Ranking Highlights

2019 RankChange from Baseline
Overall Ranking26-1
Access and Affordability32+8
Prevention and Treatment36-6
Avoidable Hospital Use and Cost70
Healthy Lives26-2
Medicaid ExpansionYes


Total Population1,036,512320,842,721
Median Household Income$59,559$65,727
Below 200% of Federal Poverty Level (FPL)32%31%
% White Race, Non-Hispanic86%61%
% Black Race, Non-Hispanic0%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicithy4%18%
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Top Ranked Indicators

  • Hospital admissions for pediatric asthma
  • Medicare spending per beneficiary
  • Skilled nursing facility patients with a hospital readmission

Bottom Ranked Indicators

  • Children without all recommended vaccines
  • Alcohol deaths
  • Suicide deaths

Most Improved Indicators

  • Uninsured children
  • Home health patients without improved mobility
  • Adults with inappropriate lower back imaging

Indicators That Worsened the Most

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

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Rocky Mountain regionGains for Montana
65,60522,660more adults and children, beyond those who already gained coverage through the ACA, would be insured
24,3520fewer adults would skip needed care because of its cost
68,18829,224more adults would receive age- and gender-appropriate cancer screenings
3,7392,136more children (ages 19-35 months) would receive all recommended vaccines
15,61913,943fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
160102fewer 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).