California

Ranking Highlights

2019 RankChange from Baseline
Overall Ranking14+12
Access and Affordability22+12
Prevention and Treatment35+6
Avoidable Hospital Use and Cost14-2
Healthy Lives5+2
Disparity4+27
Medicaid ExpansionYes

Demographics

CaliforniaAverage
Total Population39,052,156320,842,721
Median Household Income$76,850$65,727
Below 200% of Federal Poverty Level (FPL)31%31%
% White Race, Non-Hispanic37%61%
% Black Race, Non-Hispanic5%12%
% Other Race, Non-Hispanic19%9%
% Hispanic Ethnicithy39%18%
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Highlights

Top Ranked Indicators

  • Home health patients with a hospital admission
  • Adults who have lost six or more teeth
  • Adults who smoke

Bottom Ranked Indicators

  • Children without a medical home
  • Adults with any mental illness who did not receive treatment
  • Children without all recommended vaccines

Most Improved Indicators

  • Uninsured adults
  • Uninsured children
  • Home health patients without improved mobility

Indicators That Worsened the Most

  • Children who did not receive needed mental health care
  • Hospital 30-day readmission rate ages 18-64
  • Preventable hospitalizations ages 18-64

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the West regionGains for California
1,640,5671,303,386more adults and children, beyond those who already gained coverage through the ACA, would be insured
1,208,9881,208,988fewer adults would skip needed care because of its cost
690,180345,090more adults would receive age- and gender-appropriate cancer screenings
144,96979,733more children (ages 19-35 months) would receive all recommended vaccines
121,76177,431fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
5,9903,125fewer 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 (www.bea.gov: Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).