MoneyGeek evaluated all 50 states and Washington, D.C., across 14 metrics measuring health outcomes, costs and access to care. The 2026 rankings show which state systems perform well and which fall behind.
Hawaii ranks first overall, driven by the nation’s best outcomes and strong cost performance.
Alaska ranks last with some of the highest premiums in the country, limited access and one of the lowest cost performance scores, according to MoneyGeek’s analysis.
Data sources: CDC WONDER, CDC BRFSS, KFF, BEA, HRSA, Commonwealth Fund, MoneyGeek analysis (2026 ACA premiums)
Full analysis: https://www.moneygeek.com/resources/top-states-health-care/
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