Here are the best and worst states for health care in the US

best-states-health

Here are the best and worst states for health care in the US

WalletHub on Monday released its 2020 list of the Best & Worst States for Health Care, ranking Massachusetts as No. 1.

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Methodology

For the report, WalletHub used 44 measures to assess every state and the District of Columbia on health care access, cost, and outcomes. WalletHub rated the three categories equally, though some categories included more metrics than others. For example, the:

  • Access category includes metrics on hospital beds per capita, urgent care centers per capita, and average ED wait time;
  • Cost category includes metrics on cost of a medical visit, average monthly insurance premium, and share of adults who did not see the doctor because of affordability issues; and
  • Outcomes category includes metrics on infant mortality rate, share of patients who did not receive patient-centered care, cancer rate, and share of at-risk adults with no routine doctor visit in the last two years.

The access category also included a new measure this year: states with the best health infrastructure for handling the novel coronavirus.

WalletHub pulled states' scores for that measure from its “States with the Best Health Infrastructure for Coronavirus” rankings, which WalletHub released in May.

For those rankings, WalletHub evaluated states public health emergency preparedness, public hospital system quality, availability of emergency centers and services, public health care spending, and other metrics.

For WalletHub's Best & Worst States for Health Care rankings, the best health infrastructure for coronavirus measure was weighted three times the weight of the other measures within the access category.

WalletHub graded each metric on a 100-point scale and calculated a weighted average for each state. Having a higher score represented having better care at a reasonable price, according to WalletHub.

Findings

According to WalletHub, after Massachusetts, which scored 63.47 100, the places with the best health care systems for 2020 were:

  1. Minnesota, which scored 63.11;
  2. Rhode Island, which scored 62.22;
  3. The District of Columbia, which scored 60.72;
  4. North Dakota, which scored 60.70; and
  5. Vermont, which scored 59.49.

By contrast, the states at the bottom of the rankings were:

  1. Georgia, which scored 43.76;
  2. Louisiana, which scored 43.82;
  3. Alabama, which scored 43.84;
  4. North Carolina, which scored 44.32; and
  5. Mississippi, which scored 44.36.

WalletHub also ranked states and the District of Columbia individually on the three categories, with:

  • The District of Columbia ranking first for cost and Alaska ranking last;
  • The District of Columbia ranking first for access and Georgia ranking last; and
  • Massachusetts ranking first for outcomes and Mississippi ranking last.

In addition, WalletHub highlighted the highest- and lowest-performing states on certain metrics. For instance:

  • Average monthly insurance premiums were lowest in Massachusetts and tied for highest in Iowa, Vermont, West Virginia, and Wyoming;
  • The District of Columbia had the most hospital beds per capita, while Utah had the fewest; and
  • The infant mortality rate was lowest in New Hampshire and highest in Mississippi.

Questions for the experts

WalletHub spoke with six health care experts and asked them four “key questions” for Americans to consider as they “anticipate changes to their health care in both the short and long terms”:

  1. What advice they have for people trying to find the correct balance between insurance premium costs and the level of coverage they receive;
  2. What are the vital things Americans can do to minimize their health-related expenditures;
  3. What are the experts' opinions on Medicare-for-All proposals; and
  4. What steps can local officials take to better support hospitals and providers amid America's coronavirus epidemic.

On minimizing health-related expenditures, many of the experts who spoke with WalletHub emphasized the importance of preventive care and living healthy.

Diane Howard, an associate professor in the department of health systems management at Rush University, said, “Americans have to take responsibility for our health to control health-related expenditures, particularly health that is in each individual's control. These are things everyone knows—eat correctly, exercise, limit stress, get regular check-ups, and know your health care numbers (cholesterol, blood pressure, weight).”

John Huppertz, associate professor and director of health care management at Clarkson University's Reh School of Business, said in addition to focusing on healthy behaviors, consumers should “learn how to access the most appropriate level of care for the problem they have.” For example, Huppertz said, people shouldn't “go to the [ED] for something that can be treated by [their] primary care provider or at urgent care.” He noted that “a high percentage of cases seen in the [ED] could be handled in less acute settings.”

When it comes to finding the right balance between health insurance premium costs and coverage levels, Naomi Zewde, an assistant professor at City University of New York's School of Public Health, said, “It is not the ideal trade-off for anyone to make.

” She explained, “The narrower network might be the least-bad trade-off, though.

If you can minimize your deductible and co[payments], which means you won't be deterred from seeking care when you end up needing it and maintain an affordable monthly premium, the least bad trade-off might be to only have a limited number of doctors and hospitals that accept your insurance.”

On Medicare-for-All proposals, which largely would transition the country to a single-payer health system, the experts largely were split over whether they supported such proposals, though many highlighted some of the complexities that could make it difficult for such a system to succeed in the United States.

And when it comes to what local officials can do to better support hospitals and providers through the coronavirus epidemic, Atul Gupta, assistant professor of health care management at the University of Pennsylvania's Wharton School, said, implementing measures to curb the virus' spread, such as social distancing requirements; increasing access to coronavirus testing, ensuring quick results, and sharing those results with employers; and “well-executed contact tracing and isolation/quarantining to prevent spread” could help. “I think local authorities are already doing some or all of these things, though some are doing it better than others and unfortunately all are learning on the job,” he said (McCann, WalletHub's “2020's Best & Worst States for Health Care,” 8/3; McCann, WalletHub's “States with the Best Health Infrastructure for Coronavirus,” 5/26).

Источник: https://www.advisory.com/en/daily-briefing/2020/08/04/best-states-health

The Best and Worst States for Health Care

Here are the best and worst states for health care in the US

Residents of Texas are six times more ly to be without health insurance than residents of Massachusetts. Infant mortality rates are at least twice as high in 13 states than in Vermont, and Georgia has the worst rate of child immunization in the country.

It’s no surprise that healthcare in the U.S. has become a critical issue. Costs and insurance premiums continue to rise, many Americans end up in debt from medical bills, and healthcare access is limited to millions of people. 

The differences vary across state lines. The average cost of a day of hospital inpatient care is three times as high in Oregon than in Montana, and doctors’ offices in Idaho are more understaffed than anywhere else in the nation, according to a study by MoneyRates.

To rank all 50 states and D.C., personal finance site MoneyRates analyzed eight factors using data from the U.S. Census Bureau and the Kaiser Family Foundation. The categories were:

 • Health insurance coverage

 • Adequacy of nursing care staffing

 • Self-reported health status

 • Adequacy of medical office staffing

 • Child immunization coverage

 • Hospital affordability

 • Infant mortality rates

 • Health insurance affordability

MoneyRates ranked each category and then based the overall rankings on the average of rankings across all categories.

their study, these are the best and worst states for healthcare.

Mike Fig Photo / Shutterstock

1. Massachusetts

 • Condition: Robust (top 20%)

 • Child immunization rank: 1 ( 50 states and D.C.)

 • Infant survival rank: 3 ( 50 states and D.C.)

 • Healthcare premium affordability rank: 48 ( 50 states and D.C.)

 • Staffing of doctors relative to population (rank): 6 ( 50 states and D.C.)

Massachusetts has a high rate of health insurance coverage and child immunization, but is one of the 10 most expensive states for both hospital stays and health insurance premiums.

Joe Tabacca / Shutterstock

2. Connecticut

 • Condition: Robust

 • Child immunization rank: 10

 • Infant survival rank: 10

 • Healthcare premium affordability rank: 46

 • Staffing of doctors relative to population (rank): 3

Connecticut’s biggest weakness is being among the most expensive for health insurance.

David Harmantas / Shutterstock

3. North Dakota

 • Condition: Robust

 • Child immunization rank: 4

 • Infant survival rank: 33

 • Healthcare premium affordability rank: 21

 • Staffing of doctors relative to population (rank): 21

North Dakota also ranked No. 1 for its high ratio of nursing care staffing.

Shutterstock

4. Iowa

 • Condition: Robust

 • Child immunization rank: 17

 • Infant survival rank: 24

 • Healthcare premium affordability rank: 32

 • Staffing of doctors relative to population (rank): 33

Iowa is in the top 10 for the percentage of population with insurance coverage, nursing care staffing and affordability of hospitalization.

Shutterstock

5. Vermont

 • Condition: Robust

 • Child immunization rank: 15

 • Infant survival rank: 1

 • Healthcare premium affordability rank: 41

 • Staffing of doctors relative to population (rank): 36

Vermont is in the top 10 for a high percentage of the population with health insurance coverage, as well as a high number of residents who reported their health status to be better than “fair” or “poor.”

Shutterstock

6. Nebraska

 • Condition: Robust

 • Child immunization rank: 5

 • Infant survival rank: 27

 • Healthcare premium affordability rank: 37

 • Staffing of doctors relative to population (rank): 28

Nebraska’s biggest weak point is a rating of “frail” for health insurance affordability.

Shutterstock

7. Rhode Island

 • Condition: Robust

 • Child immunization rank: 14

 • Infant survival rank: 17

 • Healthcare premium affordability rank: 43

 • Staffing of doctors relative to population (rank): 22

Rhode Island is one of the 10 most expensive states for health insurance premiums, but has high rankings for nursing home staffing and health insurance coverage. 

Ken Wolter / Shutterstock

8. Minnesota

 • Condition: Robust

 • Child immunization rank: 49

 • Infant survival rank: 13

 • Healthcare premium affordability rank: 31

 • Staffing of doctors relative to population (rank): 34

Though near the bottom for child immunization, Minnesota is in the top 10 for health status, health insurance coverage and nursing care staffing.

Shutterstock

9. South Dakota (tie)

 • Condition: Robust

 • Child immunization rank: 2

 • Infant survival rank: 42

 • Healthcare premium affordability rank: 1

 • Staffing of doctors relative to population (rank): 2

Shutterstock

9. Tennessee (tie)

 • Condition: Robust

 • Child immunization rank: 12

 • Infant survival rank: 11

 • Healthcare premium affordability rank: 42

 • Staffing of doctors relative to population (rank): 47

Shutterstock

11. New Hampshire

 • Condition: Healthy (the next 20%, below ‘robust’)

 • Child immunization rank: 3

 • Infant survival rank: 2

 • Healthcare premium affordability rank: 47

 • Staffing of doctors relative to population (rank): 38

Kristi Blokhin / Shutterstock

12. District of Columbia

 • Condition: Healthy

 • Child immunization rank: 15

 • Infant survival rank: 39

 • Healthcare premium affordability rank: 45

 • Staffing of doctors relative to population (rank): 5

Daniel J. Macy / Shutterstock

13. Maryland

 • Condition: Healthy

 • Child immunization rank: 11

 • Infant survival rank: 35

 • Healthcare premium affordability rank: 26

 • Staffing of doctors relative to population (rank): 10

WillWight / Shutterstock

14. Kansas

 • Condition: Healthy

 • Child immunization rank: 33

 • Infant survival rank: 25

 • Healthcare premium affordability rank: 10

 • Staffing of doctors relative to population (rank): 30

Shutterstock

15. Virginia

 • Condition: Healthy

 • Child immunization rank: 6

 • Infant survival rank: 23

 • Healthcare premium affordability rank: 20

 • Staffing of doctors relative to population (rank): 23

51. South Carolina

 • Condition: Critical (bottom 20%)

 • Child immunization rank: 50

 • Infant survival rank: 38

 • Healthcare premium affordability rank: 27

 • Staffing of doctors relative to population (rank): 44

South Carolina ends up the worst state for healthcare in the country in this survey, due to bottom-10 rankings in child immunization, nursing care staffing and doctors' office staffing.

Shutterstock

50. Alaska

 • Condition: Critical

 • Child immunization rank: 33

 • Infant survival rank: 14

 • Healthcare premium affordability rank: 51

 • Staffing of doctors relative to population (rank): 31

The most expensive state for health insurance premiums, Alaska also ranks among the worst 10 states for number of people with of health insurance coverage, nursing care staffing and affordability of hospitalization.

Shutterstock

49. New Mexico

 • Condition: Critical

 • Child immunization rank: 20

 • Infant survival rank: 30

 • Healthcare premium affordability rank: 18

 • Staffing of doctors relative to population (rank): 49

New Mexico was also in the bottom 10 for self-reported health status, meaning a low percentage of the population reported their health status to be better than “fair” or “poor.”

Shutterstock

48. Oklahoma

 • Condition: Critical

 • Child immunization rank: 44

 • Infant survival rank: 45

 • Healthcare premium affordability rank: 19

 • Staffing of doctors relative to population (rank): 43

Though this state was rated as “healthy” in three categories, it landed in the bottom 10 in all five remaining categories: health insurance coverage, reported health status, child immunization, infant survival and doctors' office staffing.

Shutterstock

47. Georgia

 • Condition: Critical

 • Child immunization rank: 51

 • Infant survival rank: 45

 • Healthcare premium affordability rank: 33

 • Staffing of doctors relative to population (rank): 16

Shutterstock

46. Arizona

 • Condition: Critical

 • Child immunization rank: 45

 • Infant survival rank: 15

 • Healthcare premium affordability rank: 8

 • Staffing of doctors relative to population (rank): 35

Checubus / Shutterstock

45. Idaho

 • Condition: Critical

 • Child immunization rank: 37

 • Infant survival rank: 22

 • Healthcare premium affordability rank: 7

 • Staffing of doctors relative to population (rank): 51

Shutterstock

44. Texas

 • Condition: Critical

 • Child immunization rank: 42

 • Infant survival rank: 18

 • Healthcare premium affordability rank: 17

 • Staffing of doctors relative to population (rank): 29

Texas has the highest percentage of residents without health insurance. It’s also in the bottom 10 for reported health status and child immunization.

Sean Pavone / Shutterstock

43. North Carolina

 • Condition: Critical

 • Child immunization rank: 26

 • Infant survival rank: 41

 • Healthcare premium affordability rank: 12

 • Staffing of doctors relative to population (rank): 40

Shutterstock

41. Mississippi (tie)

 • Condition: Critical

 • Child immunization rank: 12

 • Infant survival rank: 40

 • Healthcare premium affordability rank: 40

 • Staffing of doctors relative to population (rank): 37

Shutterstock

41. West Virginia (tie)

 • Condition: Critical

 • Child immunization rank: 39

 • Infant survival rank: 50

 • Healthcare premium affordability rank: 3

 • Staffing of doctors relative to population (rank): 41

Khairil Azhar Junos / Shutterstock

40. Nevada

 • Condition: Frail (the 20% above ‘critical’)

 • Child immunization rank: 21

 • Infant survival rank: 20

 • Healthcare premium affordability rank: 4

 • Staffing of doctors relative to population (rank): 46

aceshot1 / Shutterstock

39. Ohio

 • Condition: Frail

 • Child immunization rank: 46

 • Infant survival rank: 44

 • Healthcare premium affordability rank: 34

 • Staffing of doctors relative to population (rank): 11

Shutterstock

38. Indiana

 • Condition: Frail

 • Child immunization rank: 47

 • Infant survival rank: 43

 • Healthcare premium affordability rank: 29

 • Staffing of doctors relative to population (rank): 8

Nick Fox / Shutterstock

37. Montana

 • Condition: Frail

 • Child immunization rank: 48

 • Infant survival rank: 21

 • Healthcare premium affordability rank: 38

 • Staffing of doctors relative to population (rank): 32

See the full ranking and compare states at Moneyrates.com

Источник: https://www.thestreet.com/personal-finance/best-worst-states-healthcare

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