Ranking Highlights

2019 RankChange from Baseline
Overall Ranking43-2
Access and Affordability33-6
Prevention and Treatment37+6
Avoidable Hospital Use and Cost45-1
Healthy Lives38+1
Medicaid ExpansionNo


Total Population6,006,403320,842,721
Median Household Income$58,649$65,727
Below 200% of Federal Poverty Level (FPL)32%31%
% White Race, Non-Hispanic80%61%
% Black Race, Non-Hispanic11%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicithy4%18%
Loading Missouri...


Top Ranked Indicators

  • Adults with inappropriate lower back imaging
  • Children who are overweight or obese
  • Adults with any mental illness who did not receive treatment

Bottom Ranked Indicators

  • Hospital 30-day readmission rate ages 18-64
  • Potentially avoidable emergency department visits ages 18-64
  • Children without a medical and dental preventive care visit

Most Improved Indicators

  • Home health patients without improved mobility
  • Nursing home residents with an antipsychotic medication
  • Hospital admissions for pediatric asthma

Indicators That Worsened the Most

  • Adults without a dental visit
  • Hospital 30-day mortality
  • Preventable hospitalizations ages 18-64

Comparison with the U.S. Average

Loading data...

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

Top State in the U.S.Top State in the Plains regionGains for Missouri
376,039276,028more adults and children, beyond those who already gained coverage through the ACA, would be insured
275,049275,049fewer adults would skip needed care because of its cost
307,331167,635more adults would receive age- and gender-appropriate cancer screenings
19,62215,261more children (ages 19-35 months) would receive all recommended vaccines
295,864250,217fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
2,3212,321fewer 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).