Ranking Highlights

2018 RankChange from Baseline
Overall Ranking48-5
Access and Affordability490
Prevention and Treatment49-1
Avoidable Hospital Use and Cost49-5
Healthy Lives31-2
Medicaid ExpansionNo


Total Population20,297,214318,251,368
Median Household Income$54,309$62,470
Below 200% of Federal Poverty Level (FPL)36%32%
% White Race, Non-Hispanic55%61%
% Black Race, Non-Hispanic15%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicithy25%18%
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Top Ranked Indicators

  • Adults with any mental illness reporting unmet need
  • Home health patients who did not get better at walking or moving around
  • Breast cancer deaths per 100,000 female population

Bottom Ranked Indicators

  • Total Medicare (Parts A & B) reimbursements per enrollee
  • Adults without all age-appropriate recommended vaccines
  • Children without all components of a medical home

Most Improved Indicators

  • Children ages 0–18 uninsured
  • Adults ages 19–64 uninsured
  • Nursing home residents with an antipsychotic medication

Indicators That Worsened the Most

  • Deaths from suicide, alcohol, and drug use per 100,000 population
  • Hospital 30-day mortality
  • Home health patients with a hospital admission

Comparison with the U.S. Average

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