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 CoverageHealth Exchange CoverageMedicaid Coverage
Emergency Room Visits Per 1,000 Persons 126.25 92.55 617.75

Good Treatment Results

How is this measured?
Commercial CoverageHealth Exchange CoverageMedicaid Coverage
Avoid Readmissions to Hospital
(Lower Return Rate is Better)
0.9 0.78 No Result
Avoid Return to Hospital for Mental Health Condition
(Lower Percentage is Better)
No ResultNo Result 15%
Controlling High Blood Pressure 59% No Result 65%
Blood Sugar in Poor Control - Diabetes 35% No Result 37%
Blood Pressure in Good Control - Diabetes 63% No Result 70%

Keeping Patients Safe

How is this measured?
Commercial CoverageHealth Exchange CoverageMedicaid Coverage
Avoid Wrong Medication for Bronchitis 52% 47% 63%
Appropriate Testing for Cause of Back Pain 78% 77% 71%
Avoidable Emergency Room Visits 11.84 8.12 73.98
Checking Patients on Blood Pressure Medications 80% 83% 85%
Testing Children with Throat Infections 80% 77% 78%

Get the Right Care

How is this measured?
Commercial CoverageHealth Exchange CoverageMedicaid Coverage
Diabetes Care
Blood Sugar Testing 88% 91% 85%
Check for Kidney Disease 86% 89% 85%
Eye Exam to Check for Vision Loss 47% 45% 44%
Getting Medications to Control Blood Sugar 72% 79% 71%
Mental Health Care
Follow-up Visit After Hospital Stay 45% 42% 71%
Getting Anti-depressant Medications 70% 72% 53%
Getting Care for Attention Deficit/Hyperactivity Disorder 45% 53% 42%
Asthma and Lung Care
Testing for Lung Disease 32% 41% 25%
Getting the Right Medications for Asthma 34% 33% 35%
Fewer Hospital Stays Due to Good Lung Care
(Hospital Stays per 1,000 Persons, Lower Rate is Better)
0.17 0.21 2.96
Heart Care
Getting and Taking Medications for Heart Disease 84% 84% 84%
Getting Medications to Lower Blood Pressure 72% 76% 68%
Getting Medications to Lower Cholesterol 66% 70% 66%

Getting In to See the Doctor

How is this measured?
Commercial CoverageHealth Exchange CoverageMedicaid Coverage
Children Get Care
Having a Primary Care Visit Yearly: Children and Adolescents 78% 77% 92%
Regular Check-Ups for 3-6 Year-Olds 62% 61% 67%
Well-Child Visits in the First 15 Months of Life 60% 64% 51%
Getting Substance Abuse Services - MedicaidNo ResultNo Result 29%
Getting Mental Health Services 63% 55% 67%
Adults Get Care
Access to Care for Adults 88% 93% 75%
Getting Mental Health Services 34% 23% 50%
Getting Substance Abuse Services - MedicaidNo ResultNo Result 39%

Preventing Illness

How is this measured?
Commercial CoverageHealth Exchange CoverageMedicaid Coverage
Help Children Stay Healthy
Checking if Weight is a Health Problem - Children 63% No Result 73%
Checking for Cancer
Breast Cancer Screening 67% 70% 51%
Cervical Cancer Screening 65% 69% 53%
Checking for Colorectal Cancer 62% No ResultNo Result
Right Care to Prevent Illness
Checking if Weight is a Health Problem - Adults 83% No Result 91%
Chlamydia Screening in Women 44% 47% 50%