Ranking Highlights

2019 RankChange from Baseline
Overall Ranking20
Access and Affordability10
Prevention and Treatment10
Avoidable Hospital Use and Cost31-2
Healthy Lives4-2
Medicaid ExpansionYes


Total Population6,786,014320,842,721
Median Household Income$89,996$65,727
Below 200% of Federal Poverty Level (FPL)23%31%
% White Race, Non-Hispanic72%61%
% Black Race, Non-Hispanic7%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicithy12%18%
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Top Ranked Indicators

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

Bottom Ranked Indicators

  • Drug poisoning deaths
  • Preventable hospitalizations age 65 and older
  • Hospital 30-day readmission rate age 65 and older

Most Improved Indicators

  • Children without all recommended vaccines
  • Home health patients without improved mobility
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Adults without all recommended vaccines
  • Drug poisoning deaths
  • Preventable hospitalizations ages 18-64

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the New England regionGains for Massachusetts
00more adults and children, beyond those who already gained coverage through the ACA, would be insured
54,7350fewer adults would skip needed care because of its cost
66,35866,358more adults would receive age- and gender-appropriate cancer screenings
00more children (ages 19-35 months) would receive all recommended vaccines
90,02223,099fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
335142fewer 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).