Across the states, Vermont, Utah, and Minnesota earned the highest rankings for Medicare beneficiary access to high-quality, affordable care, according to rankings issued by The Commonwealth Fund. The rankings are based on each state’s performance, relative only to Medicare beneficiaries, on 31 health system performance indicators in four domains. Based on the same criteria, Louisiana, Mississippi, and Kentucky ranked the lowest.

The rankings are based on public data from 2023 to 2025 for most of the 31 performance indicators. Sources include data from the Centers for Medicare & Medicaid Services (CMS), federal surveys, and vital statistics datasets with . . .

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