The Road to a Healthier Washington

Scroll below to compare the cost and quality of healthcare for Washingtonians -- organized by three major insurance markets in the state: Medicaid Apple Health, the Health Exchange, and those with private commercial insurance.

Click on the left-hand tab above to see performance results organized by nine areas of the state in which organizations, called Accountable Communities for Health (ACH), are working to improve the health and quality of life for everyone living there.

WA-APCD Quality and Cost Summary Report

	Commercial Coverage	Health Exchange Coverage	Medicaid Coverage
Yearly Healthcare Cost Per Medicaid Enrollee (Enrollee Cost per Year)	No Result	No Result	$6,671
Yearly Healthcare Cost Per Public Employee Program Enrollee (PEBB) (Enrollee Cost per Year)	$7,418	No Result	No Result
Emergency Room Visits Per 1,000 Persons	128.98	121.99	439.84

	Commercial Coverage	Health Exchange Coverage	Medicaid Coverage
Avoid Readmissions to Hospital (Lower Return Rate is Better)	0.25	0.26	0.19
Avoid Return to Hospital for Mental Health Condition (Lower Percentage is Better)	No Result	No Result	16%
Statin Therapy for Patients With Cardiovascular Disease - Adherence	0.72	0.67	0.57
Blood Sugar in Poor Control - Diabetes	98%	No Result	94%
Blood Pressure in Good Control - Diabetes	3%	No Result	8%

	Commercial Coverage	Health Exchange Coverage	Medicaid Coverage
Avoid Wrong Medication for Bronchitis	43%	46%	29%
Appropriate Testing for Cause of Back Pain	83%	84%	76%
Follow-up After Emergency Department Visit for Substance Use	15%	14%	24%
Testing Children with Throat Infections	72%	70%	77%

Diabetes Care
	Commercial Coverage	Health Exchange Coverage	Medicaid Coverage
Blood Sugar Testing	87%	88%	71%
Eye Exam to Check for Vision Loss	63%	66%	66%
Mental Health Care
Antidepressant Medication Management: Effective Acute Phase Treatment	0.59	0.62	0.44
Follow-up After Emergency Department Visit for Mental Health Illness	69%	62%	51%
Getting Anti-depressant Medications	77%	77%	62%
Asthma and Lung Care
Testing for Lung Disease	30%	30%	19%
Getting the Right Medications for Asthma	82%	82%	63%
Heart Care
Getting and Taking Medications for Heart Disease	86%	86%	69%

Children Get Care
	Commercial Coverage	Health Exchange Coverage	Medicaid Coverage
Child and Adolescent Well-Care Visit	50%	41%	41%
Follow-up Care for Children Prescribed ADHD Medication: Continuation	42%	40%	42%
Follow-up Care for Children Prescribed ADHD Medication: Initiation	38%	36%	38%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents	16%	13%	23%
Getting Substance Abuse Services - Medicaid	No Result	No Result	24%
Adults Get Care
Access to Care for Adults	92%	86%	70%
Getting Substance Abuse Services - Medicaid	No Result	No Result	39%
Prenatal and Postpartum Care: Postpartum Care	56%	53%	59%
Prenatal and Postpartum Care: Timeliness of Prenatal Care	34%	31%	44%

Checking for Cancer
	Commercial Coverage	Health Exchange Coverage	Medicaid Coverage
Breast Cancer Screening	68%	61%	38%
Cervical Cancer Screening	64%	56%	47%
Right Care to Prevent Illness
Chlamydia Screening in Women	41%	39%	48%

Cost and Value

Good Treatment Results

Keeping Patients Safe

Get the Right Care

Getting In to See the Doctor

Preventing Illness