50 states ranked by clinical care: Massachusetts leads, Texas lags

Clinical care makes up one of the five categories that inform America's Health Rankings for 2022 from the United Health Foundation. Zeroing in on this single category, Massachusetts leads the way and Texas trails the nation. 

UHF, the nonprofit, private foundation established by UnitedHealth Group, released the rankings Dec. 6. To assess the overall health of each state, UHF analyzed 51 measures across five categories of health: social and economic factors, physical environment, behaviors, clinical care, and health outcomes.

Clinical care is measured by access to care, preventive clinical services and quality of care, as measured by the proportion of adults who avoid care due to cost, providers per 100,000 people, uninsured rate, colorectal cancer screening rates, immunization rates, preventable hospitalizations and other metrics. (Each state's profile for clinical care and other categories of health can be found here.)

Similar to the overall health rankings, four of the five top-ranked states for clinical care are found on the East Coast and four of the five bottom-ranked states for clinical care are in the South. 


1. Massachusetts 

2. Rhode Island

3. Vermont

4. New Hampshire

5. Hawaii

6. Connecticut

7. Maine

8. Pennsylvania

9. Minnesota

10. Maryland

11. Washington

12. Michigan

13. Iowa

14. Nebraska

15. Delaware

16. New York

17. South Dakota

18. Oregon

19. North Dakota

20. Colorado

21. Wisconsin

22. Virginia

23. Utah

24. Illinois

25. Ohio

26. North Carolina

27. California

28. Kansas

29. New Jersey

30. Idaho

31. Kentucky

32. Montana

33. Missouri

34. New Mexico

35. South Carolina

36. West Virginia

37. Indiana

38. Alaska

39. Arizona

40. Tennessee

41. Alabama

42. Louisiana

43. Arkansas

44. Wyoming

45. Florida

46. Nevada

47. Georgia

48. Mississippi

49. Oklahoma

50. Texas

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