A desirable property of a reference-based evaluation metric that measures the content quality of a summary is that it should estimate how much information that summary has in common with a reference. Traditional text overlap based metrics such as ROUGE fail to achieve this because they are limited to matching tokens, either lexically or via embeddings. In this work, we propose a metric to evaluate the content quality of a summary using question-answering (QA). QA-based methods directly measure a summary's information overlap with a reference, making them fundamentally different than text overlap metrics. We demonstrate the experimental benefits of QA-based metrics through an analysis of our proposed metric, QAEval. QAEval out-performs current state-of-the-art metrics on most evaluations using benchmark datasets, while being competitive on others due to limitations of state-of-the-art models. Through a careful analysis of each component of QAEval, we identify its performance bottlenecks and estimate that its potential upper-bound performance surpasses all other automatic metrics, approaching that of the gold-standard Pyramid Method.