Ranking Highlights

2018 RankChange from Baseline
Overall Ranking36-2
Access and Affordability18+1
Prevention and Treatment19+10
Avoidable Hospital Use and Cost39+4
Healthy Lives430
Medicaid ExpansionYes


Total Population11,441,233318,251,368
Median Household Income$57,493$62,470
Below 200% of Federal Poverty Level (FPL)32%32%
% White Race, Non-Hispanic80%61%
% Black Race, Non-Hispanic12%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicithy4%18%
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Top Ranked Indicators

  • Employee health insurance contributions as a share of median income
  • Hospital 30-day mortality
  • Hospital patients discharged without instructions for home recovery

Bottom Ranked Indicators

  • Deaths from suicide, alcohol, and drug use per 100,000 population
  • Adults who smoke
  • 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
  • Nursing home residents with an antipsychotic medication
  • Medicare beneficiaries received a high-risk drug

Indicators That Worsened the Most

  • Deaths from suicide, alcohol, and drug use per 100,000 population
  • Hospital 30-day mortality
  • Home health patients with a hospital admission

Comparison with the U.S. Average

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