Ranking Highlights

2019 RankChange from Baseline
Overall Ranking27-17
Access and Affordability20-8
Prevention and Treatment13-8
Avoidable Hospital Use and Cost28-4
Healthy Lives35-3
Medicaid ExpansionYes


Total Population947,351320,842,721
Median Household Income$67,750$65,727
Below 200% of Federal Poverty Level (FPL)28%31%
% White Race, Non-Hispanic62%61%
% Black Race, Non-Hispanic21%12%
% Other Race, Non-Hispanic7%9%
% Hispanic Ethnicithy9%18%
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Top Ranked Indicators

  • Hospital 30-day mortality
  • Children without all recommended vaccines
  • Uninsured children

Bottom Ranked Indicators

  • Breast cancer deaths
  • Infant mortality
  • Employee insurance costs as a share of median income

Most Improved Indicators

  • Home health patients without improved mobility
  • Adults with any mental illness who did not receive treatment
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Adults with any mental illness reporting unmet need
  • Children who did not receive needed mental health care
  • Drug poisoning deaths

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Mid-Atlantic regionGains for Delaware
27,91317,779more adults and children, beyond those who already gained coverage through the ACA, would be insured
38,67823,207fewer adults would skip needed care because of its cost
18,35213,764more adults would receive age- and gender-appropriate cancer screenings
1,1170more children (ages 19-35 months) would receive all recommended vaccines
20,58111,429fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
26093fewer 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).