How states stack up on primary care spending

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Minnesota invested the most in primary care among 29 states examined in a new analysis.

The Patient-Centered Primary Care Collaborative's 2019 Evidence Report, "Investing in Primary Care: A State-Level Analysis," looked at how much public and private payers in states spent on primary care from 2011 through 2016, using data from the latest HHS medical expenditure panel survey.

For the analysis, researchers considered both broad and narrow definitions for investment in primary care. The narrow definition involved spending by public and private payers related to primary care physicians in offices and outpatient settings. The broad definition included primary care physicians in offices and outpatient settings but also other primary care clinical team workers such as nurses, nurse practitioners, physician assistants, OB-GYNs and behavioral health professionals.

Here is the percent of primary care spending by state for 2011 to 2016, based on the researchers' narrow definition:

Minnesota: 7.6 percent

Oklahoma: 6.7 percent

Texas: 6.3 percent

Alabama: 6.2 percent

Wisconsin: 6.2 percent

California: 6.1 percent

Washington: 5.9 percent

North Carolina: 5.9 percent

Florida: 5.7 percent

Georgia: 5.7 percent

Virginia: 5.7 percent

Oregon: 5.6 percent

Maryland: 5.5 percent

Louisiana: 5.3 percent

Arizona: 5.2 percent

Colorado: 5 percent

Illinois: 5 percent

New York: 5 percent

South Carolina: 5 percent

Massachusetts: 4.8 percent

Tennessee: 4.8 percent

Indiana: 4.7 percent

Michigan: 4.7 percent

Missouri: 4.6 percent

New Jersey: 4.6 percent

Ohio: 4.6 percent

Kentucky: 4.5 percent

Pennsylvania: 4.2 percent

Connecticut: 3.5 percent

Here is the percent primary care spend by state for 2011 to 2016, based on the researchers' broad definition:

Minnesota: 14 percent

Missouri: 11.7 percent

Wisconsin: 11.1 percent

Oregon: 10.9 percent

Massachusetts: 10.9 percent

Alabama: 10.8 percent

California: 10.8 percent

Oklahoma: 10.7 percent

Colorado: 10.6 percent

Connecticut: 10.6 percent

Washington: 10.1 percent

Texas: 10 percent

Virginia: 10 percent

Kentucky: 10 percent

North Carolina: 10 percent

New York: 10 percent

Indiana: 9.7 percent

Maryland: 9.6 percent

Georgia:  9.6 percent

Illinois: 9 percent

Michigan: 9 percent

Florida: 8.8 percent

Tennessee: 8.8 percent

Ohio: 8.7 percent

Arizona: 8.7 percent

Pennsylvania: 8.5 percent

Louisiana: 8.3 percent

South Carolina: 8.3 percent

New Jersey: 8.2 percent

Read the full analysis here.

 

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