North Carolina
Ranking Highlights
| 2020 Rank | Change from Baseline | |
|---|---|---|
| Overall Ranking | 36 | -4 |
| Access and Affordability | 39 | -4 |
| Prevention and Treatment | 22 | -9 |
| Avoidable Hospital Use and Cost | 18 | +2 |
| Healthy Lives | 36 | 0 |
| Disparity | 46 | -2 |
| Medicaid Expansion (as of Jan. 2018) | No |
Demographics
| North Carolina | Average | |
|---|---|---|
| Total Population | 10,184,520 | 322,324,172 |
| Median Household Income | $57,747 | $67,877 |
| Below 200% of Federal Poverty Level (FPL) | 34% | 30% |
| % White Race, Non-Hispanic | 63% | 60% |
| % Black Race, Non-Hispanic | 21% | 12% |
| % Other Race, Non-Hispanic | 7% | 9% |
| % Hispanic Ethnicity | 10% | 18% |
North Carolina
Health System Performance
Indicator Performance
- Improved: 10
- Little or No Change: 21
- Worsened: 12
Highlights
Top Ranked Indicators
- Primary care spending as share of total, age 65 and older
- Adults without all recommended vaccines
- Diabetic adults without an annual hemoglobin A1c test
Bottom Ranked Indicators
- Employee insurance costs as a share of median income
- High out-of-pocket medical spending
- Central line-associated blood stream infection (CLABSI)
Most Improved Indicators
- Home health patients without improved mobility
- Children who did not receive needed mental health care
- Diabetic adults without an annual hemoglobin A1c test
Indicators That Worsened the Most
- Hospital 30-day mortality
- Children without a medical home
- Preventable hospitalizations ages 18–64
Comparison with the U.S. Average
Overall Rank
Access and Affordability
Prevention and Treatment
Avoidable Hospital Use and Cost
Healthy Lives
Disparity
Estimated Gains North Carolina Could Expect if Performance Improves to Match Top States
| Top State in the U.S. | Top State in the Southeast region | Gains for North Carolina |
|---|---|---|
| 828,343 | 535,893 | more adults and children would be insured |
| 631,188 | 157,797 | fewer adults would skip needed care because of its cost |
| 283,654 | 47,276 | more adults would receive age- and gender-appropriate cancer screenings |
| 10,739 | 5,370 | more children (ages 19–35 months) would receive all recommended vaccines |
| 400,394 | 201,664 | fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions |
| 3,655 | 1,173 | fewer 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).
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