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 | $6,441 |
| Yearly Healthcare Cost Per Public Employee Program Enrollee (PEBB) (Enrollee Cost per Year) | $6,712 | No Result | No Result |
| Emergency Room Visits Per 1,000 Persons | 109.2 | 82.03 | 367.11 |
Good Treatment Results
How is this measured?| Commercial Coverage | Health Exchange Coverage | Medicaid Coverage | |
|---|---|---|---|
| Avoid Readmissions to Hospital (Lower Return Rate is Better) | 0.85 | 0.76 | No Result |
| Avoid Return to Hospital for Mental Health Condition (Lower Percentage is Better) | No Result | No Result | 16% |
| Controlling High Blood Pressure | 53% | No Result | 58% |
| Blood Sugar in Poor Control - Diabetes | 34% | No Result | 40% |
| Blood Pressure in Good Control - Diabetes | 57% | No Result | 66% |
Keeping Patients Safe
How is this measured?| Commercial Coverage | Health Exchange Coverage | Medicaid Coverage | |
|---|---|---|---|
| Avoid Wrong Medication for Bronchitis | 54% | 55% | 66% |
| Appropriate Testing for Cause of Back Pain | 79% | 77% | 72% |
| Avoidable Emergency Room Visits | 8.62 | 5.87 | 44.08 |
| Checking Patients on Blood Pressure Medications | 75% | 77% | 78% |
| Getting Prescriptions for Both Opioids and Sedatives (Rate per 1,000 Persons) | No Result | No Result | 15% |
| Testing Children with Throat Infections | 77% | 72% | 78% |
Get the Right Care
How is this measured?| Commercial Coverage | Health Exchange Coverage | Medicaid Coverage | |
|---|---|---|---|
| Diabetes Care | |||
| Blood Sugar Testing | 84% | 85% | 79% |
| Check for Kidney Disease | 84% | 85% | 39% |
| Eye Exam to Check for Vision Loss | 42% | 39% | 38% |
| Getting Medications to Control Blood Sugar | 72% | 78% | 64% |
| Mental Health Care | |||
| Follow-up Visit After Hospital Stay | 44% | 41% | 70% |
| Getting Anti-depressant Medications | 73% | 71% | 56% |
| Getting Care for Attention Deficit/Hyperactivity Disorder | 40% | 40% | 47% |
| Asthma and Lung Care | |||
| Testing for Lung Disease | 13% | 14% | 10% |
| Getting the Right Medications for Asthma | 38% | 36% | 26% |
| Fewer Hospital Stays Due to Good Lung Care (Hospital Stays per 1,000 Persons, Lower Rate is Better) | 0.1 | 0.08 | 1.93 |
| Heart Care | |||
| Getting and Taking Medications for Heart Disease | 86% | 84% | 84% |
| Getting Medications to Lower Blood Pressure | 79% | 81% | 60% |
| Getting Medications to Lower Cholesterol | 75% | 77% | 59% |
Getting In to See the Doctor
How is this measured?| Commercial Coverage | Health Exchange Coverage | Medicaid Coverage | |
|---|---|---|---|
| Children Get Care | |||
| Having a Primary Care Visit Yearly: Children and Adolescents | 77% | 74% | 70% |
| Regular Check-Ups for 3-6 Year-Olds | 56% | 53% | 43% |
| Well-Child Visits in the First 15 Months of Life | 63% | 65% | 49% |
| Getting Substance Abuse Services - Medicaid | No Result | No Result | 25% |
| Getting Mental Health Services | 61% | 56% | 64% |
| Adults Get Care | |||
| Access to Care for Adults | 90% | 92% | 71% |
| Getting Mental Health Services | 36% | 27% | 50% |
| Getting Substance Abuse Services - Medicaid | No Result | No Result | 40% |
Preventing Illness
How is this measured?| Commercial Coverage | Health Exchange Coverage | Medicaid Coverage | |
|---|---|---|---|
| Help Children Stay Healthy | |||
| Checking if Weight is a Health Problem - Children | No Result | No Result | 70% |
| Checking for Cancer | |||
| Breast Cancer Screening | 65% | 65% | 45% |
| Cervical Cancer Screening | 63% | 65% | 50% |
| Checking for Colorectal Cancer | 61% | No Result | No Result |
| Right Care to Prevent Illness | |||
| Chlamydia Screening in Women | 40% | 40% | 47% |