Ranking Highlights

2018 RankChange from Baseline
Overall Ranking7+6
Access and Affordability20+4
Prevention and Treatment25+7
Avoidable Hospital Use and Cost3+2
Healthy Lives8+2
Medicaid ExpansionYes


Total Population7,184,348318,251,368
Median Household Income$72,546$62,470
Below 200% of Federal Poverty Level (FPL)27%32%
% White Race, Non-Hispanic69%61%
% Black Race, Non-Hispanic3%12%
% Other Race, Non-Hispanic15%9%
% Hispanic Ethnicithy12%18%
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Top Ranked Indicators

  • Admissions for ambulatory care–sensitive conditions, ages 18–64, per 1,000 employer-insured enrollees
  • Diabetic adults ages 18-64 without a hemoglobin A1C test
  • Hospital admissions for pediatric asthma, per 100,000 children

Bottom Ranked Indicators

  • Hospital 30-day mortality
  • Adults with any mental illness reporting unmet need
  • Children without all components of a medical home

Most Improved Indicators

  • Home health patients who did not get better at walking or moving around
  • Adults ages 19–64 uninsured
  • Children ages 0–18 uninsured

Indicators That Worsened the Most

  • Employee health insurance contributions as a share of median income
  • Hospital 30-day mortality
  • Potentially avoidable ED visits, age 65 and older, per 1,000 Medicare beneficiaries

Comparison with the U.S. Average

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