Three routes to coverage
Employer plans, the health insurance marketplace and public programs cover the overwhelming majority of residents. The mix differs by state, but the routes do not.
Trend analysis · Healthcare
Healthcare Trends Report 2026
How coverage is obtained, and where access is structurally thinner.
Published Apr 8, 2026 · Last updated Jul 11, 2026 · 9 min read
Editorial details
Author
Elena Marsh
Editorial Director
Reviewer
Priya Raman
Personal Finance Editor
Published
Apr 8, 2026
Version 1.0
Last reviewed
Jul 11, 2026
9 min read
Editor's review: This report is explicitly provisional. It publishes structure, not clinical outcomes.
Key findings
What the data shows
- Coverage in every state arrives through the same three routes: employer plans, the marketplace, or a public program.
- Network design, not headline premium, determines most out-of-pocket surprises.
- Access thins fastest outside the largest metro of each state.
The report
A provisional structural review of healthcare access across states while provider-density data is verified.
Why we have not published an access score yet
A credible access measure needs providers per capita and uninsured rates sourced consistently for all 51 hubs. Until that exists, the ranking on this site is labelled a structural proxy.
Data visuals
Charts and tables
Every visual states whether it is derived from published US360 data or a labelled placeholder, and every chart can be read as a data table.
| State | Employer | Marketplace | Public program | Uninsured |
|---|---|---|---|---|
| Awaiting data | — | — | — | — |
Placeholder layout. No coverage percentages are published until a federal source is verified for all 51 hubs.
Sources
Where this data comes from
US360 never presents a third-party statistic as its own. Each source below is labelled by origin.
- Official federal agency
Centers for Medicare & Medicaid Services
Programme structure and enrolment periods.
Open source - Public dataset
HealthCare.gov
Marketplace availability.
Open source - US360 editorial analysis
US360 state dataset
Structural context per hub.
Limitations
- No clinical outcome, provider density or uninsured figure is published in this edition.
Download center
Files, versions and dates
Each file carries its version number and publication date. Files are prepared by the research desk and released with the report edition.
- Healthcare Trends Report 2026PDF report · v1.0 · Apr 8, 2026Preparing
- Coverage decision worksheetWorksheet · v1.0 · Apr 8, 2026Preparing
Corrections & versions
What changed, and when
Version history
- v1.0 — Apr 8, 2026First publication.
Corrections
No corrections have been issued for this report. Corrections are always published here with the date and what changed.
Related rankings
Compare the states behind it
Healthcare Access Rankings
Where is care most reachable?
- 1Texas73.2
- 2California67.6
- 3Florida61.5
US360 analysis of published data
Trust & transparency
How to read US360 research
How reports are created
A researcher drafts from the shared state dataset, a second researcher recomputes every composite, and an editor reviews the wording before publication.
How data is verified
A measure only enters a ranking when the same field exists for all 51 hubs. Anything partial stays a labelled placeholder.
When reports are updated
Annual reports are re-published yearly with a mid-year review. Rankings recompute with the dataset and are reviewed at least twice a year.
Known limitations
State-level figures cannot describe a specific city or neighbourhood, and several important measures are still unsourced. Each report lists its own limits.
Corrections process
Corrections are published on the report page with the date and the change, and the version history records what moved.
Reader feedback
Anyone can flag a figure through the contact page. Flagged figures are re-checked before the next review date.
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