Ranking Highlights

2020 RankChange from Baseline
Overall Ranking19+4
Access and Affordability20+12
Prevention and Treatment44-16
Avoidable Hospital Use and Cost21-11
Healthy Lives6+2
Medicaid Expansion (as of Jan. 2018)Yes


Total Population39,067,931322,324,172
Median Household Income$81,048$67,877
Below 200% of Federal Poverty Level (FPL)30%30%
% White Race, Non-Hispanic37%60%
% Black Race, Non-Hispanic5%12%
% Other Race, Non-Hispanic19%9%
% Hispanic Ethnicity39%18%
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Top Ranked Indicators

  • Home health patients with a hospital admission
  • Nursing home residents with an antipsychotic medication
  • Adults who smoke

Bottom Ranked Indicators

  • Children without a medical and dental preventive care visit
  • Children who did not receive needed mental health care
  • Adults with any mental illness who did not receive treatment

Most Improved Indicators

  • Home health patients without improved mobility
  • Nursing home residents with an antipsychotic medication
  • Uninsured adults

Indicators That Worsened the Most

  • Adults with any mental illness reporting unmet need
  • Preventable hospitalizations ages 18–64
  • Children who did not receive needed mental health care

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the West regionGains for California
1,629,473959,646more adults and children would be insured
1,504,9301,504,930fewer adults would skip needed care because of its cost
864,681691,745more adults would receive age- and gender-appropriate cancer screenings
85,4880more children (ages 19–35 months) would receive all recommended vaccines
361,202361,202fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
6,1792,960fewer 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).