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America’s Health Rankings 2021 Annual Report

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The United Health Foundation, the philanthropic foundation of UnitedHealth Group,  released its “America’s Health Rankings® 2021 Annual Report,” which provides insights into the early effects of COVID-19 on Americans’ health and well-being.

The 32nd edition of the Annual Report, available at, examines 81 measures from 30 unique data sources to understand the impact that social, economic, environmental and other factors have on health. In addition, the report includes the longest-running state-by-state analysis of our nation’s health.

The report — which includes new, publicly available data — paints a complex and nuanced picture of America’s health during the pandemic, including reversals of longer-term trends across several measures. The most notable impact of COVID-19 in the report was a 17% increase in the U.S. death rate between 2019 and 2020. The COVID-19 death rate was the highest among the American Indian/Alaska Native population, according to data from the Centers for Disease Control and Prevention.

The report also found that public health funding increased 33% nationally from $87 to $116 per person between 2017-2018 and 2019-2020 — the highest level since at least 2015, when America’s Health Rankings began using the same data source. This includes increases in all 50 states and Washington, D.C. by 12% or more.

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