America's healthiest states in 2025

The United Health Foundation’s “America’s Health Rankings 2025 Annual Report” is the latest edition of a state-by-state snapshot first published in 1990. The 2025 report analyzes 99 measures drawn from 31 data sources, grouped into five broad categories: health outcomes, social and economic factors, physical environment, behaviors and clinical care.

This year’s national picture is mixed. Premature death and drug death rates improved, and more adults are getting recommended cancer screenings and being physically active. Volunteerism also increased.

At the same time, the prevalence of multiple chronic conditions went up, homelessness and unemployment worsened, and more adults report avoiding needed care because of cost.

Against that backdrop, New Hampshire ranks No. 1 overall, followed by Massachusetts and Vermont. Rounding out the 10 healthiest states are Connecticut, Utah, Minnesota, Washington, Maryland, Hawaii and Rhode Island.

For physicians, these rankings do not change how individual patients are managed, but they do offer a quick sense of the conditions surrounding your practice — economic stress in your community, access to mental health support and whether patients are keeping up with screenings and preventive care.

Even in top-ranked states, the data highlight fault lines in chronic disease, behavioral health, housing, environment and affordability that can spill directly into primary care.