Ranking Highlights

2020 RankChange from Baseline
Overall Ranking6-2
Access and Affordability4-1
Prevention and Treatment4+10
Avoidable Hospital Use and Cost15+2
Healthy Lives17-11
Medicaid Expansion (as of Jan. 2018)Yes


Total Population620,656322,324,172
Median Household Income$68,080$67,877
Below 200% of Federal Poverty Level (FPL)26%30%
% White Race, Non-Hispanic93%60%
% Black Race, Non-Hispanic1%12%
% Other Race, Non-Hispanic4%9%
% Hispanic Ethnicity2%18%
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Top Ranked Indicators

  • Adults with any mental illness who did not receive treatment
  • Adults who went without care because of cost
  • Adults without a usual source of care

Bottom Ranked Indicators

  • Primary care spending as share of total, ages 18–64
  • Employer-sponsored insurance spending per enrollee
  • Home health patients without improved mobility

Most Improved Indicators

  • Diabetic adults without an annual hemoglobin A1c test
  • Central line-associated blood stream infection (CLABSI)
  • Home health patients without improved mobility

Indicators That Worsened the Most

  • Adults without all recommended vaccines
  • Preventable hospitalizations ages 18–64
  • Children who are overweight or obese

Comparison with the U.S. Average

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

Top State in the U.S.Top State in the New England regionGains for Vermont
3,7873,787more adults and children would be insured
5,0740fewer adults would skip needed care because of its cost
24,49724,497more adults would receive age- and gender-appropriate cancer screenings
400400more children (ages 19–35 months) would receive all recommended vaccines
16,78910,117fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
5033fewer 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).