Ranking Highlights

2020 RankChange from Baseline
Overall Ranking18+3
Access and Affordability30+7
Prevention and Treatment34-13
Avoidable Hospital Use and Cost70
Healthy Lives12+14
Medicaid Expansion (as of Jan. 2018)Yes


Total Population1,048,118322,324,172
Median Household Income$59,671$67,877
Below 200% of Federal Poverty Level (FPL)32%30%
% White Race, Non-Hispanic86%60%
% Black Race, Non-Hispanic0%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicity4%18%
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Top Ranked Indicators

  • Children who are overweight or obese
  • Preventable hospitalizations ages 18–64
  • Skilled nursing facility patients with a hospital readmission

Bottom Ranked Indicators

  • Home health patients without improved mobility
  • Suicide deaths
  • Children without all recommended vaccines

Most Improved Indicators

  • Uninsured children
  • Colorectal cancer deaths
  • Adults with inappropriate lower back imaging

Indicators That Worsened the Most

  • Preventable hospitalizations ages 18–64
  • Adults with any mental illness reporting unmet need
  • Hospital 30-day mortality

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Rocky Mountain regionGains for Montana
58,41412,204more adults and children would be insured
24,7040fewer adults would skip needed care because of its cost
63,93414,754more adults would receive age- and gender-appropriate cancer screenings
3,9312,323more children (ages 19–35 months) would receive all recommended vaccines
21,45317,711fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
15582fewer 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).