North Carolina

Ranking Highlights

2020 RankChange from Baseline
Overall Ranking36-4
Access and Affordability39-4
Prevention and Treatment22-9
Avoidable Hospital Use and Cost18+2
Healthy Lives360
Medicaid Expansion (as of Jan. 2018)No


North CarolinaAverage
Total Population10,184,520322,324,172
Median Household Income$57,747$67,877
Below 200% of Federal Poverty Level (FPL)34%30%
% White Race, Non-Hispanic63%60%
% Black Race, Non-Hispanic21%12%
% Other Race, Non-Hispanic7%9%
% Hispanic Ethnicity10%18%
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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

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Estimated Gains North Carolina Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the Southeast regionGains for North Carolina
828,343535,893more adults and children would be insured
631,188157,797fewer adults would skip needed care because of its cost
283,65447,276more adults would receive age- and gender-appropriate cancer screenings
10,7395,370more children (ages 19–35 months) would receive all recommended vaccines
400,394201,664fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
3,6551,173fewer 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).