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State-specific healthcare data published in Aiming Higher: Results from a State Scorecard on Health System Performance by The Commonwealth Fund in New York City shows a wide chasm between high and low performers on measures of quality, access, avoidable hospitalizations, and costs. The report features state performance on 32 key indicators, with overall rankings on each dimension. The findings underscore the need for action by policymakers and other stakeholders to move all state healthcare systems to higher levels of performance.