South Dakota

Ranking Highlights

2019 RankChange from Baseline
Overall Ranking23-5
Access and Affordability28-4
Prevention and Treatment16-7
Avoidable Hospital Use and Cost15+2
Healthy Lives20+9
Medicaid ExpansionNo


South DakotaAverage
Total Population852,604320,842,721
Median Household Income$61,683$65,727
Below 200% of Federal Poverty Level (FPL)29%31%
% White Race, Non-Hispanic83%61%
% Black Race, Non-Hispanic2%12%
% Other Race, Non-Hispanic12%9%
% Hispanic Ethnicithy4%18%
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Top Ranked Indicators

  • Adults without all recommended vaccines
  • Elderly patients who received a high-risk prescription drug
  • Drug poisoning deaths

Bottom Ranked Indicators

  • Suicide deaths
  • Hospital 30-day readmission rate ages 18-64
  • Alcohol deaths

Most Improved Indicators

  • Infant mortality
  • Home health patients without improved mobility
  • Colorectal cancer deaths

Indicators That Worsened the Most

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

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Plains regionGains for South Dakota
55,77041,300more adults and children, beyond those who already gained coverage through the ACA, would be insured
12,98612,986fewer adults would skip needed care because of its cost
37,02618,513more adults would receive age- and gender-appropriate cancer screenings
2,7271,999more children (ages 19-35 months) would receive all recommended vaccines
6,6700fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
172172fewer 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).