Ranking Highlights

2018 RankChange from Baseline
Overall Ranking27+2
Access and Affordability12+4
Prevention and Treatment15-1
Avoidable Hospital Use and Cost39-2
Healthy Lives37+2
Medicaid ExpansionYes


Total Population9,817,919318,251,368
Median Household Income$58,541$62,470
Below 200% of Federal Poverty Level (FPL)32%32%
% White Race, Non-Hispanic75%61%
% Black Race, Non-Hispanic13%12%
% Other Race, Non-Hispanic6%9%
% Hispanic Ethnicithy5%18%
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Top Ranked Indicators

  • Employee health insurance contributions as a share of median income
  • Children who did not receive needed mental health treatment
  • Employer-sponsored insurance spending per enrollee

Bottom Ranked Indicators

  • 30-day hospital readmissions, age 65 and older, per 1,000 Medicare beneficiaries
  • Total Medicare (Parts A & B) reimbursements per enrollee
  • Potentially avoidable ED visits, age 65 and older, per 1,000 Medicare beneficiaries

Most Improved Indicators

  • Home health patients who did not get better at walking or moving around
  • Adults ages 19–64 uninsured
  • Adults with any mental illness who did not receive treatment

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Deaths from suicide, alcohol, and drug use per 100,000 population
  • Hospital admissions for pediatric asthma, per 100,000 children

Comparison with the U.S. Average

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