Ranking Highlights

2018 RankChange from Baseline
Overall Ranking20-3
Access and Affordability10-1
Prevention and Treatment13-7
Avoidable Hospital Use and Cost26+4
Healthy Lives27-4
Medicaid ExpansionYes


Total Population5,923,168318,251,368
Median Household Income$85,645$62,470
Below 200% of Federal Poverty Level (FPL)22%32%
% White Race, Non-Hispanic51%61%
% Black Race, Non-Hispanic29%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicithy10%18%
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Top Ranked Indicators

  • Children without all components of a medical home
  • Individuals with high out-of-pocket medical spending
  • Employee health insurance contributions as a share of median income

Bottom Ranked Indicators

  • Hospital patients who did not receive patient-centered care
  • Adults with any mental illness who did not receive treatment
  • Central Line-associated Blood Stream Infection (CLABSI), SIR

Most Improved Indicators

  • Home health patients who did not get better at walking or moving around
  • 30-day hospital readmissions, age 65 and older, per 1,000 Medicare beneficiaries
  • Adults without a usual source of care

Indicators That Worsened the Most

  • Deaths from suicide, alcohol, and drug use per 100,000 population
  • Hospital 30-day mortality
  • Adults without all age- and gender-appropriate cancer screenings

Comparison with the U.S. Average

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