Ranking Highlights

2019 RankChange from Baseline
Overall Ranking38+4
Access and Affordability38+3
Prevention and Treatment27-14
Avoidable Hospital Use and Cost29+4
Healthy Lives44+4
Medicaid ExpansionNo


Total Population6,614,699320,842,721
Median Household Income$54,806$65,727
Below 200% of Federal Poverty Level (FPL)35%31%
% White Race, Non-Hispanic74%61%
% Black Race, Non-Hispanic16%12%
% Other Race, Non-Hispanic4%9%
% Hispanic Ethnicithy5%18%
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Top Ranked Indicators

  • Home health patients without improved mobility
  • Adults with inappropriate lower back imaging
  • Hospital 30-day readmission rate ages 18-64

Bottom Ranked Indicators

  • Mortality amenable to health care
  • Adults who smoke
  • Children who are overweight or obese

Most Improved Indicators

  • High out-of-pocket medical spending
  • Home health patients without improved mobility
  • Nursing home residents with an antipsychotic medication

Indicators That Worsened the Most

  • Adults without all recommended vaccines
  • Adults with any mental illness reporting unmet need
  • Hospital 30-day readmission rate ages 18-64

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Southeast regionGains for Tennessee
449,385297,653more adults and children, beyond those who already gained coverage through the ACA, would be insured
366,264156,970fewer adults would skip needed care because of its cost
278,704154,835more adults would receive age- and gender-appropriate cancer screenings
21,73313,281more children (ages 19-35 months) would receive all recommended vaccines
188,89675,366fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
3,6902,084fewer 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 (www.bea.gov: Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).