Ranking Highlights

2020 RankChange from Baseline
Overall Ranking28+6
Access and Affordability18+2
Prevention and Treatment16+15
Avoidable Hospital Use and Cost440
Healthy Lives410
Medicaid Expansion (as of Jan. 2018)Yes


Total Population11,519,664322,324,172
Median Household Income$62,508$67,877
Below 200% of Federal Poverty Level (FPL)31%30%
% White Race, Non-Hispanic79%60%
% Black Race, Non-Hispanic12%12%
% Other Race, Non-Hispanic5%9%
% Hispanic Ethnicity4%18%
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Top Ranked Indicators

  • Hospital 30-day mortality
  • Adults with any mental illness reporting unmet need
  • Children who did not receive needed mental health care

Bottom Ranked Indicators

  • Primary care spending as share of total, age 65 and older
  • Drug poisoning deaths
  • Public health funding

Most Improved Indicators

  • Nursing home residents with an antipsychotic medication
  • Home health patients without improved mobility
  • Children without all recommended vaccines

Indicators That Worsened the Most

  • Employer-sponsored insurance spending per enrollee
  • Drug poisoning deaths
  • Preventable hospitalizations ages 18–64

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Great Lakes regionGains for Ohio
452,248123,364more adults and children would be insured
268,0750fewer adults would skip needed care because of its cost
477,578265,321more adults would receive age- and gender-appropriate cancer screenings
17,7547,891more children (ages 19–35 months) would receive all recommended vaccines
532,274131,887fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
4,4772,898fewer 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).