Best and Worst States for Health Care Systems as Reported By WalettHub 2020

The following article and study was published by WalettHub on August 6, 2020.  The company provides consumers with very valuable information beyond healthcare.  We encourage you to visit their website and discover how valuable it is.  https://wallethub.com

ABOUT WALLETHUB

WalletHub is the first-ever website to offer free credit scores and full credit reports that are updated on a daily basis. But we consider that just an appetizer, as we’ve built the brain of an artificially intelligent financial advisor that will truly leave your wallet full. WalletHub’s brain performs three primary functions, providing: 1) Customized credit-improvement advice; 2) Personalized savings alerts; and 3) 24/7 wallet surveillance. Such features are supplemented by more reviews of financial products, professionals and companies than any other website offers and a diverse community of subject matter experts. WalletHub is owned by Evolution Finance, Inc. and is based in Washington, DC.

 

States with Best Health Care Systems

Overall Rank
(1 = Best)
 
State Total Score  ‘Cost’ Rank  ‘Access’ Rank  ‘Outcomes’ Rank 
1 Massachusetts 63.47 20 4 1
2 Minnesota 63.11 4 5 9
3 Rhode Island 62.22 6 7 7
4 District of Columbia 60.72 1 1 35
5 North Dakota 60.70 7 3 22
6 Vermont 59.49 29 10 5
7 Colorado 59.06 36 13 2
8 Iowa 58.70 11 19 15
9 Hawaii 58.59 13 39 6
10 South Dakota 57.81 23 16 13
11 Connecticut 57.69 38 17 4
12 Montana 57.59 2 26 23
13 New Hampshire 57.41 40 23 3
14 Maine 57.37 47 2 12
15 Kansas 57.14 10 12 28
16 Maryland 56.78 3 32 25
17 Pennsylvania 56.61 14 9 29
18 Wisconsin 56.42 44 8 11
19 Utah 55.72 24 44 8
20 Virginia 55.53 18 49 10
21 Delaware 55.26 28 20 19
22 Michigan 55.24 5 33 30
23 New Jersey 55.04 19 27 24
24 Ohio 54.35 8 29 34
25 Illinois 54.27 22 21 27
26 Nebraska 53.73 45 11 21
27 Kentucky 52.62 9 6 44
28 New York 52.58 27 24 32
29 New Mexico 51.84 12 40 36
30 Indiana 51.70 16 31 39
31 Wyoming 51.66 46 38 18
32 Oregon 51.32 49 28 14
33 Idaho 50.99 41 47 16
34 California 50.52 42 35 26
35 Missouri 50.20 33 15 41
36 Washington 49.93 48 41 17
37 Florida 49.01 39 42 31
38 Nevada 48.38 21 43 40
39 West Virginia 48.18 31 14 46
40 Oklahoma 47.92 25 36 43
41 Arizona 47.40 32 50 37
42 Alaska 46.83 51 30 20
43 Texas 46.80 34 48 38
44 South Carolina 46.57 43 37 42
45 Tennessee 46.55 35 34 45
46 Arkansas 45.61 15 22 50
47 Mississippi 44.36 17 25 51
48 North Carolina 44.32 50 45 33
49 Alabama 43.84 30 46 48
50 Louisiana 43.82 37 18 49
51 Georgia 43.76 26 51 47

In order to determine the best and worst states for health care, WalletHub compared the 50 states and the District of Columbia across three key dimensions: 1) Cost, 2) Access and 3) Outcomes.

We evaluated those dimensions using 40 relevant metrics, which are listed below with their corresponding weights. Each metric was graded on a 100-point scale, with a score of 100 representing the best health care at the most reasonable cost.

Finally, we determined each state and the District’s weighted average across all metrics to calculate its overall score and used the resulting scores to rank-order our sample.

Cost – Total Points: 33.33

  • Cost of Medical Visit: Full Weight (~6.67 Points)
  • Cost of Dental Visit: Full Weight (~6.67 Points)
  • Average Monthly Insurance Premium: Full Weight (~6.67 Points)
  • Share of High Out-of-Pocket Medical Spending: Full Weight (~6.67 Points)
    Note: This metric measures the percentage of the population aged 64 and younger with high out-of-pocket medical spending relative to their annual income.
  • Share of Adults with No Doctor Visits Due to Cost: Full Weight (~6.67 Points)

Access – Total Points: 33.33

  • Quality of Public Hospital System: Full Weight (~1.59 Points)
    Note: This metric is based on the Centers for Medicare & Medicaid Services’ ranking of public hospital systems.
  • Hospital Beds per Capita: Full Weight (~1.59 Points)
  • Average Response Time from EMS Notification to EMS Arrival (minutes): Full Weight (~1.59 Points)
  • Average Emergency-Room Wait Time: Full Weight (~1.59 Points)
  • Transfer Time (Additional Time Spent Waiting Before Being Taken to Room): Full Weight (~1.59 Points)
  • Physicians per Capita: Full Weight (~1.59 Points)
  • Geriatricians per Population Aged 65 & Older: Full Weight (~1.59 Points)
  • Nurse Practitioners per Capita: Full Weight (~1.59 Points)
  • Physician Assistants per Capita: Full Weight (~1.59 Points)
  • EMTs & Paramedics per Capita: Full Weight (~1.59 Points)
    Note: “EMTs” refer to emergency medical technicians.
  • Urgent-Care Centers per Capita: Full Weight (~1.59 Points)
    Note: “Urgent-Care Centers” include those certified by the Urgent Care Association of America (UCAOA).
  • Retail Clinics per Capita: Full Weight (~1.59 Points)
  • Dentists per Capita: Full Weight (~1.59 Points)
  • Share of Medical Residents Retained: Full Weight (~1.59 Points)
  • Medicare Acceptance Rate Among Physicians: Full Weight (~1.59 Points)
  • Medicaid Acceptance Rate Among Physicians: Full Weight (~1.59 Points)
  • Share of Insured Adults: Full Weight (~1.59 Points)
    Note: “Adults” include the population aged 18 to 64.
  • Share of Insured Children: Full Weight (~1.59 Points)
    Note: “Children” include the population aged 0 to 17.
  • Share of Adults with No Personal Doctor: Full Weight (~1.59 Points)
  • Presence of Telehealth: Full Weight (~1.59 Points)
    Note: “Telehealth,” as defined by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services, is the use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications.
  • Patient Encounters in Community Health Centers per Capita: Full Weight (~1.59 Points)
    Note: “Community Health Centers” refer to Federally Qualified Health Centers (FQHCs), which the U.S. Department of Health and Human Services defines as “all organizations receiving grants under Section 330 of the Public Health Service Act (PHS). FQHCs qualify for enhanced reimbursement from Medicare and Medicaid, as well as other benefits.”

Outcomes – Total Points: 33.33

  • Infant Mortality Rate: Full Weight (~2.22 Points)
  • Child Mortality Rate: Full Weight (~2.22 Points)
  • Maternal Mortality Rate: Full Weight (~2.22 Points)
  • Share of Patients Readmitted to Hospitals: Full Weight (~2.22 Points)
    Note: This metric measures the percentage of patients readmitted within 30 days following discharge from a hospital.
  • Share of Hospitalized Patients Discharged Without Instructions for Home Recovery: Full Weight (~2.22 Points)
  • Share of Hospital Patients Who Did Not Receive Patient-Centered Care: Full Weight (~2.22 Points)
  • Life Expectancy: Double Weight (~4.44 Points)
  • Cancer Rate: Full Weight (~2.22 Points)
  • Heart Disease Rate: Full Weight (~2.22 Points)
  • Share of Adults with Type 2 Diabetes: Full Weight (~2.22 Points)
  • Share of At-Risk Adults with No Routine Doctor Visit in Past Two Years: Full Weight (~2.22 Points)
  • Share of Adults with No Dental Visit in Past Year: Full Weight (~2.22 Points)
  • Share of Children with Medical & Dental Preventive-Care Visits in Past Year: Full Weight (~2.22 Points)
    Note: “Children” include the population aged 0 to 17.
  • Share of Non-Immunized Children: Full Weight (~2.22 Points)
    Note: “Children” include the population aged 19 to 35 months.

Resources:

Sources: Data used to create this ranking were collected from the U.S. Census Bureau, Bureau of Labor Statistics, Council for Community and Economic Research, The Commonwealth Fund, Institute for Health Metrics and Evaluation, Trust for America’s Health and Robert Wood Johnson Foundation, United Health Foundation, Centers for Medicare & Medicaid Services, Health Resources & Services Administration, ProPublica, Association of American Medical Colleges, Centers for Disease Control and Prevention, American Telemedicine Association, Urgent Care Association of America, Convenient Care Association, Kaiser Family Foundation, Trustees of Dartmouth College, American Geriatrics Society and National Highway Traffic Safety Administration

 

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