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The Commonwealth Fund 2023 Scorecard ranks states’ health care systems based on how well they provide high-quality, accessible, and equitable health care.

This brief analyzes coverage and access inequities for Black and Hispanic adults in the U.S., focusing on the effects of Medicaid expansion and COVID-19 policies.

This data brief considers how much workers are spending on premiums and deductibles and how these costs compare to the median income in each state.

The 2022 Scorecard on State Health System Performance identifies a range of health care system deficiencies, and how they have been exacerbated by the pandemic.

The U.S. is betting it can turn the tide of COVID hospitalizations and deaths by vaccinating more than 100 million people by the end of April 2021.

Chartbook details inequities among white, Black, and Latinx/Hispanic communities across coverage and access to health care, receipt of services, and health status.

This report evaluates health equity across race and ethnicity, both within and between states, to illuminate how state health systems perform.

This brief examines coverage/access inequities for Black and Latinx/Hispanic adults, with a focus on effects of Medicaid expansion on equity at the state level.

Middle-income workers spent an average 6.8 percent of income on employer premium contributions in 2019, up from 5.8 percent in 2010; deductibles rose as well.

This brief examines the U.S. COVID-19 pandemic experience to date and analyzes two prior vaccination programs: for flu in 2019 and for H1N1 in 2009–2010.

A proposal to make it easier to enroll in subsidized ACA health plans involves removing the current “firewall” between employer plans and marketplace coverage.

During COVID-19 pandemic, more than 1 million people age 65+ lost jobs. Issue brief examines job loss, income, and employer health coverage for older adults.

According to Commonwealth Fund researchers, some states may be in a much stronger position to respond to the coronavirus pandemic than others, based on aggregated data related to clinical risk factors, state health system capacity and resources, insurance coverage, and cost-related barriers to health care.

The ACA lowered the uninsured rate for all races and ethnicities. Prior research has reported on the elimination of disparities between Asian Americans and whites. This brief extends the analysis of different Asian American ethnicities and explores the reduction by income, insurance type, and Medicaid expansion.

Hawaii, Massachusetts, Minnesota, Washington, Connecticut, and Vermont rank at the top of the 2019 Scorecard on State Health System Performance, which assesses all 50 states and D.C. on 47 health care measures, covering access, quality, service use and costs, health outcomes, and income-based health care disparities.

Many working families are spending more of their incomes on health care because costs have grown faster than median incomes in all states over the past decade. For middle-income people, the cost of premium contributions plus deductibles was 11.5 percent of income in 2018, up from 7.8 percent in 2008.

Millions of Americans with employer health coverage are spending large shares of their income on health care costs, according to a new Commonwealth Fund report. The analysis looks at what people in every state report spending on premiums and out-of-pocket costs for medications, copays, and dental and vision care. It is a complement to an earlier report that looked at employer-reported premiums and deductibles.

The opioid crisis has helped fuel a 51 percent increase in the combined death rate from drug overdoses, alcohol abuse, and suicide between 2005 and 2016.

Recent national surveys show health care costs are a top concern in U.S. households.1 While the Affordable Care Act’s marketplaces receive a lot of media and political attention, the truth is that far more Americans get their coverage through employers. In 2017, more than half (56%) of people under age 65 — about 152 million people — had insurance through an employer, either their own or a family member’s.2 In contrast, only 9 percent had a plan purchased on the individual market, including the marketplaces. In this brief, we use the latest data from the federal Medical Expenditure Panel Survey–Insurance Component (MEPS–IC) to examine trends in employer premiums at the state level to see how much workers and their families are paying for their employer coverage in terms of premium contributions and deductibles. We examine the size of these costs relative to income for those at the midrange of income distribution. The MEPS–IC is the most comprehensive national survey of U.S. employer health plans. It surveyed more than 40,000 business establishments in 2017, with an overall response rate of 65.8 percent.

Hawaii, Massachusetts, Minnesota, Vermont, and Utah are the top-ranked states according to the Commonwealth Fund���s 2018 Scorecard on State Health System Performance, which assesses all 50 states and the District of Columbia on more than 40 measures of access to health care, quality of care, efficiency in care delivery, health outcomes, and income-based health care disparities.

To explore whether the ACA improved access to care, this post examines people���s experiences in Kentucky with that of its neighbor, Tennessee.