US Counties With the Highest Medicare Enrollees Also on Medicaid
3,123 US counties ranked by Medicare enrollees also on Medicaid, from highest to lowest. First are Kusilvak Census Area, AK (70.2), Bethel Census Area, AK (63.4) and Starr County, TX (58). The middle one of the 3,123 has 14.3.
What this measures
The percentage of people in traditional Medicare who could also get Medicaid for at least one month of the year. Medicaid is the health program for people with low incomes, so this picks out older and disabled people who are also poor. People on both are often called dual eligible. Source: CMS Medicare Geographic Variation Public Use File.
For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.
The 100 highest counties
Every state, highest first
Each state’s own published figure, not an average of its counties.
| Rank | State | % of enrollees |
|---|---|---|
| 1 | District of Columbia | 37.1 |
| 2 | California | 30.6 |
| 3 | Maine | 26.6 |
| 4 | Connecticut | 24.9 |
| 5 | Massachusetts | 23.2 |
| 6 | New York | 22.5 |
| 7 | Vermont | 21.9 |
| 8 | Alaska | 21.9 |
| 9 | West Virginia | 20 |
| 10 | Oregon | 20 |
| 11 | Louisiana | 19.9 |
| 12 | Michigan | 19.3 |
| 13 | New Mexico | 18.2 |
| 14 | Minnesota | 18 |
| 15 | Mississippi | 17.8 |
| 16 | Wisconsin | 17 |
| 17 | Maryland | 17 |
| 18 | Kentucky | 16.3 |
| 19 | Indiana | 15.7 |
| 20 | Arkansas | 15.6 |
| 21 | Nevada | 15.3 |
| 22 | Illinois | 15.2 |
| 23 | Alabama | 13.8 |
| 24 | Washington | 13.7 |
| 25 | Oklahoma | 13.3 |
| 26 | Pennsylvania | 13.3 |
| 27 | North Dakota | 13.3 |
| 28 | Colorado | 13.1 |
| 29 | Montana | 13 |
| 30 | Missouri | 12.7 |
| 31 | Idaho | 12.6 |
| 32 | North Carolina | 12.6 |
| 33 | Ohio | 12.5 |
| 34 | New Jersey | 12.4 |
| 35 | New Hampshire | 12.3 |
| 36 | South Dakota | 12.2 |
| 37 | Delaware | 12 |
| 38 | Georgia | 11.8 |
| 39 | Rhode Island | 11.7 |
| 40 | Florida | 11.2 |
| 41 | Texas | 10.8 |
| 42 | Iowa | 10.7 |
| 43 | Tennessee | 10.5 |
| 44 | Wyoming | 10.2 |
| 45 | Kansas | 9.95 |
| 46 | Nebraska | 9.77 |
| 47 | Hawaii | 9.47 |
| 48 | Utah | 8.76 |
| 49 | Virginia | 8.72 |
| 50 | Arizona | 8.37 |
| 51 | South Carolina | 6.69 |
More on Medicare enrollees also on Medicaid
- US Counties With the Lowest Medicare Enrollees Also on Medicaid
- Medicare enrollees also on Medicaid by US county: map by year and what it goes with
A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.