Ohioans are living less healthy lives and spending more on health care than people in most other states. That is the unfortunate, albeit familiar, conclusion from the recently released Health Value Dashboard, which is produced every other year by the Health Policy Institute of Ohio. Since 2014, HPIO has gathered data on more than 100 metrics to compare Ohio to other states and D.C. on health value, a combination of health outcomes and health care spending. The dashboard also examines differences in outcomes between groups of Ohioans, such as by race, ethnicity, income, education and disability status. In every edition of the dashboard, Ohio has been near the bottom. This year, Ohio ranks 47, with only Mississippi, Louisiana, Kentucky and West Virginia ranking lower.