North Dakota

Ranking Highlights

2018 RankChange from Baseline
Overall Ranking22-8
Access and Affordability24-6
Prevention and Treatment23-5
Avoidable Hospital Use and Cost9+1
Healthy Lives27-1
Medicaid ExpansionYes


North DakotaAverage
Total Population741,981318,251,368
Median Household Income$65,493$62,470
Below 200% of Federal Poverty Level (FPL)26%32%
% White Race, Non-Hispanic85%61%
% Black Race, Non-Hispanic3%12%
% Other Race, Non-Hispanic9%9%
% Hispanic Ethnicithy3%18%
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Top Ranked Indicators

  • Adults ages 18–64 with low back pain who had an imaging study at diagnosis
  • Adults who went without care because of cost
  • Medicare beneficiaries received a high-risk drug

Bottom Ranked Indicators

  • Children without both a medical and dental preventive care visit in the past year
  • Children who are overweight or obese
  • Children ages 0–18 uninsured

Most Improved Indicators

  • Home health patients who did not get better at walking or moving around
  • Colorectal cancer deaths per 100,000 population
  • Individuals with high out-of-pocket medical spending

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Home health patients with a hospital admission
  • Adults with any mental illness reporting unmet need

Comparison with the U.S. Average

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