Ranking Highlights

2020 RankChange from Baseline
Overall Ranking390
Access and Affordability28+2
Prevention and Treatment24-5
Avoidable Hospital Use and Cost45+2
Healthy Lives48-1
Medicaid Expansion (as of Jan. 2018)Yes


Total Population4,388,844322,324,172
Median Household Income$55,416$67,877
Below 200% of Federal Poverty Level (FPL)36%30%
% White Race, Non-Hispanic85%60%
% Black Race, Non-Hispanic8%12%
% Other Race, Non-Hispanic4%9%
% Hispanic Ethnicity4%18%
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Top Ranked Indicators

  • Children without all recommended vaccines
  • Uninsured children
  • Home health patients without improved mobility

Bottom Ranked Indicators

  • Adults who smoke
  • Hospital 30-day readmission rate age 65 and older
  • Preventable hospitalizations age 65 and older

Most Improved Indicators

  • Central line-associated blood stream infection (CLABSI)
  • Children without all recommended vaccines
  • Home health patients without improved mobility

Indicators That Worsened the Most

  • Adults without all recommended vaccines
  • Preventable hospitalizations ages 18–64
  • Hospital 30-day mortality

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Southeast regionGains for Kentucky
125,8590more adults and children would be insured
203,0360fewer adults would skip needed care because of its cost
201,374100,687more adults would receive age- and gender-appropriate cancer screenings
2,3630more children (ages 19–35 months) would receive all recommended vaccines
118,24233,296fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
2,4271,358fewer 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).