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.
Cost and Value
How is this measured?| 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 |
Good Treatment Results
How is this measured?| 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% |
Keeping Patients Safe
How is this measured?| 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% |
Get the Right Care
How is this measured?| Commercial Coverage | Health Exchange Coverage | Medicaid Coverage | |
|---|---|---|---|
| Diabetes Care | |||
| 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% |
Getting In to See the Doctor
How is this measured?| Commercial Coverage | Health Exchange Coverage | Medicaid Coverage | |
|---|---|---|---|
| Children Get Care | |||
| 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% |
Preventing Illness
How is this measured?| Commercial Coverage | Health Exchange Coverage | Medicaid Coverage | |
|---|---|---|---|
| Checking for Cancer | |||
| Breast Cancer Screening | 68% | 61% | 38% |
| Cervical Cancer Screening | 64% | 56% | 47% |
| Right Care to Prevent Illness | |||
| Chlamydia Screening in Women | 41% | 39% | 48% |