Ranking Highlights

2019 RankChange from Baseline
Overall Ranking22-5
Access and Affordability29-7
Prevention and Treatment14+14
Avoidable Hospital Use and Cost21-10
Healthy Lives12-2
Medicaid ExpansionNo


Total Population1,892,212320,842,721
Median Household Income$65,121$65,727
Below 200% of Federal Poverty Level (FPL)28%31%
% White Race, Non-Hispanic79%61%
% Black Race, Non-Hispanic4%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicithy11%18%
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Top Ranked Indicators

  • Drug poisoning deaths
  • Children who did not receive needed mental health care
  • Children without all recommended vaccines

Bottom Ranked Indicators

  • High out-of-pocket medical spending
  • Diabetic adults without an annual hemoglobin A1c test
  • Hospital 30-day mortality

Most Improved Indicators

  • Home health patients without improved mobility
  • Central line-associated blood stream infection (CLABSI)
  • Children who did not receive needed mental health care

Indicators That Worsened the Most

  • Infant mortality
  • Preventable hospitalizations ages 18-64
  • Hospital 30-day mortality

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Plains regionGains for Nebraska
110,65679,218more adults and children, beyond those who already gained coverage through the ACA, would be insured
55,92155,921fewer adults would skip needed care because of its cost
85,72046,757more adults would receive age- and gender-appropriate cancer screenings
1,5590more children (ages 19-35 months) would receive all recommended vaccines
21,4196,855fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
237237fewer 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).