A state-by-state report measuring access to care, quality of care, health outcomes, and health disparities across the United States
The novel coronavirus has exposed and exacerbated existing weaknesses that have long been the focus of the Commonwealth Fund’s Scorecard on State Health System Performance. First, because most Americans get their health insurance through an employer, recent job losses have widened coverage gaps that existed prior to the crisis. The Urban Institute projects that 10 million people will lose their employer coverage by year’s end, leaving 3.5 million uninsured.1 The loss of job-based coverage has also brought into sharp relief the impact of states’ decisions not to expand Medicaid eligibility for low-income residents; 12 states have yet to expand their programs as allowed under the Affordable Care Act (ACA).2
Coverage gains stalled in almost all states since 2016
Americans have high out-of-pocket medical costs relative to their income
Blacks are twice as likely as whites to die early from treatable medical conditions
The 2020 Scorecard offers the latest available federal data on the state of the U.S. health system before it headed into the most severe public health crisis and economic collapse in modern times. It also highlights health system weaknesses that have left the U.S. far less prepared than other high-income countries to cope with public health threats like COVID-19. These weaknesses include: