Ranking Highlights

2020 RankChange from Baseline
Overall Ranking4+2
Access and Affordability7-1
Prevention and Treatment1+4
Avoidable Hospital Use and Cost12+2
Healthy Lives20-7
Medicaid Expansion (as of Jan. 2018)Yes


Total Population3,112,421322,324,172
Median Household Income$66,662$67,877
Below 200% of Federal Poverty Level (FPL)27%30%
% White Race, Non-Hispanic85%60%
% Black Race, Non-Hispanic3%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicity6%18%
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Top Ranked Indicators

  • Children without a medical home
  • Diabetic adults without an annual hemoglobin A1c test
  • Adults who went without care because of cost

Bottom Ranked Indicators

  • Central line-associated blood stream infection (CLABSI)
  • Adults with inappropriate lower back imaging
  • Hospital 30-day mortality

Most Improved Indicators

  • Diabetic adults without an annual hemoglobin A1c test
  • Home health patients without improved mobility
  • Nursing home residents with an antipsychotic medication

Indicators That Worsened the Most

  • Children who are overweight or obese
  • Preventable hospitalizations ages 18–64
  • Hospital 30-day mortality

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Plains regionGains for Iowa
70,06618,175more adults and children would be insured
23,8330fewer adults would skip needed care because of its cost
82,00627,335more adults would receive age- and gender-appropriate cancer screenings
5,6474,517more children (ages 19–35 months) would receive all recommended vaccines
63,95942,221fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
559559fewer 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).