West Virginia

A collection of resources on health system performance in West Virginia.

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West Virginia Performance Data

Show All Performance Areas
Access to Health Care
Children
Consumer Insurance and Medical Costs
Health Care System Spending
Health Insurance Coverage
Health Status and Outcomes
Hospital Safety and Quality
Mental Health
Older Adults
Outpatient Safety and Quality
Post-Acute Care and Long Term Care
Potentially Avoidable Care
Preventive and Well Care
Working Age Adults
No results for

Access to Health Care

Access to Health Care
Indicator
Latest
U.S. Avg.
Adults who went without care because of cost
11.1%
2020
10.7%
Adults with a usual source of care
81.7%
2020
76.8%
Adults with any mental illness reporting unmet need
22%
2018-19
25%
Adults with any mental illness who did not receive treatment
52%
2018-19
56%
Adults without a dental visit
42.4%
2020
35.3%
Children who received needed mental health care
86.1%
2019-20
81.3%
69%
2019-20
65.7%
Children with a medical home
46.8%
2019-20
46.8%

Children

Children
Indicator
Latest
U.S. Avg.
Children who are overweight or obese
41.2%
2019-20
32.1%
Children who received needed mental health care
86.1%
2019-20
81.3%
69%
2019-20
65.7%
Children with a medical home
46.8%
2019-20
46.8%
Children with all recommended vaccines
73%
2020
73%
Infant mortality per 1,000 live births
6.1
2019
5.6
Uninsured children
2.5%
2020
5.4%
Consumer Insurance and Medical Costs
Consumer Insurance and Medical Costs
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults who went without care because of cost
11.1%
2020
10.7%
Employee contribution to total premium cost for employer-sponsored health insurance plans
$4,416
2020
$4,813
Employee deductible for employer-sponsored health insurance plans
$3,604
2020
$3,257
5.8%
2020
4.7%
Employee total potential out-of-pocket medical costs
$8,020
2020
$8,070
Employee total potential out-of-pocket medical costs, as a share of state median income
12.8%
2020
11.6%
Individuals with high out-of-pocket medical spending
7.8%
2019-20
7.3%
People with medical debt
27%
2020
14.6%
Total premium cost for employer-sponsored health insurance plans
$18,794
2020
$17,193
30.1%
2020
24.6%
Health Care System Spending
Health Care System Spending
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Doctors' office visit spending per Medicare beneficiary
$741
2020
$910
Home health spending per Medicare beneficiary
$504
2020
$507
Inpatient spending per Medicare beneficiary
$2,698
2020
$2,488
5.3%
2020
5.5%
$631
2020
$702
$471
2019
$501
Public health funding
$60
2019
$40
Skilled nursing facility spending per Medicare beneficiary
$759
2020
$851
Total spending per Medicare beneficiary
$9,506
2020
$9,677
Health Insurance Coverage
Health Insurance Coverage
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Uninsured adults
10.6%
2020
12.4%
Uninsured children
2.5%
2020
5.4%
Health Status and Outcomes
Health Status and Outcomes
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults who are obese
41%
2020
32.8%
Adults who have lost six or more teeth
18.7%
2020
8.5%
Adults who report fair or poor health
19.1%
2020
12.3%
Adults who smoke
22.5%
2020
14.3%
Alcohol deaths per 100,000 population
13.4
2020
13.1
Breast cancer deaths per 100,000 female population
18.8
2020
19.1
Children who are overweight or obese
41.2%
2019-20
32.1%
Colorectal cancer deaths per 100,000 population
16.7
2020
12.9
Deaths of despair (suicide, alcohol, and poisoning) per 100,000 population
-
No data available
-
Drug overdose deaths per 100,000 population
81.4
2020
28.3
Hospital 30-day mortality
13.7%
07/2017 - 12/2019
13.3%
Infant mortality per 1,000 live births
6.1
2019
5.6
Maternal mortality per 100,000 live births
-
2019-2020
21.9
Mortality amenable to health care, deaths per 100,000 population
120.2
2019-20
86.8
Premature avoidable deaths per 100,000 population
404.4
2019-20
259.1
Premature deaths from preventable causes per 100,000 population
285.5
2019-20
173.2
Premature deaths from treatable causes per 100,000 population
118.8
2019-20
85.9
Public health funding
$60
2019
$40
Suicide deaths per 100,000 population
19.4
2020
13.5
Hospital Safety and Quality
Hospital Safety and Quality
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Care Transition Preparedness (out of 100 points)
48
2020
51
Central line-associated blood stream infection (CLABSI), Standardized Infection Ratio
0.924
2020
0.857
Communication about medicines (out of 100 points)
62
2020
63
Communication with doctors (out of 100 points)
79
2020
80
Communication with nurses (out of 100 points)
78
2020
79
Hospital 30-day mortality
13.7%
07/2017 - 12/2019
13.3%
Hospital 30-day readmissions age 65 and older, per 1,000 Medicare beneficiares
43.4
2020
33.2
Hospital discharge instructions for home recovery
86%
2020
86%
Hospital discharge planning and instructions for home recovery (out of 100 points)
86
2020
87
Hospitals with better-than-average patient experience ratings
24%
2020
48%
Patients' overall hospital experience (out of 100 points)
67
2020
71
Responsiveness of hospital staff (out of 100 points)
65
2020
66
Mental Health
Mental Health
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults with any mental illness reporting unmet need
22%
2018-19
25%
Adults with any mental illness who did not receive treatment
52%
2018-19
56%
Alcohol deaths per 100,000 population
13.4
2020
13.1
57.7%
2019
45.3%
Children who received needed mental health care
86.1%
2019-20
81.3%
Deaths of despair (suicide, alcohol, and poisoning) per 100,000 population
-
No data available
-
Drug overdose deaths per 100,000 population
81.4
2020
28.3
Suicide deaths per 100,000 population
19.4
2020
13.5
Older Adults
Older Adults
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Doctors' office visit spending per Medicare beneficiary
$741
2020
$910
Home health patients with a hospital admission
19%
2019
15%
Home health spending per Medicare beneficiary
$504
2020
$507
Hospital 30-day mortality
13.7%
07/2017 - 12/2019
13.3%
Hospital 30-day readmissions age 65 and older, per 1,000 Medicare beneficiares
43.4
2020
33.2
Inpatient spending per Medicare beneficiary
$2,698
2020
$2,488
16%
2016
15%
Potentially avoidable ED visits age 65 and older, per 1,000 Medicare beneficiaries
180.9
2020
137.1
Preventable hospitalizations age 65 and older, per 1,000 Medicare beneficiaries
41.7
2020
29.4
5.3%
2020
5.5%
$631
2020
$702
Skilled nursing facility spending per Medicare beneficiary
$759
2020
$851
Total spending per Medicare beneficiary
$9,506
2020
$9,677
Outpatient Safety and Quality
Outpatient Safety and Quality
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Post-Acute Care and Long Term Care
Post-Acute Care and Long Term Care
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Home health patients whose wounds healed after an operation
93%
2019
92%
Home health patients with a hospital admission
19%
2019
15%
Home health patients with improved mobility
86%
2019
80%
Home health spending per Medicare beneficiary
$504
2020
$507
16%
2016
15%
Nursing home residents with an antipsychotic medication
15.9%
2020
14.4%
Nursing home residents with pressure sores
5.9%
2017
5.6%
Skilled nursing facility spending per Medicare beneficiary
$759
2020
$851
Potentially Avoidable Care
Potentially Avoidable Care
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Hospital 30-day readmissions age 65 and older, per 1,000 Medicare beneficiares
43.4
2020
33.2
Potentially avoidable ED visits age 65 and older, per 1,000 Medicare beneficiaries
180.9
2020
137.1
Preventable hospitalizations age 65 and older, per 1,000 Medicare beneficiaries
41.7
2020
29.4
Preventive and Well Care
Preventive and Well Care
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults with age- and gender-appropriate cancer screenings
67.7%
2020
68.8%
Adults with age-appropriate vaccines
44.1%
2020
43.6%
Adults without a dental visit
42.4%
2020
35.3%
69%
2019-20
65.7%
Children with all recommended vaccines
73%
2020
73%
84.3%
2019
91.9%
73%
2019
80%
Premature avoidable deaths per 100,000 population
404.4
2019-20
259.1
Premature deaths from preventable causes per 100,000 population
285.5
2019-20
173.2
Premature deaths from treatable causes per 100,000 population
118.8
2019-20
85.9
5.3%
2020
5.5%
$631
2020
$702
$471
2019
$501
Public health funding
$60
2019
$40
Working Age Adults
Working Age Adults
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults who are obese
41%
2020
32.8%
Adults who have lost six or more teeth
18.7%
2020
8.5%
57.7%
2019
45.3%
84.3%
2019
91.9%
73%
2019
80%
Employee contribution to total premium cost for employer-sponsored health insurance plans
$4,416
2020
$4,813
Employee deductible for employer-sponsored health insurance plans
$3,604
2020
$3,257
5.8%
2020
4.7%
Employee total potential out-of-pocket medical costs
$8,020
2020
$8,070
Employee total potential out-of-pocket medical costs, as a share of state median income
12.8%
2020
11.6%
$471
2019
$501
Total premium cost for employer-sponsored health insurance plans
$18,794
2020
$17,193
30.1%
2020
24.6%
Uninsured adults
10.6%
2020
12.4%
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West Virginia Policy Information

Policy
Status
Medicaid Expansion Status

Traditionally expanded Medicaid (31 states + DC)

Health Insurance Marketplace Type

Federally facilitated marketplace; state conducting plan management (13)

The federal government (HHS) is legally responsible for all marketplace functions, but defers to the state to conduct health plan management. Individuals must use HealthCare.gov to enroll in coverage.

Public Coverage Options

Has not established a public coverage option

Annual Open Enrollment Period Extensions

Did not extend 2018–2022 open enrollment

Did not extend the open enrollment period for 2022 coverage.

Did not extend the open enrollment period for 2018, 2019, or 2020 coverage. Did not extend the open enrollment period for 2021, but in response to the COVID-19 pandemic, the federal government reopened HealthCare.gov for 2021 coverage from Feb. 15, 2021 through Aug. 15, 2021.**

Health Coverage Subsidies

Provides no premium or cost-sharing subsidies

Non-compliant Short-term Plans

Does not limit the sale of short-term coverage more strictly than the federal government

Non-compliant Transitional Plans

Permits non-compliant transitional policies

Permits insurers to sell non-compliant transitional policies in the individual market

Other Non-compliant Plans

Does not exempt other coverage from insurance rules

Does not exempt other coverage products from federal and state rules for individual market insurance*

Promotion of ACA Marketplace Competition

No rules to promote marketplace competition

Has not established a rule to promote a competitive ACA marketplace

Standardized Individual Market Plans

Does not require standardized cost-sharing plan design

Does not require participating individual market insurers to offer plans with standardized cost-sharing designs

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West Virginia Key Demographics

1.8M
Total Population
$49.3K
Median Household Income
34%
Below 200% of Federal Poverty Level (FPL)
90%
% White race, non-Hispanic
2%
% Black race, non-Hispanic
2%
% Hispanic ethnicity
1%
% Asian American, Native Hawaiian, or Pacific Islander race, non-Hispanic
< 1%
% American Indian or Alaska Native race, non-Hispanic