The 2019 Scorecard on State Health System Performance was released on June 12, 2019.  It assess all 50 states and the District of Columbia on a wide range of health care measures, covering access to care, costs, health outcomes, income-based disparities and more. Hawaii, Massachusetts, Minnesota, Washington, Connecticut, and Vermont rank at the top of the scorecard, while Arkansas, Nevada, Texas, Oklahoma, and Mississippi are at the bottom.

South Carolina had an overall ranking of 41.  The most improved indicators for South Carolina included home health patients without improved mobility, adults who went without care because of cost and insured adults.  The bottom ranked indicators were adults who are obese, elderly patients who received a high-risk prescription drug and child who did not receive needed mental health care.  South Carolina improved from baseline by 2 and 3 rankings respectively  for healthy lives and disparity.

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