District of Columbia

Ranking Highlights

2019 RankChange from Baseline
Overall Ranking23+7
Access and Affordability8+2
Prevention and Treatment21-6
Avoidable Hospital Use and Cost44+5
Healthy Lives28+7
Medicaid ExpansionYes


District of ColumbiaAverage
Total Population684,065320,842,721
Median Household Income$89,996$65,727
Below 200% of Federal Poverty Level (FPL)30%31%
% White Race, Non-Hispanic37%61%
% Black Race, Non-Hispanic45%12%
% Other Race, Non-Hispanic7%9%
% Hispanic Ethnicithy11%18%
Loading District of Columbia...


Top Ranked Indicators

  • High out-of-pocket medical spending
  • Adults who report fair or poor health
  • Suicide deaths

Bottom Ranked Indicators

  • Breast cancer deaths
  • Mortality amenable to health care
  • Hospitals with lower-than-average patient experience ratings

Most Improved Indicators

  • Home health patients with a hospital admission
  • Breast cancer deaths
  • Home health patients without improved mobility

Indicators That Worsened the Most

  • Children without all recommended vaccines
  • Hospital 30-day mortality
  • Drug poisoning deaths

Comparison with the U.S. Average

Loading data...

Estimated Gains District of Columbia Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the Mid-Atlantic regionGains for District of Columbia
4,6940more adults and children, beyond those who already gained coverage through the ACA, would be insured
17,0175,672fewer adults would skip needed care because of its cost
3,1590more adults would receive age- and gender-appropriate cancer screenings
2,0241,191more children (ages 19-35 months) would receive all recommended vaccines
4,7552,902fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
482361fewer 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).