New Commonwealth Fund scorecard notes states made little progress before ACA

According to a recent Commonwealth Fund report on State Health System Performance, in the five years preceding implementation of the Affordable Care Act’s major coverage provisions, the majority of states declined or failed to improve on two-thirds of the measures that could be tracked over time.

Commonwealth Fund researchers ranked the health systems of every state and the District of Columbia on a variety of health care measures. Of the 34 measures that could be tracked between 2007 and 2011–12, all states saw meaningful improvement on at least seven. But more than half of states lost ground on at least nine measures. 

The Commonwealth Fund scorecard covers areas such as Access and Affordability, Prevention and Treatment, Potentially Avoidable Hospital Use and Cost, and Health Lives (public health measures).