2018’s Best & Worst States for Health Care

With the Affordable Care Act remaining in effect and the CDC reporting that over 88 percent of the population has a regular place to go for medical care, the personal-finance website WalletHub today released its report on 2018’s Best & Worst States for Health Care as well as accompanying videos.

In order to determine where Americans receive the highest-quality services at the best prices, WalletHub compared the 50 states and the District of Columbia across 40 key measures of health care cost, accessibility and outcome. The dataset ranges from average monthly insurance premium to physicians per capita to share of insured population.

Best States for
Health Care
Worst States for
Health Care
1 Vermont 42 Florida
2 Massachusetts 43 Georgia
3 New Hampshire 44 South Carolina
4 Minnesota 45 Oklahoma
5 Hawaii 46 Alabama
6 Rhode Island 47 North Carolina
7 Colorado 48 Arkansas
8 District of Columbia 49 Alaska
9 Iowa 50 Mississippi
10 Maryland 51 Louisiana

Best vs. Worst

  • Massachusetts has the lowest average monthly health-insurance premium, $290, which is 3.6 times lower than in Alaska, the highest at $1,041.
  • California has the highest retention rate for medical residents, 70.4 percent, which is 4.3 times higher than in the District of Columbia, the lowest at 16.4 percent.
  • Vermont has the lowest number of infant mortalities (per 1,000 live births), three, which is three times lower than in Alabama, the highest at nine.
  • West Virginia has the lowest share of at-risk adults without a routine doctor visit in the past two years, 9.0 percent, which is 1.9 times lower than in Oregon, the highest at 16.9 percent.

To view the full report and your state or the District’s rank, please visit:

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