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New report looks at states with the best and worst health care

New Hampshire has the lowest average monthly health-insurance premium, which is 2.5 times lower than in West Virginia, the highest. 

Photo by CDC / Unsplash

NEW YORK — With the average American spending nearly $14,600 per year on personal health care, the personal-finance website WalletHub today released its report on 2025’s Best & Worst States for Health Care, as well as expert commentary.

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 44 key measures of health care cost, accessibility and outcome. The data set ranges from the average monthly insurance premium to physicians per capita to the share of insured population.

"WalletHub’s study makes it clear that the best health care systems are those that deliver high-quality care without putting patients in financial distress. States like New Hampshire, Rhode Island, and Minnesota stand out because they combine low out-of-pocket costs with strong access and positive health outcomes," said WalletHub's analyst Chris Lupo. "In contrast, many states still struggle to provide affordable care, despite the U.S. spending nearly $14,600 per person on personal health care annually. Our findings illustrate that better health care isn’t just about spending more, it’s about spending smarter,” he added.
 

Best States for Health CareWorst States for Health Care
1. New Hampshire42. Florida
2. Rhode Island43. Kentucky
3. Minnesota44. Tennessee
4. Iowa45. Arkansas
5. Massachusetts46. West Virginia
6. Maine47. Texas
7. Colorado48. Georgia
8. North Dakota49. Alabama
9. Wisconsin50. Alaska
10. South Dakota51. Mississippi

 
Best vs. Worst

  • New Hampshire has the lowest average monthly health-insurance premium, which is 2.5 times lower than in West Virginia, the highest. 
     
  • California has the highest retention rate for medical residents, which is 4.6 times higher than in the District of Columbia, the lowest. 
     
  • New Hampshire has the lowest number of infant mortalities (per 1,000 live births), which is 2.9 times lower than in Mississippi, the highest. 
     
  • West Virginia has the lowest share of at-risk adults without a routine doctor visit in the past two years, which is 1.9 times lower than in New Mexico, the highest.

To view the full report visit: 
https://wallethub.com/edu/states-with-best-health-care/23457

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