Ranking Highlights

2019 RankChange from Baseline
Overall Ranking21-2
Access and Affordability12-6
Prevention and Treatment19-7
Avoidable Hospital Use and Cost33+3
Healthy Lives34+2
Medicaid ExpansionYes


Total Population12,602,223320,842,721
Median Household Income$67,547$65,727
Below 200% of Federal Poverty Level (FPL)28%31%
% White Race, Non-Hispanic77%61%
% Black Race, Non-Hispanic10%12%
% Other Race, Non-Hispanic6%9%
% Hispanic Ethnicithy7%18%
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Top Ranked Indicators

  • Alcohol deaths
  • Children who did not receive needed mental health care
  • Elderly patients who received a high-risk prescription drug

Bottom Ranked Indicators

  • Home health patients with a hospital admission
  • Children without a medical home
  • Drug poisoning deaths

Most Improved Indicators

  • Home health patients without improved mobility
  • Adults without all recommended vaccines
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Preventable hospitalizations ages 18-64
  • Children without a medical home
  • Drug poisoning deaths

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Mid-Atlantic regionGains for Pennsylvania
337,577205,944more adults and children, beyond those who already gained coverage through the ACA, would be insured
197,8960fewer adults would skip needed care because of its cost
521,972463,976more adults would receive age- and gender-appropriate cancer screenings
22,3988,145more children (ages 19-35 months) would receive all recommended vaccines
244,175151,602fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
3,2591,110fewer 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).