Ranking Highlights

2019 RankChange from Baseline
Overall Ranking8-1
Access and Affordability5+4
Prevention and Treatment20
Avoidable Hospital Use and Cost13-3
Healthy Lives22-6
Medicaid ExpansionYes


Total Population3,103,193320,842,721
Median Household Income$65,222$65,727
Below 200% of Federal Poverty Level (FPL)27%31%
% White Race, Non-Hispanic86%61%
% Black Race, Non-Hispanic3%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicithy6%18%
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Top Ranked Indicators

  • Adults who went without care because of cost
  • Adults with any mental illness who did not receive treatment
  • Employee insurance costs as a share of median income

Bottom Ranked Indicators

  • Adults who are obese
  • Hospital 30-day mortality
  • Adults with inappropriate lower back imaging

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 who are obese
  • Preventable hospitalizations ages 18-64
  • Hospital 30-day mortality

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Plains regionGains for Iowa
51,2920more adults and children, beyond those who already gained coverage through the ACA, would be insured
00fewer adults would skip needed care because of its cost
94,23726,925more adults would receive age- and gender-appropriate cancer screenings
6,7814,521more children (ages 19-35 months) would receive all recommended vaccines
52,59427,868fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
452452fewer 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).