Ranking Highlights

2018 RankChange from Baseline
Overall Ranking37+2
Access and Affordability28+1
Prevention and Treatment35+3
Avoidable Hospital Use and Cost37+2
Healthy Lives410
Medicaid ExpansionYes


Total Population6,535,619318,251,368
Median Household Income$57,533$62,470
Below 200% of Federal Poverty Level (FPL)32%32%
% White Race, Non-Hispanic80%61%
% Black Race, Non-Hispanic9%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicithy7%18%
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Top Ranked Indicators

  • Employee health insurance contributions as a share of median income
  • Hospital patients discharged without instructions for home recovery
  • Hospital admissions for pediatric asthma, per 100,000 children

Bottom Ranked Indicators

  • Adults with any mental illness reporting unmet need
  • Adults without all age- and gender-appropriate cancer screenings
  • Admissions for ambulatory care–sensitive conditions, ages 18–64, per 1,000 employer-insured enrollees

Most Improved Indicators

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

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Deaths from suicide, alcohol, and drug use per 100,000 population
  • Adults with any mental illness reporting unmet need

Comparison with the U.S. Average

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