Ranking Highlights

2019 RankChange from Baseline
Overall Ranking4+10
Access and Affordability13+12
Prevention and Treatment18+15
Avoidable Hospital Use and Cost3+3
Healthy Lives8+3
Medicaid ExpansionYes


Total Population7,301,382320,842,721
Median Household Income$77,356$65,727
Below 200% of Federal Poverty Level (FPL)26%31%
% White Race, Non-Hispanic69%61%
% Black Race, Non-Hispanic3%12%
% Other Race, Non-Hispanic15%9%
% Hispanic Ethnicithy13%18%
Loading Washington...


Top Ranked Indicators

  • Preventable hospitalizations ages 18-64
  • Diabetic adults without an annual hemoglobin A1c test
  • Hospital 30-day readmission rate ages 18-64

Bottom Ranked Indicators

  • Adults with any mental illness reporting unmet need
  • Hospital 30-day mortality
  • Adults with inappropriate lower back imaging

Most Improved Indicators

  • Home health patients without improved mobility
  • Children without all recommended vaccines
  • Uninsured adults

Indicators That Worsened the Most

  • Hospital 30-day readmission rate ages 18-64
  • Hospital 30-day mortality
  • Preventable hospitalizations ages 18-64

Comparison with the U.S. Average

Loading data...

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

Top State in the U.S.Top State in the West regionGains for Washington
265,284201,755more adults and children, beyond those who already gained coverage through the ACA, would be insured
173,888173,888fewer adults would skip needed care because of its cost
278,741209,056more adults would receive age- and gender-appropriate cancer screenings
11,8680more children (ages 19-35 months) would receive all recommended vaccines
68,87660,396fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
5470fewer 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).