A product of thePennsylvania Chamber Foundation

Health Care is an issue that routinely appears among the top concerns of both employees and employers and is an issue upon which state policies can have significant impact. This category contains seven measures. Pennsylvania saw the percentage of population without health care coverage decrease from 10.6% in 2009 to 5.6% in 2017. The state’s rank changed from 9th in 2013 to 12th in 2017, due to increases in the percentage of insureds in other states. Pennsylvania ranks near the bottom at 38th for the number of mandates it requires for health insurance providers, which means it has more mandates than average. Perhaps as a result, the average insurance cost in the commonwealth for “total single premium per enrolled employee” is higher than average, positioning Pennsylvania 31st among the states. The increase in premiums in Pennsylvania from $4,749 in 2009 to $6,201 in 2017. The commonwealth was  $98 higher than the 50-state median in 2017. The number of community hospitals has remained fairly consistent from 2009 to 2017, with a slight downward trend in both the median and Pennsylvania’s number of hospitals per 100,000 population. This trend is primarily driven by increases in population rather than decreases in the number of hospitals. Pennsylvania’s ranking of 34th may reveal more about the size or composition of Pennsylvania’s hospitals, especially since the number of community hospital staffed beds per 1,000 population shows a more robust resource than observed in the simple count of community hospitals. Pennsylvania ranks 17th on this metric, with a resource level of 2.9 staffed beds per 1,000 population, compared to a median of 2.5 staffed community hospital beds per 1,000 population in the same year. Pennsylvania ranks 8th among the states in the number of physicians, an indication of a high overall level of physicians, with 306.4 physicians per 100,000 compared to a median of 251.0 physicians per 100,000. As with most resources, the overall availability may mask under served areas and populations. Finally, Pennsylvania compares well with other states, ranking 10th in the number of medical carriers competing in individual states’ individual health insurance exchange markets, with five medical carriers compared to a median of 2.5 medical carriers.

  2009 to Most Recent Change Most Recent PA Score Most Recent Median Score Most Recent PA Rank 2009 to Most Recent Change in Rank
People Without Health Insurance Coverage 5.00% 5.60% 8.00% 12 -3
Health Insurance Mandates 4 56 45 38 -1
Health Insurance Premiums $1,452.00 $6,201.00 $6,103.00 31 +3
Hospitals per 100,000 Population 0.09 1.45 1.70 34 -1
Hospital Beds per 1,000 Population 0.20 2.90 2.50 17 -1
Active Physicians per 100,000 Population 4.00 306.40 251.00 8 +1
State Health Insurance Exchange Participation 2.00 5.00 2.50 10 +2