Ranking Highlights

2019 RankChange from Baseline
Overall Ranking38-1
Access and Affordability35-3
Prevention and Treatment30+6
Avoidable Hospital Use and Cost34-3
Healthy Lives46-2
Medicaid ExpansionNo


Total Population4,796,532320,842,721
Median Household Income$50,559$65,727
Below 200% of Federal Poverty Level (FPL)38%31%
% White Race, Non-Hispanic66%61%
% Black Race, Non-Hispanic27%12%
% Other Race, Non-Hispanic4%9%
% Hispanic Ethnicithy4%18%
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Top Ranked Indicators

  • Adults with inappropriate lower back imaging
  • Home health patients without improved mobility
  • Hospital 30-day readmission rate ages 18-64

Bottom Ranked Indicators

  • Preventable hospitalizations ages 18-64
  • Central line-associated blood stream infection (CLABSI)
  • Infant mortality

Most Improved Indicators

  • Home health patients without improved mobility
  • Central line-associated blood stream infection (CLABSI)
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Adults who are obese
  • Preventable hospitalizations ages 18-64
  • Hospital 30-day readmission rate ages 18-64

Comparison with the U.S. Average

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Estimated Gains Alabama Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the Southeast regionGains for Alabama
343,891233,440more adults and children, beyond those who already gained coverage through the ACA, would be insured
335,672186,484fewer adults would skip needed care because of its cost
176,53488,267more adults would receive age- and gender-appropriate cancer screenings
6,904863more children (ages 19-35 months) would receive all recommended vaccines
154,49067,885fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
2,5151,364fewer premature deaths (before age 75) would occur from causes that are potentially treatable or preventable with timely and appropriate care

Estimated impact if this state’s performance improved to the rate of two benchmark levels — a national benchmark set at the level of the best-performing state and a regional benchmark set at the level of the top-performing state in region ( Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).