Ranking Highlights

2020 RankChange from Baseline
Overall Ranking48-7
Access and Affordability34-5
Prevention and Treatment38+3
Avoidable Hospital Use and Cost46-1
Healthy Lives44-5
Medicaid Expansion (as of Jan. 2018)No


Total Population6,020,467322,324,172
Median Household Income$60,786$67,877
Below 200% of Federal Poverty Level (FPL)31%30%
% White Race, Non-Hispanic79%60%
% Black Race, Non-Hispanic11%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicity4%18%
Loading Missouri...


Top Ranked Indicators

  • Adults with any mental illness who did not receive treatment
  • Adults with inappropriate lower back imaging
  • Employer-sponsored insurance spending per enrollee

Bottom Ranked Indicators

  • Children who are overweight or obese
  • Potentially avoidable emergency department visits ages 18–64
  • Public health funding

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
  • Potentially avoidable emergency department visits ages 18–64

Comparison with the U.S. Average

Loading data...

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

Top State in the U.S.Top State in the Plains regionGains for Missouri
379,641279,243more adults and children would be insured
279,039232,533fewer adults would skip needed care because of its cost
247,995137,775more adults would receive age- and gender-appropriate cancer screenings
18,33016,173more children (ages 19–35 months) would receive all recommended vaccines
479,435438,979fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
2,3292,329fewer 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).