{
  "slug": "alaska-county-primary-care-access-2026",
  "title": "Alaska Primary-Care Access & Health-Burden Scorecard",
  "summary": "A county-level targeting index for Alaska, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 30 boroughs and census areas by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.",
  "state": "Alaska",
  "category": "Public Health & Risk",
  "tags": [
    "public-health",
    "health-access",
    "geospatial-risk",
    "government-data",
    "alaska"
  ],
  "publishedDate": "2026-08-01",
  "accessAxisLabel": "Access & SDOH barriers",
  "generatedAt": "2026-08-01T06:58:32+00:00",
  "dataVintage": {
    "places": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
    "hpsa": "HRSA Primary Care HPSA detail extract, accessed 2026-08-01",
    "acs": "ACS 2019-2023 5-year estimates"
  },
  "methodology": "A Health-Burden axis is built from CDC PLACES crude adult prevalence (diagnosed diabetes, obesity, high blood pressure, coronary heart disease, fair or poor self-rated health, frequent physical distress). An Access & SDOH barriers axis combines uninsured (adults 18-64), lack of reliable transportation, food insecurity, housing insecurity, below poverty (acs), households without a vehicle (acs) (Census ACS measures join CDC PLACES here). Each measure is min-max normalized across the state's boroughs and census areas to 0-100, then averaged within its axis. A Provider-Shortage axis scales each borough-level's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per borough-level), not direct counts. Scores are relative WITHIN Alaska: a 100 marks the worst borough-level in the state on that axis, not a national benchmark.",
  "limitations": [
    "Scores are intra-state relative, not absolute or cross-state comparable.",
    "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.",
    "HPSA aggregation takes the worst designated primary-care score per borough-level; geographic, population-group, and facility designations are pooled.",
    "Equal axis weighting is a transparent default, not a calibrated policy model.",
    "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.",
    "This is informational analysis of public data, not clinical, individual, or actuarial advice."
  ],
  "sources": [
    {
      "name": "CDC PLACES — Local Data for Better Health (County Data)",
      "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "url": "https://www.cdc.gov/places/",
      "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json",
      "accessedDate": "2026-08-01"
    },
    {
      "name": "HRSA — Primary Care Health Professional Shortage Areas",
      "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)",
      "url": "https://data.hrsa.gov/data/download",
      "accessedDate": "2026-08-01"
    },
    {
      "name": "U.S. Census Bureau — American Community Survey (5-year)",
      "dataset": "ACS 2019-2023 5-year estimates",
      "url": "https://www.census.gov/programs-surveys/acs/",
      "apiUrl": "https://api.census.gov/data/2023/acs/acs5",
      "accessedDate": "2026-08-01"
    }
  ],
  "measures": {
    "burden": [
      {
        "id": "DIABETES",
        "label": "Diagnosed diabetes"
      },
      {
        "id": "OBESITY",
        "label": "Obesity"
      },
      {
        "id": "BPHIGH",
        "label": "High blood pressure"
      },
      {
        "id": "CHD",
        "label": "Coronary heart disease"
      },
      {
        "id": "GHLTH",
        "label": "Fair or poor self-rated health"
      },
      {
        "id": "PHLTH",
        "label": "Frequent physical distress"
      }
    ],
    "access": [
      {
        "id": "ACCESS2",
        "label": "Uninsured (adults 18-64)"
      },
      {
        "id": "LACKTRPT",
        "label": "Lack of reliable transportation"
      },
      {
        "id": "FOODINSECU",
        "label": "Food insecurity"
      },
      {
        "id": "HOUSINSECU",
        "label": "Housing insecurity"
      },
      {
        "id": "ACS_POVERTY",
        "label": "Below poverty (ACS)"
      },
      {
        "id": "ACS_NOVEHICLE",
        "label": "Households without a vehicle (ACS)"
      }
    ]
  },
  "stats": {
    "counties": 30,
    "countiesWithHpsa": 30,
    "countiesWithHpsaPct": 100,
    "medianDiabetes": 10.8,
    "diabetesMin": {
      "county": "Fairbanks North Star",
      "value": 7.9
    },
    "diabetesMax": {
      "county": "Kusilvak",
      "value": 16.5
    },
    "medianUninsured": 10.2
  },
  "keyFindings": [
    "30 of Alaska's 30 boroughs and census areas (100%) fall within a federally designated primary-care Health Professional Shortage Area.",
    "Adult diagnosed-diabetes prevalence ranges from 7.9% in Fairbanks North Star to 16.5% in Kusilvak, a 8.6-point spread within a single state.",
    "Kusilvak carries the highest combined targeting-priority index (87.8/100), led by its access & sdoh barriers score.",
    "The median borough-level uninsured rate (adults 18-64) is 10.2%, and the median adult diabetes prevalence is 10.8%."
  ],
  "counties": [
    {
      "fips": "02158",
      "name": "Kusilvak",
      "population": 8001,
      "priorityIndex": 87.8,
      "burdenScore": 90.4,
      "accessScore": 100.0,
      "shortageScore": 73.1,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 16,
      "raw": {
        "DIABETES": 16.5,
        "OBESITY": 46.5,
        "BPHIGH": 38.5,
        "CHD": 8.5,
        "GHLTH": 37.8,
        "PHLTH": 22.4,
        "ACCESS2": 18.1,
        "LACKTRPT": 27.6,
        "FOODINSECU": 46.6,
        "HOUSINSECU": 32.3,
        "ACS_POVERTY": 31.2,
        "ACS_NOVEHICLE": 84.5
      },
      "ci": {
        "DIABETES": {
          "lo": 14.4,
          "hi": 18.8
        },
        "OBESITY": {
          "lo": 37.8,
          "hi": 56.0
        },
        "BPHIGH": {
          "lo": 34.3,
          "hi": 42.9
        },
        "CHD": {
          "lo": 7.4,
          "hi": 9.5
        },
        "GHLTH": {
          "lo": 32.8,
          "hi": 43.3
        },
        "PHLTH": {
          "lo": 19.6,
          "hi": 25.6
        },
        "ACCESS2": {
          "lo": 14.2,
          "hi": 22.7
        },
        "LACKTRPT": {
          "lo": 23.8,
          "hi": 31.7
        },
        "FOODINSECU": {
          "lo": 39.7,
          "hi": 53.2
        },
        "HOUSINSECU": {
          "lo": 27.4,
          "hi": 37.3
        }
      },
      "rank": 1
    },
    {
      "fips": "02050",
      "name": "Bethel",
      "population": 18224,
      "priorityIndex": 72.4,
      "burdenScore": 65.3,
      "accessScore": 75.1,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 44,
      "raw": {
        "DIABETES": 13.8,
        "OBESITY": 39.1,
        "BPHIGH": 37.5,
        "CHD": 7.7,
        "GHLTH": 31.9,
        "PHLTH": 19.7,
        "ACCESS2": 15.9,
        "LACKTRPT": 22.5,
        "FOODINSECU": 37.6,
        "HOUSINSECU": 26.8,
        "ACS_POVERTY": 24.0,
        "ACS_NOVEHICLE": 61.3
      },
      "ci": {
        "DIABETES": {
          "lo": 12.0,
          "hi": 15.8
        },
        "OBESITY": {
          "lo": 33.3,
          "hi": 46.1
        },
        "BPHIGH": {
          "lo": 33.9,
          "hi": 41.7
        },
        "CHD": {
          "lo": 6.8,
          "hi": 8.7
        },
        "GHLTH": {
          "lo": 27.8,
          "hi": 36.9
        },
        "PHLTH": {
          "lo": 17.3,
          "hi": 22.5
        },
        "ACCESS2": {
          "lo": 12.4,
          "hi": 20.1
        },
        "LACKTRPT": {
          "lo": 19.4,
          "hi": 25.9
        },
        "FOODINSECU": {
          "lo": 31.9,
          "hi": 43.5
        },
        "HOUSINSECU": {
          "lo": 22.8,
          "hi": 30.8
        }
      },
      "rank": 2
    },
    {
      "fips": "02188",
      "name": "Northwest Arctic",
      "population": 7361,
      "priorityIndex": 67.3,
      "burdenScore": 62.1,
      "accessScore": 62.9,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 15,
      "raw": {
        "DIABETES": 14.1,
        "OBESITY": 40.6,
        "BPHIGH": 36.8,
        "CHD": 7.5,
        "GHLTH": 29.5,
        "PHLTH": 18.5,
        "ACCESS2": 14.2,
        "LACKTRPT": 19.3,
        "FOODINSECU": 32.5,
        "HOUSINSECU": 24.6,
        "ACS_POVERTY": 18.4,
        "ACS_NOVEHICLE": 64.1
      },
      "ci": {
        "DIABETES": {
          "lo": 12.3,
          "hi": 16.2
        },
        "OBESITY": {
          "lo": 33.0,
          "hi": 49.1
        },
        "BPHIGH": {
          "lo": 32.8,
          "hi": 41.2
        },
        "CHD": {
          "lo": 6.7,
          "hi": 8.4
        },
        "GHLTH": {
          "lo": 25.4,
          "hi": 33.8
        },
        "PHLTH": {
          "lo": 16.1,
          "hi": 21.0
        },
        "ACCESS2": {
          "lo": 11.3,
          "hi": 17.8
        },
        "LACKTRPT": {
          "lo": 16.4,
          "hi": 22.4
        },
        "FOODINSECU": {
          "lo": 27.2,
          "hi": 38.0
        },
        "HOUSINSECU": {
          "lo": 20.8,
          "hi": 28.6
        }
      },
      "rank": 3
    },
    {
      "fips": "02290",
      "name": "Yukon-Koyukuk",
      "population": 5129,
      "priorityIndex": 64.6,
      "burdenScore": 78.4,
      "accessScore": 54.0,
      "shortageScore": 61.5,
      "topDriver": "Health burden",
      "hpsaMaxScore": 16,
      "hpsaDesignations": 35,
      "raw": {
        "DIABETES": 16.5,
        "OBESITY": 36.9,
        "BPHIGH": 41.4,
        "CHD": 9.7,
        "GHLTH": 30.3,
        "PHLTH": 19.5,
        "ACCESS2": 13.5,
        "LACKTRPT": 17.4,
        "FOODINSECU": 29.6,
        "HOUSINSECU": 21.2,
        "ACS_POVERTY": 20.8,
        "ACS_NOVEHICLE": 44.3
      },
      "ci": {
        "DIABETES": {
          "lo": 14.3,
          "hi": 18.8
        },
        "OBESITY": {
          "lo": 29.7,
          "hi": 44.7
        },
        "BPHIGH": {
          "lo": 37.2,
          "hi": 45.8
        },
        "CHD": {
          "lo": 8.7,
          "hi": 10.8
        },
        "GHLTH": {
          "lo": 26.5,
          "hi": 34.2
        },
        "PHLTH": {
          "lo": 17.2,
          "hi": 21.9
        },
        "ACCESS2": {
          "lo": 10.8,
          "hi": 16.6
        },
        "LACKTRPT": {
          "lo": 15.1,
          "hi": 19.9
        },
        "FOODINSECU": {
          "lo": 25.3,
          "hi": 34.7
        },
        "HOUSINSECU": {
          "lo": 18.1,
          "hi": 24.5
        }
      },
      "rank": 4
    },
    {
      "fips": "02180",
      "name": "Nome",
      "population": 9763,
      "priorityIndex": 62.3,
      "burdenScore": 49.6,
      "accessScore": 60.3,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 18,
      "raw": {
        "DIABETES": 13.0,
        "OBESITY": 38.6,
        "BPHIGH": 33.6,
        "CHD": 7.1,
        "GHLTH": 28.0,
        "PHLTH": 17.4,
        "ACCESS2": 13.5,
        "LACKTRPT": 19.1,
        "FOODINSECU": 32.3,
        "HOUSINSECU": 23.2,
        "ACS_POVERTY": 21.1,
        "ACS_NOVEHICLE": 54.5
      },
      "ci": {
        "DIABETES": {
          "lo": 11.3,
          "hi": 14.8
        },
        "OBESITY": {
          "lo": 32.1,
          "hi": 45.3
        },
        "BPHIGH": {
          "lo": 29.8,
          "hi": 37.3
        },
        "CHD": {
          "lo": 6.3,
          "hi": 8.0
        },
        "GHLTH": {
          "lo": 24.2,
          "hi": 32.0
        },
        "PHLTH": {
          "lo": 15.2,
          "hi": 19.7
        },
        "ACCESS2": {
          "lo": 10.6,
          "hi": 16.9
        },
        "LACKTRPT": {
          "lo": 16.3,
          "hi": 22.0
        },
        "FOODINSECU": {
          "lo": 27.0,
          "hi": 37.8
        },
        "HOUSINSECU": {
          "lo": 19.4,
          "hi": 27.0
        }
      },
      "rank": 5
    },
    {
      "fips": "02070",
      "name": "Dillingham",
      "population": 4607,
      "priorityIndex": 57.2,
      "burdenScore": 50.5,
      "accessScore": 47.9,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 16,
      "raw": {
        "DIABETES": 13.0,
        "OBESITY": 38.5,
        "BPHIGH": 34.4,
        "CHD": 7.4,
        "GHLTH": 26.6,
        "PHLTH": 17.4,
        "ACCESS2": 13.3,
        "LACKTRPT": 16.9,
        "FOODINSECU": 27.5,
        "HOUSINSECU": 20.7,
        "ACS_POVERTY": 16.3,
        "ACS_NOVEHICLE": 38.0
      },
      "ci": {
        "DIABETES": {
          "lo": 11.1,
          "hi": 15.0
        },
        "OBESITY": {
          "lo": 31.3,
          "hi": 45.7
        },
        "BPHIGH": {
          "lo": 30.4,
          "hi": 38.3
        },
        "CHD": {
          "lo": 6.5,
          "hi": 8.4
        },
        "GHLTH": {
          "lo": 22.5,
          "hi": 30.4
        },
        "PHLTH": {
          "lo": 15.0,
          "hi": 19.8
        },
        "ACCESS2": {
          "lo": 10.3,
          "hi": 16.5
        },
        "LACKTRPT": {
          "lo": 14.5,
          "hi": 19.4
        },
        "FOODINSECU": {
          "lo": 22.8,
          "hi": 32.2
        },
        "HOUSINSECU": {
          "lo": 17.5,
          "hi": 24.1
        }
      },
      "rank": 6
    },
    {
      "fips": "02164",
      "name": "Lake and Peninsula",
      "population": 1331,
      "priorityIndex": 55.0,
      "burdenScore": 63.4,
      "accessScore": 43.9,
      "shortageScore": 57.7,
      "topDriver": "Health burden",
      "hpsaMaxScore": 15,
      "hpsaDesignations": 14,
      "raw": {
        "DIABETES": 14.6,
        "OBESITY": 39.4,
        "BPHIGH": 38.2,
        "CHD": 8.2,
        "GHLTH": 27.2,
        "PHLTH": 17.9,
        "ACCESS2": 12.1,
        "LACKTRPT": 15.3,
        "FOODINSECU": 25.8,
        "HOUSINSECU": 19.1,
        "ACS_POVERTY": 15.2,
        "ACS_NOVEHICLE": 46.9
      },
      "ci": {
        "DIABETES": {
          "lo": 12.5,
          "hi": 16.7
        },
        "OBESITY": {
          "lo": 30.5,
          "hi": 48.2
        },
        "BPHIGH": {
          "lo": 33.7,
          "hi": 42.7
        },
        "CHD": {
          "lo": 7.2,
          "hi": 9.2
        },
        "GHLTH": {
          "lo": 23.5,
          "hi": 31.0
        },
        "PHLTH": {
          "lo": 15.6,
          "hi": 20.2
        },
        "ACCESS2": {
          "lo": 9.8,
          "hi": 14.8
        },
        "LACKTRPT": {
          "lo": 13.3,
          "hi": 17.5
        },
        "FOODINSECU": {
          "lo": 21.6,
          "hi": 30.0
        },
        "HOUSINSECU": {
          "lo": 16.1,
          "hi": 22.2
        }
      },
      "rank": 7
    },
    {
      "fips": "02198",
      "name": "Prince of Wales-Hyder",
      "population": 5696,
      "priorityIndex": 53.1,
      "burdenScore": 63.1,
      "accessScore": 26.9,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 15,
      "raw": {
        "DIABETES": 14.0,
        "OBESITY": 38.4,
        "BPHIGH": 39.4,
        "CHD": 8.9,
        "GHLTH": 25.5,
        "PHLTH": 17.5,
        "ACCESS2": 11.1,
        "LACKTRPT": 12.2,
        "FOODINSECU": 20.5,
        "HOUSINSECU": 15.4,
        "ACS_POVERTY": 15.1,
        "ACS_NOVEHICLE": 9.0
      },
      "ci": {
        "DIABETES": {
          "lo": 12.2,
          "hi": 16.2
        },
        "OBESITY": {
          "lo": 30.7,
          "hi": 46.6
        },
        "BPHIGH": {
          "lo": 35.1,
          "hi": 43.9
        },
        "CHD": {
          "lo": 8.0,
          "hi": 10.0
        },
        "GHLTH": {
          "lo": 22.2,
          "hi": 29.4
        },
        "PHLTH": {
          "lo": 15.4,
          "hi": 20.0
        },
        "ACCESS2": {
          "lo": 8.9,
          "hi": 13.3
        },
        "LACKTRPT": {
          "lo": 10.6,
          "hi": 14.0
        },
        "FOODINSECU": {
          "lo": 17.3,
          "hi": 23.9
        },
        "HOUSINSECU": {
          "lo": 13.1,
          "hi": 18.0
        }
      },
      "rank": 8
    },
    {
      "fips": "02185",
      "name": "North Slope",
      "population": 10603,
      "priorityIndex": 42.6,
      "burdenScore": 35.6,
      "accessScore": 26.9,
      "shortageScore": 65.4,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 9,
      "raw": {
        "DIABETES": 10.8,
        "OBESITY": 42.3,
        "BPHIGH": 34.9,
        "CHD": 5.8,
        "GHLTH": 20.3,
        "PHLTH": 14.0,
        "ACCESS2": 11.2,
        "LACKTRPT": 11.3,
        "FOODINSECU": 18.5,
        "HOUSINSECU": 15.0,
        "ACS_POVERTY": 8.3,
        "ACS_NOVEHICLE": 38.4
      },
      "ci": {
        "DIABETES": {
          "lo": 9.4,
          "hi": 12.5
        },
        "OBESITY": {
          "lo": 35.1,
          "hi": 50.1
        },
        "BPHIGH": {
          "lo": 30.9,
          "hi": 39.0
        },
        "CHD": {
          "lo": 5.2,
          "hi": 6.6
        },
        "GHLTH": {
          "lo": 17.4,
          "hi": 23.7
        },
        "PHLTH": {
          "lo": 12.3,
          "hi": 16.0
        },
        "ACCESS2": {
          "lo": 9.1,
          "hi": 13.6
        },
        "LACKTRPT": {
          "lo": 9.7,
          "hi": 13.0
        },
        "FOODINSECU": {
          "lo": 15.4,
          "hi": 21.9
        },
        "HOUSINSECU": {
          "lo": 12.6,
          "hi": 17.5
        }
      },
      "rank": 9
    },
    {
      "fips": "02105",
      "name": "Hoonah-Angoon",
      "population": 2262,
      "priorityIndex": 42.4,
      "burdenScore": 68.5,
      "accessScore": 24.0,
      "shortageScore": 34.6,
      "topDriver": "Health burden",
      "hpsaMaxScore": 9,
      "hpsaDesignations": 7,
      "raw": {
        "DIABETES": 14.8,
        "OBESITY": 37.1,
        "BPHIGH": 42.8,
        "CHD": 9.6,
        "GHLTH": 24.3,
        "PHLTH": 17.0,
        "ACCESS2": 10.2,
        "LACKTRPT": 10.6,
        "FOODINSECU": 17.8,
        "HOUSINSECU": 13.3,
        "ACS_POVERTY": 12.6,
        "ACS_NOVEHICLE": 28.9
      },
      "ci": {
        "DIABETES": {
          "lo": 12.7,
          "hi": 17.0
        },
        "OBESITY": {
          "lo": 28.8,
          "hi": 45.2
        },
        "BPHIGH": {
          "lo": 38.1,
          "hi": 47.2
        },
        "CHD": {
          "lo": 8.5,
          "hi": 10.8
        },
        "GHLTH": {
          "lo": 21.0,
          "hi": 27.9
        },
        "PHLTH": {
          "lo": 14.8,
          "hi": 19.3
        },
        "ACCESS2": {
          "lo": 8.4,
          "hi": 12.3
        },
        "LACKTRPT": {
          "lo": 9.3,
          "hi": 12.1
        },
        "FOODINSECU": {
          "lo": 14.8,
          "hi": 20.9
        },
        "HOUSINSECU": {
          "lo": 11.3,
          "hi": 15.5
        }
      },
      "rank": 10
    },
    {
      "fips": "02013",
      "name": "Aleutians East",
      "population": 3461,
      "priorityIndex": 39.2,
      "burdenScore": 24.2,
      "accessScore": 35.7,
      "shortageScore": 57.7,
      "topDriver": "Provider shortage",
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        "ACS_NOVEHICLE": 4.9
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      "ci": {
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        "OBESITY": {
          "lo": 30.9,
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        "BPHIGH": {
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        "FOODINSECU": {
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        "HOUSINSECU": {
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      },
      "rank": 24
    },
    {
      "fips": "02063",
      "name": "Chugach",
      "population": 6769,
      "priorityIndex": 23.9,
      "burdenScore": 17.5,
      "accessScore": 4.1,
      "shortageScore": 50.0,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 13,
      "hpsaDesignations": 6,
      "raw": {
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        "ACS_NOVEHICLE": 5.4
      },
      "ci": {
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          "lo": 8.1,
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        },
        "OBESITY": {
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        },
        "BPHIGH": {
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        },
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        },
        "PHLTH": {
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        "LACKTRPT": {
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      },
      "rank": 25
    },
    {
      "fips": "02020",
      "name": "Anchorage",
      "population": 286075,
      "priorityIndex": 23.3,
      "burdenScore": 12.8,
      "accessScore": 10.8,
      "shortageScore": 46.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 12,
      "hpsaDesignations": 20,
      "raw": {
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        "OBESITY": 35.0,
        "BPHIGH": 31.5,
        "CHD": 5.1,
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        "ACCESS2": 9.5,
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        "FOODINSECU": 12.8,
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        "ACS_POVERTY": 9.3,
        "ACS_NOVEHICLE": 5.6
      },
      "ci": {
        "DIABETES": {
          "lo": 7.7,
          "hi": 10.1
        },
        "OBESITY": {
          "lo": 31.1,
          "hi": 39.0
        },
        "BPHIGH": {
          "lo": 28.9,
          "hi": 34.1
        },
        "CHD": {
          "lo": 4.5,
          "hi": 5.7
        },
        "GHLTH": {
          "lo": 15.2,
          "hi": 19.9
        },
        "PHLTH": {
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        },
        "ACCESS2": {
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        },
        "LACKTRPT": {
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        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
          "lo": 10.2,
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      },
      "rank": 26
    },
    {
      "fips": "02068",
      "name": "Denali",
      "population": 1584,
      "priorityIndex": 22.7,
      "burdenScore": 10.9,
      "accessScore": 7.2,
      "shortageScore": 50.0,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 13,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 8.6,
        "OBESITY": 31.3,
        "BPHIGH": 32.0,
        "CHD": 5.6,
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        "ACCESS2": 9.3,
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        "ACS_NOVEHICLE": 7.1
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      "ci": {
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          "lo": 7.3,
          "hi": 10.0
        },
        "OBESITY": {
          "lo": 24.6,
          "hi": 38.8
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        "BPHIGH": {
          "lo": 28.1,
          "hi": 36.2
        },
        "CHD": {
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        "GHLTH": {
          "lo": 14.1,
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        },
        "PHLTH": {
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        },
        "ACCESS2": {
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          "hi": 11.5
        },
        "LACKTRPT": {
          "lo": 6.3,
          "hi": 8.5
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        "FOODINSECU": {
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        "HOUSINSECU": {
          "lo": 8.8,
          "hi": 12.6
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      },
      "rank": 27
    },
    {
      "fips": "02230",
      "name": "Skagway",
      "population": 1095,
      "priorityIndex": 20.9,
      "burdenScore": 21.1,
      "accessScore": 7.0,
      "shortageScore": 34.6,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 9,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 9.1,
        "OBESITY": 36.2,
        "BPHIGH": 33.6,
        "CHD": 6.1,
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        "FOODINSECU": 11.5,
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        "ACS_POVERTY": 6.2,
        "ACS_NOVEHICLE": 9.1
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      "ci": {
        "DIABETES": {
          "lo": 7.6,
          "hi": 10.7
        },
        "OBESITY": {
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          "hi": 44.9
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          "hi": 38.0
        },
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        "HOUSINSECU": {
          "lo": 8.4,
          "hi": 12.2
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      },
      "rank": 28
    },
    {
      "fips": "02150",
      "name": "Kodiak Island",
      "population": 12565,
      "priorityIndex": 19.6,
      "burdenScore": 11.7,
      "accessScore": 12.5,
      "shortageScore": 34.6,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 9,
      "hpsaDesignations": 9,
      "raw": {
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        "OBESITY": 31.5,
        "BPHIGH": 31.0,
        "CHD": 5.4,
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        "ACS_NOVEHICLE": 7.4
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      "ci": {
        "DIABETES": {
          "lo": 8.4,
          "hi": 11.3
        },
        "OBESITY": {
          "lo": 24.9,
          "hi": 38.5
        },
        "BPHIGH": {
          "lo": 27.2,
          "hi": 35.0
        },
        "CHD": {
          "lo": 4.8,
          "hi": 6.1
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        "GHLTH": {
          "lo": 15.1,
          "hi": 20.6
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        "PHLTH": {
          "lo": 10.5,
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        "ACCESS2": {
          "lo": 8.5,
          "hi": 12.6
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        "LACKTRPT": {
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          "hi": 9.6
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        "FOODINSECU": {
          "lo": 12.2,
          "hi": 17.5
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        "HOUSINSECU": {
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          "hi": 13.5
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      },
      "rank": 29
    },
    {
      "fips": "02220",
      "name": "Sitka",
      "population": 8282,
      "priorityIndex": 19.3,
      "burdenScore": 15.6,
      "accessScore": 7.8,
      "shortageScore": 34.6,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 9,
      "hpsaDesignations": 4,
      "raw": {
        "DIABETES": 9.9,
        "OBESITY": 29.8,
        "BPHIGH": 33.7,
        "CHD": 6.1,
        "GHLTH": 16.7,
        "PHLTH": 12.4,
        "ACCESS2": 8.8,
        "LACKTRPT": 7.5,
        "FOODINSECU": 11.7,
        "HOUSINSECU": 9.9,
        "ACS_POVERTY": 8.4,
        "ACS_NOVEHICLE": 11.4
      },
      "ci": {
        "DIABETES": {
          "lo": 8.5,
          "hi": 11.6
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        "OBESITY": {
          "lo": 23.6,
          "hi": 36.8
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        "BPHIGH": {
          "lo": 29.8,
          "hi": 38.0
        },
        "CHD": {
          "lo": 5.4,
          "hi": 6.9
        },
        "GHLTH": {
          "lo": 14.2,
          "hi": 19.6
        },
        "PHLTH": {
          "lo": 10.7,
          "hi": 14.3
        },
        "ACCESS2": {
          "lo": 7.1,
          "hi": 10.7
        },
        "LACKTRPT": {
          "lo": 6.3,
          "hi": 8.6
        },
        "FOODINSECU": {
          "lo": 9.3,
          "hi": 14.0
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        "HOUSINSECU": {
          "lo": 8.2,
          "hi": 11.7
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      },
      "rank": 30
    }
  ],
  "faq": [
    {
      "question": "What does the Alaska borough-level health-access scorecard measure?",
      "answer": "It ranks all 30 Alaska boroughs and census areas by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap."
    },
    {
      "question": "Which public datasets is it built from?",
      "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-08-01."
    },
    {
      "question": "How should the Targeting-Priority Index be used?",
      "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers."
    }
  ],
  "contentHash": "11103b3fa994f53d"
}