North Dakota

Ranking Highlights

2020 RankChange from Baseline
Overall Ranking13-1
Access and Affordability23-7
Prevention and Treatment200
Avoidable Hospital Use and Cost11+11
Healthy Lives15+4
Medicaid Expansion (as of Jan. 2018)Yes


North DakotaAverage
Total Population743,288322,324,172
Median Household Income$68,080$67,877
Below 200% of Federal Poverty Level (FPL)25%30%
% White Race, Non-Hispanic84%60%
% Black Race, Non-Hispanic3%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicity3%18%
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Top Ranked Indicators

  • Children who did not receive needed mental health care
  • Adults who report fair or poor health
  • Children without all recommended vaccines

Bottom Ranked Indicators

  • Adults without a usual source of care
  • Alcohol deaths
  • Hospitals with lower-than-average patient experience ratings

Most Improved Indicators

  • Adults with inappropriate lower back imaging
  • Home health patients with a hospital admission
  • Home health patients without improved mobility

Indicators That Worsened the Most

  • Breast cancer deaths
  • Preventable hospitalizations ages 18–64
  • Hospital 30-day mortality

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Plains regionGains for North Dakota
38,02325,349more adults and children would be insured
11,4175,708fewer adults would skip needed care because of its cost
34,71822,094more adults would receive age- and gender-appropriate cancer screenings
3470more children (ages 19–35 months) would receive all recommended vaccines
26,03221,008fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
120120fewer 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).