Alabama

Ranking Highlights

2020 RankChange from Baseline
Overall Ranking40-3
Access and Affordability41-5
Prevention and Treatment29-2
Avoidable Hospital Use and Cost27+3
Healthy Lives42+2
Disparity49-16
Medicaid Expansion (as of Jan. 2018)No

Demographics

AlabamaAverage
Total Population4,811,411322,324,172
Median Household Income$52,681$67,877
Below 200% of Federal Poverty Level (FPL)37%30%
% White Race, Non-Hispanic65%60%
% Black Race, Non-Hispanic27%12%
% Other Race, Non-Hispanic4%9%
% Hispanic Ethnicity4%18%
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Highlights

Top Ranked Indicators

  • Hospital 30-day readmission rate ages 18–64
  • Adults with any mental illness reporting unmet need
  • Adults with inappropriate lower back imaging

Bottom Ranked Indicators

  • Adults with any mental illness who did not receive treatment
  • High out-of-pocket medical spending
  • Preventable hospitalizations ages 18–64

Most Improved Indicators

  • Central line-associated blood stream infection (CLABSI)
  • Home health patients without improved mobility
  • Adults with any mental illness reporting unmet need

Indicators That Worsened the Most

  • Preventable hospitalizations ages 18–64
  • Adults with any mental illness who did not receive treatment
  • Hospital 30-day readmission rate ages 18–64

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Southeast regionGains for Alabama
375,826238,970more adults and children would be insured
335,347111,782fewer adults would skip needed care because of its cost
156,13544,610more adults would receive age- and gender-appropriate cancer screenings
4,2691,708more children (ages 19–35 months) would receive all recommended vaccines
178,94483,961fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
2,6021,435fewer 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).