Ranking Highlights

2019 RankChange from Baseline
Overall Ranking5-1
Access and Affordability7-5
Prevention and Treatment4+11
Avoidable Hospital Use and Cost12+1
Healthy Lives14-5
Medicaid ExpansionYes


Total Population617,936320,842,721
Median Household Income$60,671$65,727
Below 200% of Federal Poverty Level (FPL)29%31%
% White Race, Non-Hispanic93%61%
% Black Race, Non-Hispanic1%12%
% Other Race, Non-Hispanic4%9%
% Hispanic Ethnicithy2%18%
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Top Ranked Indicators

  • Children without a medical home
  • Infant mortality
  • Hospital admissions for pediatric asthma

Bottom Ranked Indicators

  • Hospital 30-day mortality
  • Home health patients without improved mobility
  • Adults with inappropriate lower back imaging

Most Improved Indicators

  • Children without all recommended vaccines
  • Central line-associated blood stream infection (CLABSI)
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Children without a medical and dental preventive care visit
  • Preventable hospitalizations ages 18-64
  • Children who are overweight or obese

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the New England regionGains for Vermont
7,4197,419more adults and children, beyond those who already gained coverage through the ACA, would be insured
4,9310fewer adults would skip needed care because of its cost
18,24918,249more adults would receive age- and gender-appropriate cancer screenings
660660more children (ages 19-35 months) would receive all recommended vaccines
11,3384,467fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
3821fewer 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).