Ranking Highlights

2020 RankChange from Baseline
Overall Ranking44+2
Access and Affordability42-1
Prevention and Treatment32-9
Avoidable Hospital Use and Cost24+12
Healthy Lives46-1
Medicaid Expansion (as of Jan. 2018)No


Total Population6,668,566322,324,172
Median Household Income$56,328$67,877
Below 200% of Federal Poverty Level (FPL)35%30%
% White Race, Non-Hispanic74%60%
% Black Race, Non-Hispanic17%12%
% Other Race, Non-Hispanic4%9%
% Hispanic Ethnicity6%18%
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Top Ranked Indicators

  • Primary care spending as share of total, age 65 and older
  • Adults with inappropriate lower back imaging
  • Home health patients without improved mobility

Bottom Ranked Indicators

  • Elderly patients who received a high-risk prescription drug
  • Adults without a dental visit
  • Breast cancer deaths

Most Improved Indicators

  • Home health patients without improved mobility
  • Nursing home residents with an antipsychotic medication
  • Adults with any mental illness who did not receive treatment

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Hospital 30-day readmission rate ages 18–64
  • Adults without all recommended vaccines

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Southeast regionGains for Tennessee
503,463311,669more adults and children would be insured
464,490154,830fewer adults would skip needed care because of its cost
277,392123,285more adults would receive age- and gender-appropriate cancer screenings
15,56311,971more children (ages 19–35 months) would receive all recommended vaccines
261,659132,767fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
3,7692,146fewer 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).