Ranking Highlights

2018 RankChange from Baseline
Overall Ranking50-2
Access and Affordability48-2
Prevention and Treatment44-5
Avoidable Hospital Use and Cost450
Healthy Lives460
Medicaid ExpansionNo


Total Population3,847,322318,251,368
Median Household Income$52,395$62,470
Below 200% of Federal Poverty Level (FPL)37%32%
% White Race, Non-Hispanic66%61%
% Black Race, Non-Hispanic7%12%
% Other Race, Non-Hispanic17%9%
% Hispanic Ethnicithy10%18%
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Top Ranked Indicators

  • Children who did not receive needed mental health treatment
  • Hospital patients who did not receive patient-centered care
  • Employer-sponsored insurance spending per enrollee

Bottom Ranked Indicators

  • Adults ages 19–64 uninsured
  • Mortality amenable to health care, deaths per 100,000 population
  • Adults without all age- and gender-appropriate cancer screenings

Most Improved Indicators

  • Home health patients who did not get better at walking or moving around
  • Adults who smoke
  • Children ages 0–18 uninsured

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Adults with any mental illness reporting unmet need
  • Potentially avoidable ED visits, age 65 and older, per 1,000 Medicare beneficiaries

Comparison with the U.S. Average

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