North Carolina

Ranking Highlights

2018 RankChange from Baseline
Overall Ranking35+1
Access and Affordability370
Prevention and Treatment16+3
Avoidable Hospital Use and Cost24+1
Healthy Lives330
Medicaid ExpansionNo


North CarolinaAverage
Total Population9,962,182318,251,368
Median Household Income$53,402$62,470
Below 200% of Federal Poverty Level (FPL)35%32%
% White Race, Non-Hispanic64%61%
% Black Race, Non-Hispanic21%12%
% Other Race, Non-Hispanic6%9%
% Hispanic Ethnicithy9%18%
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Top Ranked Indicators

  • Diabetic adults ages 18-64 without a hemoglobin A1C test
  • Admissions for ambulatory care–sensitive conditions, ages 18–64, per 1,000 employer-insured enrollees
  • Children ages 19–35 months who did not receive all recommended vaccines

Bottom Ranked Indicators

  • Children who did not receive needed mental health treatment
  • Individuals with high out-of-pocket medical spending
  • Infant mortality, deaths per 1,000 live births

Most Improved Indicators

  • Home health patients who did not get better at walking or moving around
  • Adults with any mental illness who did not receive treatment
  • Medicare beneficiaries received a high-risk drug

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Potentially avoidable ED visits, age 65 and older, per 1,000 Medicare beneficiaries
  • Adults who are obese

Comparison with the U.S. Average

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