:

View the data center  

screenshot of datacenter homepage