The Commonwealth Fund has rated Vermont, Hawaii and Iowa the top three states in terms of health care system performance. Louisiana, Oklahoma and Mississippi were rated the worst. The ratings are part of the group's second State Scorecord which measures performance based on access, quality, costs and health outcomes.
The group says the scorecard shows improvements made in care since 2007, but regional variation remains a serious problem.
Distinct regional patterns and sharp differences in performance across states—with some persistent gaps even in the best-performing states—attest to the reality that our health care system fails to provide reliable access to the affordable, effective, patient-centered, coordinated care that everyone should expect, given the large and growing share of the nation's economic resources that are invested in the health care sector.
The report also makes note of the increasing rate of hospital readmissions. It estimates that at least $5 billion a year could be saved in preventing hospitalization and readmission for elderly and chronically ill patients.