Ranking Highlights

2018 RankChange from Baseline
Overall Ranking29+5
Access and Affordability42+5
Prevention and Treatment39+7
Avoidable Hospital Use and Cost17+3
Healthy Lives17+3
Medicaid ExpansionYes


Total Population6,827,533318,251,368
Median Household Income$56,828$62,470
Below 200% of Federal Poverty Level (FPL)36%32%
% White Race, Non-Hispanic56%61%
% Black Race, Non-Hispanic4%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicithy31%18%
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Top Ranked Indicators

  • Long-stay nursing home residents with a hospital admission
  • Home health patients with a hospital admission
  • Admissions for ambulatory care–sensitive conditions, ages 65–74, per 1,000 Medicare beneficiaries

Bottom Ranked Indicators

  • Children without all components of a medical home
  • Children ages 0–18 uninsured
  • Adults with any mental illness who did not receive treatment

Most Improved Indicators

  • Adults with any mental illness reporting unmet need
  • Children ages 0–18 uninsured
  • Home health patients who did not get better at walking or moving around

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Potentially avoidable ED visits, age 65 and older, per 1,000 Medicare beneficiaries
  • Adults who are obese

Comparison with the U.S. Average

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