Ranking Highlights

2018 RankChange from Baseline
Overall Ranking44-6
Access and Affordability34-6
Prevention and Treatment44-4
Avoidable Hospital Use and Cost44-2
Healthy Lives39+1
Medicaid ExpansionNo


Total Population5,983,767318,251,368
Median Household Income$56,425$62,470
Below 200% of Federal Poverty Level (FPL)33%32%
% White Race, Non-Hispanic80%61%
% Black Race, Non-Hispanic11%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicithy4%18%
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Top Ranked Indicators

  • Adults without all age-appropriate recommended vaccines
  • Employer-sponsored insurance spending per enrollee
  • Adults with any mental illness who did not receive treatment

Bottom Ranked Indicators

  • Potentially avoidable ED visits, ages 18–64, per 1,000 employer-insured enrollees
  • Adults with any mental illness reporting unmet need
  • 30-day hospital readmissions, 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
  • Colorectal cancer deaths per 100,000 population

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Home health patients with a hospital admission
  • Employee health insurance contributions as a share of median income

Comparison with the U.S. Average

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