Based on more than 200 million app store ratings and reviews, the average quality score for mobile apps—66.5 out of 100— is lacking with only a passing grade.

That is among the findings of a new report, The 2015 State of The U.S. Health & Fitness Apps Economy, commissioned by app quality analysis vendor Applause. For its report, 39 health/fitness and 28 medical apps were included in the company’s inaugural quality index.

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