Ranking Highlights

2020 RankChange from Baseline
Overall Ranking10
Access and Affordability3-1
Prevention and Treatment2+4
Avoidable Hospital Use and Cost10
Healthy Lives1+1
Medicaid Expansion (as of Jan. 2018)Yes


Total Population1,369,092322,324,172
Median Household Income$79,427$67,877
Below 200% of Federal Poverty Level (FPL)23%30%
% White Race, Non-Hispanic21%60%
% Black Race, Non-Hispanic1%12%
% Other Race, Non-Hispanic67%9%
% Hispanic Ethnicity11%18%
Loading Hawaii...


Top Ranked Indicators

  • Nursing home residents with an antipsychotic medication
  • Medicare spending per beneficiary
  • Children who are overweight or obese

Bottom Ranked Indicators

  • Adults with inappropriate lower back imaging
  • Home health patients without improved mobility
  • Adults with any mental illness who did not receive treatment

Most Improved Indicators

  • Children who did not receive needed mental health care
  • Colorectal cancer deaths
  • Home health patients without improved mobility

Indicators That Worsened the Most

  • Employee insurance costs as a share of median income
  • Preventable hospitalizations ages 18–64
  • Adults without all recommended vaccines

Comparison with the U.S. Average

Loading data...

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

Top State in the U.S.Top State in the West regionGains for Hawaii
22,2200more adults and children would be insured
00fewer adults would skip needed care because of its cost
6,3580more adults would receive age- and gender-appropriate cancer screenings
3,357258more children (ages 19–35 months) would receive all recommended vaccines
41,44541,445fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
296186fewer 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).