Ranking Highlights

2020 RankChange from Baseline
Overall Ranking38+2
Access and Affordability24+8
Prevention and Treatment40+8
Avoidable Hospital Use and Cost41-2
Healthy Lives430
Medicaid Expansion (as of Jan. 2018)Yes


Total Population6,594,067322,324,172
Median Household Income$60,786$67,877
Below 200% of Federal Poverty Level (FPL)31%30%
% White Race, Non-Hispanic79%60%
% Black Race, Non-Hispanic9%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicity7%18%
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Top Ranked Indicators

  • Hospitals with lower-than-average patient experience ratings
  • Employee insurance costs as a share of median income
  • High out-of-pocket medical spending

Bottom Ranked Indicators

  • Children who are overweight or obese
  • Primary care spending as share of total, ages 18–64
  • Children without all recommended vaccines

Most Improved Indicators

  • Central line-associated blood stream infection (CLABSI)
  • Home health patients without improved mobility
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Adults without all recommended vaccines
  • Children without a medical home

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Great Lakes regionGains for Indiana
373,916183,951more adults and children would be insured
251,636100,654fewer adults would skip needed care because of its cost
294,464176,679more adults would receive age- and gender-appropriate cancer screenings
24,23018,172more children (ages 19–35 months) would receive all recommended vaccines
270,66140,535fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
2,4841,575fewer 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).