Ranking Highlights

2018 RankChange from Baseline
Overall Ranking18+3
Access and Affordability33+7
Prevention and Treatment22+9
Avoidable Hospital Use and Cost60
Healthy Lives15-1
Medicaid ExpansionYes


Total Population1,027,401318,251,368
Median Household Income$55,619$62,470
Below 200% of Federal Poverty Level (FPL)34%32%
% White Race, Non-Hispanic87%61%
% Black Race, Non-Hispanic0%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicithy4%18%
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Top Ranked Indicators

  • Admissions for ambulatory care–sensitive conditions, ages 18–64, per 1,000 employer-insured enrollees
  • Short-stay nursing home residents with a 30-day readmission to the hospital
  • Children who are overweight or obese

Bottom Ranked Indicators

  • Children ages 19–35 months who did not receive all recommended vaccines
  • Adults without all age- and gender-appropriate cancer screenings
  • Home health patients who did not get better at walking or moving around

Most Improved Indicators

  • Children ages 0–18 uninsured
  • Adults with any mental illness reporting unmet need
  • Adults ages 19–64 uninsured

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Employee health insurance contributions as a share of median income
  • Employer-sponsored insurance spending per enrollee

Comparison with the U.S. Average

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