Ranking Highlights

2019 RankChange from Baseline
Overall Ranking40+4
Access and Affordability23+10
Prevention and Treatment20+5
Avoidable Hospital Use and Cost48-2
Healthy Lives49-4
Medicaid ExpansionYes


Total Population4,372,996320,842,721
Median Household Income$51,571$65,727
Below 200% of Federal Poverty Level (FPL)37%31%
% White Race, Non-Hispanic85%61%
% Black Race, Non-Hispanic8%12%
% Other Race, Non-Hispanic4%9%
% Hispanic Ethnicithy4%18%
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Top Ranked Indicators

  • Diabetic adults without an annual hemoglobin A1c test
  • Home health patients without improved mobility
  • Uninsured adults

Bottom Ranked Indicators

  • Children who are overweight or obese
  • Adults who report fair or poor health
  • Adults who smoke

Most Improved Indicators

  • Uninsured adults
  • Adults who went without care because of cost
  • Home health patients without improved mobility

Indicators That Worsened the Most

  • Drug poisoning deaths
  • Hospital 30-day mortality
  • Preventable hospitalizations ages 18-64

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Southeast regionGains for Kentucky
108,98210,577more adults and children, beyond those who already gained coverage through the ACA, would be insured
136,5340fewer adults would skip needed care because of its cost
174,43596,909more adults would receive age- and gender-appropriate cancer screenings
7,8512,355more children (ages 19-35 months) would receive all recommended vaccines
95,81120,232fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
2,2111,165fewer 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).