Ranking Highlights

2020 RankChange from Baseline
Overall Ranking42+6
Access and Affordability510
Prevention and Treatment40+9
Avoidable Hospital Use and Cost42-1
Healthy Lives23-2
Medicaid Expansion (as of Jan. 2018)No


Total Population28,255,661322,324,172
Median Household Income$64,838$67,877
Below 200% of Federal Poverty Level (FPL)34%30%
% White Race, Non-Hispanic41%60%
% Black Race, Non-Hispanic12%12%
% Other Race, Non-Hispanic7%9%
% Hispanic Ethnicity40%18%
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Top Ranked Indicators

  • Adults with any mental illness reporting unmet need
  • Drug poisoning deaths
  • Adults with inappropriate lower back imaging

Bottom Ranked Indicators

  • Uninsured children
  • Adults without all recommended vaccines
  • Uninsured adults

Most Improved Indicators

  • Nursing home residents with an antipsychotic medication
  • Home health patients without improved mobility
  • Children who did not receive needed mental health care

Indicators That Worsened the Most

  • Preventable hospitalizations ages 18–64
  • Hospital 30-day mortality
  • Adults without all recommended vaccines

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the Southwest regionGains for Texas
4,165,9782,082,989more adults and children would be insured
2,086,642834,657fewer adults would skip needed care because of its cost
1,552,855358,351more adults would receive age- and gender-appropriate cancer screenings
71,30229,709more children (ages 19–35 months) would receive all recommended vaccines
1,309,992673,428fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
10,9515,057fewer 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).