Ranking Highlights

2018 RankChange from Baseline
Overall Ranking28-2
Access and Affordability29-14
Prevention and Treatment18-1
Avoidable Hospital Use and Cost25+6
Healthy Lives19-1
Medicaid ExpansionNo


Total Population8,198,930318,251,368
Median Household Income$72,043$62,470
Below 200% of Federal Poverty Level (FPL)25%32%
% White Race, Non-Hispanic62%61%
% Black Race, Non-Hispanic19%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicithy9%18%
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Top Ranked Indicators

  • Diabetic adults ages 18-64 without a hemoglobin A1C test
  • Adults without all age-appropriate recommended vaccines
  • Adults without all age- and gender-appropriate cancer screenings

Bottom Ranked Indicators

  • Children ages 19–35 months who did not receive all recommended vaccines
  • Hospital patients who did not receive patient-centered care
  • Adults ages 18–64 with low back pain who had an imaging study at diagnosis

Most Improved Indicators

  • Home health patients who did not get better at walking or moving around
  • Nursing home residents with an antipsychotic medication
  • Adults who smoke

Indicators That Worsened the Most

  • Employee health insurance contributions as a share of median income
  • Hospital 30-day mortality
  • Adults without a dental visit in past year

Comparison with the U.S. Average

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