North Carolina

Ranking Highlights

2019 RankChange from Baseline
Overall Ranking340
Access and Affordability42-4
Prevention and Treatment15-1
Avoidable Hospital Use and Cost24-4
Healthy Lives33-3
Medicaid ExpansionNo


North CarolinaAverage
Total Population10,071,642320,842,721
Median Household Income$56,424$65,727
Below 200% of Federal Poverty Level (FPL)34%31%
% White Race, Non-Hispanic63%61%
% Black Race, Non-Hispanic21%12%
% Other Race, Non-Hispanic7%9%
% Hispanic Ethnicithy9%18%
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Top Ranked Indicators

  • Diabetic adults without an annual hemoglobin A1c test
  • Children without all recommended vaccines
  • Adults without all recommended cancer screenings

Bottom Ranked Indicators

  • Employee insurance costs as a share of median income
  • Central line-associated blood stream infection (CLABSI)
  • High out-of-pocket medical spending

Most Improved Indicators

  • Home health patients without improved mobility
  • Children who did not receive needed mental health care
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Children without a medical and dental preventive care visit
  • Drug poisoning deaths
  • Preventable hospitalizations ages 18-64

Comparison with the U.S. Average

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Estimated Gains North Carolina Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the Southeast regionGains for North Carolina
852,155615,216more adults and children, beyond those who already gained coverage through the ACA, would be insured
641,809320,904fewer adults would skip needed care because of its cost
188,0620more adults would receive age- and gender-appropriate cancer screenings
12,4710more children (ages 19-35 months) would receive all recommended vaccines
241,51464,609fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
3,7691,298fewer 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).