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The rate at which nursing home residents are hospitalized is linked  to how well a state provides healthcare for low-income people, according to a report from The Commonwealth Fund. Minnesota was the top performer for its low percent of hospitalizations within a 30-day period, at 7%.

The “Scorecard on State Health System Performance for Low-Income Populations 2013” ranked states based on 30 indicators, including the percentage of nursing residents hospitalized within a 30-day period and the percentage of short-stay residents rehospitalized within 30 days of discharge to a nursing home. The report is the first of its kind.

Mississippi and Louisiana ranked worst on the rehospitalization metric, each with a 31% rate. Mississippi was the lowest-ranked state overall on the scorecard, while Louisiana and Oklahoma tied at No. 49. Minnesota was No 4 overall, and Hawaii was No. 1.

In many cases, low-income populations in the top performing states receive better healthcare than high-income populations in the lowest-ranked states, the report found.