North Dakota

Ranking Highlights

2019 RankChange from Baseline
Overall Ranking16-2
Access and Affordability21-2
Prevention and Treatment24-7
Avoidable Hospital Use and Cost9+7
Healthy Lives16+10
Medicaid ExpansionYes


North DakotaAverage
Total Population738,859320,842,721
Median Household Income$70,075$65,727
Below 200% of Federal Poverty Level (FPL)24%31%
% White Race, Non-Hispanic85%61%
% Black Race, Non-Hispanic3%12%
% Other Race, Non-Hispanic9%9%
% Hispanic Ethnicithy3%18%
Loading North Dakota...


Top Ranked Indicators

  • Adults who went without care because of cost
  • Children who are overweight or obese
  • Drug poisoning deaths

Bottom Ranked Indicators

  • Alcohol deaths
  • Children without a medical and dental preventive care visit
  • Adults without a usual source of care

Most Improved Indicators

  • Children who are overweight or obese
  • Colorectal cancer deaths
  • Home health patients without improved mobility

Indicators That Worsened the Most

  • Children without all recommended vaccines
  • Preventable hospitalizations ages 18-64
  • Hospital 30-day mortality

Comparison with the U.S. Average

Loading data...

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

Top State in the U.S.Top State in the Plains regionGains for North Dakota
34,09821,224more adults and children, beyond those who already gained coverage through the ACA, would be insured
00fewer adults would skip needed care because of its cost
39,07522,794more adults would receive age- and gender-appropriate cancer screenings
2,8992,217more children (ages 19-35 months) would receive all recommended vaccines
10,2534,337fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
131131fewer 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).