Ranking Highlights

2018 RankChange from Baseline
Overall Ranking26+3
Access and Affordability21+2
Prevention and Treatment26+4
Avoidable Hospital Use and Cost34+2
Healthy Lives23+5
Medicaid ExpansionYes


Total Population12,623,751318,251,368
Median Household Income$67,508$62,470
Below 200% of Federal Poverty Level (FPL)30%32%
% White Race, Non-Hispanic62%61%
% Black Race, Non-Hispanic14%12%
% Other Race, Non-Hispanic7%9%
% Hispanic Ethnicithy17%18%
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Top Ranked Indicators

  • Children ages 0–18 uninsured
  • Hospital 30-day mortality
  • Medicare beneficiaries received a high-risk drug

Bottom Ranked Indicators

  • Long-stay nursing home residents with a hospital admission
  • Nursing home residents with an antipsychotic medication
  • 30-day hospital readmissions, age 65 and older, per 1,000 Medicare beneficiaries

Most Improved Indicators

  • Nursing home residents with an antipsychotic medication
  • Home health patients who did not get better at walking or moving around
  • Adults ages 19–64 uninsured

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Adults without a dental visit in past year
  • Deaths from suicide, alcohol, and drug use per 100,000 population

Comparison with the U.S. Average

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