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      "kind": "measured",
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      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "CHD",
      "measureLabel": "Coronary heart disease",
      "value": 6.1,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
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      "state": "AK",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "GHLTH",
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      "value": 16.7,
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      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
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      "rank": 30,
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      "state": "AK",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "PHLTH",
      "measureLabel": "Frequent physical distress",
      "value": 12.4,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 30,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "ci_lo": 10.7,
      "ci_hi": 14.3
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    {
      "kind": "measured",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "ACCESS2",
      "measureLabel": "Uninsured (adults 18-64)",
      "value": 8.8,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 30,
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      "ci_lo": 7.1,
      "ci_hi": 10.7
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    {
      "kind": "measured",
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      "fips": "02220",
      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "LACKTRPT",
      "measureLabel": "Lack of reliable transportation",
      "value": 7.5,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 30,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "ci_lo": 6.3,
      "ci_hi": 8.6
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    {
      "kind": "measured",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02220",
      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "FOODINSECU",
      "measureLabel": "Food insecurity",
      "value": 11.7,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
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      "methodRef": "scripts/insights/build.py",
      "rank": 30,
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      "ci_lo": 9.3,
      "ci_hi": 14.0
    },
    {
      "kind": "measured",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02220",
      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "HOUSINSECU",
      "measureLabel": "Housing insecurity",
      "value": 9.9,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 30,
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      "ci_lo": 8.2,
      "ci_hi": 11.7
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    {
      "kind": "measured",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02220",
      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_POVERTY",
      "measureLabel": "Below poverty (ACS)",
      "value": 8.4,
      "unit": "percent",
      "vintage": "ACS 2019-2023 5-year estimates",
      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
      "sourceUrl": "https://www.census.gov/programs-surveys/acs/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 30,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)"
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    {
      "kind": "measured",
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      "fips": "02220",
      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_NOVEHICLE",
      "measureLabel": "Households without a vehicle (ACS)",
      "value": 11.4,
      "unit": "percent",
      "vintage": "ACS 2019-2023 5-year estimates",
      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
      "sourceUrl": "https://www.census.gov/programs-surveys/acs/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 30,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)"
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02158",
      "geoName": "Kusilvak",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 1,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 90.4,
        "accessScore": 100.0,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 16
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 87.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 1,
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      "components": {
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 16
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      "measureId": "burdenScore",
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      "value": 90.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02158",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 16
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 100.0,
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    {
      "kind": "derived",
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      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 1,
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      "components": {
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        "hpsaDesignations": 16
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02050",
      "geoName": "Bethel",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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      "components": {
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        "hpsaMaxScore": 20,
        "hpsaDesignations": 44
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 72.4,
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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      "components": {
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        "hpsaDesignations": 44
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      "measureId": "burdenScore",
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      "value": 65.3,
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      "kind": "derived",
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      "state": "AK",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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      "components": {
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        "hpsaDesignations": 44
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 75.1,
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    {
      "kind": "derived",
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      "fips": "02050",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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        "hpsaMaxScore": 20,
        "hpsaDesignations": 44
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02188",
      "geoName": "Northwest Arctic",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 3,
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      "components": {
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        "hpsaDesignations": 15
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 67.3,
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        "shortageScore"
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      "kind": "derived",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 3,
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      "components": {
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      "measureId": "burdenScore",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "accessScore",
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      "value": 62.9,
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    {
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      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
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      "geoName": "Northwest Arctic",
      "state": "AK",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 3,
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      "components": {
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        "hpsaDesignations": 15
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02290",
      "geoName": "Yukon-Koyukuk",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
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      "components": {
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        "hpsaMaxScore": 16,
        "hpsaDesignations": 35
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 64.6,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02290",
      "geoName": "Yukon-Koyukuk",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
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      "components": {
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        "hpsaDesignations": 35
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      "measureId": "burdenScore",
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      "value": 78.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02290",
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      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
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      "components": {
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        "shortageScore": 61.5,
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        "hpsaDesignations": 35
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 54.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02290",
      "geoName": "Yukon-Koyukuk",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 78.4,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 35
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02180",
      "geoName": "Nome",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 49.6,
        "accessScore": 60.3,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 18
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 62.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02180",
      "geoName": "Nome",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "accessScore": 60.3,
        "shortageScore": 76.9,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 49.6,
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      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02180",
      "geoName": "Nome",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "accessScore": 60.3,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 18
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 60.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02180",
      "geoName": "Nome",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 49.6,
        "accessScore": 60.3,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 18
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02070",
      "geoName": "Dillingham",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 6,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 47.9,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 16
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02070",
      "geoName": "Dillingham",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 6,
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 16
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 50.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02070",
      "geoName": "Dillingham",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 6,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "accessScore": 47.9,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 16
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 47.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02070",
      "geoName": "Dillingham",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 6,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 47.9,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 16
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02164",
      "geoName": "Lake and Peninsula",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 63.4,
        "accessScore": 43.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 14
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02164",
      "geoName": "Lake and Peninsula",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "accessScore": 43.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 14
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 63.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02164",
      "geoName": "Lake and Peninsula",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "accessScore": 43.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 14
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 43.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02164",
      "geoName": "Lake and Peninsula",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 63.4,
        "accessScore": 43.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 14
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02198",
      "geoName": "Prince of Wales-Hyder",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 63.1,
        "accessScore": 26.9,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 15
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02198",
      "geoName": "Prince of Wales-Hyder",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
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        "hpsaDesignations": 15
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      "measureId": "burdenScore",
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      "value": 63.1,
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    {
      "kind": "derived",
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      "geoName": "Prince of Wales-Hyder",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 15
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 26.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02198",
      "geoName": "Prince of Wales-Hyder",
      "state": "AK",
      "geoLevel": "county",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 15
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02185",
      "geoName": "North Slope",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 9
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 42.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
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      "state": "AK",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
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      "components": {
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    {
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
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      "components": {
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      "measureId": "accessScore",
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      "value": 26.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02185",
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      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 9
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02105",
      "geoName": "Hoonah-Angoon",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 68.5,
        "accessScore": 24.0,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 7
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 42.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02105",
      "geoName": "Hoonah-Angoon",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 68.5,
        "accessScore": 24.0,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 7
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 68.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02105",
      "geoName": "Hoonah-Angoon",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 68.5,
        "accessScore": 24.0,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 7
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 24.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02105",
      "geoName": "Hoonah-Angoon",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 68.5,
        "accessScore": 24.0,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 7
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 34.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02013",
      "geoName": "Aleutians East",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 24.2,
        "accessScore": 35.7,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 7
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02013",
      "geoName": "Aleutians East",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 24.2,
        "accessScore": 35.7,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 7
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 24.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02013",
      "geoName": "Aleutians East",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 24.2,
        "accessScore": 35.7,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 7
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02013",
      "geoName": "Aleutians East",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 24.2,
        "accessScore": 35.7,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 7
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02282",
      "geoName": "Yakutat",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 22.9,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02282",
      "geoName": "Yakutat",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 22.9,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 58.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02282",
      "geoName": "Yakutat",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 22.9,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02282",
      "geoName": "Yakutat",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 22.9,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 34.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02240",
      "geoName": "Southeast Fairbanks",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 34.1,
        "accessScore": 18.9,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 8
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02240",
      "geoName": "Southeast Fairbanks",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 34.1,
        "accessScore": 18.9,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 8
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 34.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02240",
      "geoName": "Southeast Fairbanks",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 34.1,
        "accessScore": 18.9,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 8
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 18.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02240",
      "geoName": "Southeast Fairbanks",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 34.1,
        "accessScore": 18.9,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 8
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02275",
      "geoName": "Wrangell",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 56.0,
        "accessScore": 13.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02275",
      "geoName": "Wrangell",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 56.0,
        "accessScore": 13.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 4
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 56.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02275",
      "geoName": "Wrangell",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 56.0,
        "accessScore": 13.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 4
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 13.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02275",
      "geoName": "Wrangell",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 14,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 56.0,
        "accessScore": 13.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02130",
      "geoName": "Ketchikan Gateway",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 30.3,
        "accessScore": 11.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.0,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02130",
      "geoName": "Ketchikan Gateway",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 30.3,
        "accessScore": 11.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 30.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02130",
      "geoName": "Ketchikan Gateway",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 30.3,
        "accessScore": 11.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 11.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02130",
      "geoName": "Ketchikan Gateway",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 30.3,
        "accessScore": 11.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02066",
      "geoName": "Copper River",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 41.0,
        "accessScore": 12.7,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 11
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 34.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02066",
      "geoName": "Copper River",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 41.0,
        "accessScore": 12.7,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 11
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 41.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02066",
      "geoName": "Copper River",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 41.0,
        "accessScore": 12.7,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 11
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02066",
      "geoName": "Copper River",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 41.0,
        "accessScore": 12.7,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 11
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02170",
      "geoName": "Matanuska-Susitna",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 17,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 22.1,
        "accessScore": 11.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 10
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 34.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02170",
      "geoName": "Matanuska-Susitna",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 17,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 22.1,
        "accessScore": 11.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 10
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 22.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02170",
      "geoName": "Matanuska-Susitna",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 17,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 22.1,
        "accessScore": 11.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 10
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 11.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02170",
      "geoName": "Matanuska-Susitna",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 17,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 22.1,
        "accessScore": 11.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 10
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02122",
      "geoName": "Kenai Peninsula",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 18,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 27.1,
        "accessScore": 11.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 17
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 33.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02122",
      "geoName": "Kenai Peninsula",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 18,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 27.1,
        "accessScore": 11.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 17
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 27.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02122",
      "geoName": "Kenai Peninsula",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 18,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 27.1,
        "accessScore": 11.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 17
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 11.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02122",
      "geoName": "Kenai Peninsula",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 18,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 27.1,
        "accessScore": 11.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 17
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02100",
      "geoName": "Haines",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 34.6,
        "accessScore": 1.9,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 27.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02100",
      "geoName": "Haines",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "accessScore": 1.9,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 5
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 34.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02100",
      "geoName": "Haines",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 34.6,
        "accessScore": 1.9,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 5
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 1.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02100",
      "geoName": "Haines",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 34.6,
        "accessScore": 1.9,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 5
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02060",
      "geoName": "Bristol Bay",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 36.6,
        "accessScore": 13.5,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 6
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 25.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02060",
      "geoName": "Bristol Bay",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 36.6,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 6
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
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      "geoName": "Bristol Bay",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 36.6,
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        "hpsaMaxScore": 7,
        "hpsaDesignations": 6
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 13.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02060",
      "geoName": "Bristol Bay",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 36.6,
        "accessScore": 13.5,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 6
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 26.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02195",
      "geoName": "Petersburg",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 25.7,
        "accessScore": 7.9,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 25.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02195",
      "geoName": "Petersburg",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 25.7,
        "accessScore": 7.9,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 25.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02195",
      "geoName": "Petersburg",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 25.7,
        "accessScore": 7.9,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 7.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02195",
      "geoName": "Petersburg",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 25.7,
        "accessScore": 7.9,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02016",
      "geoName": "Aleutians West",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 10.0,
        "accessScore": 21.2,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 8
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02016",
      "geoName": "Aleutians West",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 10.0,
        "accessScore": 21.2,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 8
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 10.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02016",
      "geoName": "Aleutians West",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 10.0,
        "accessScore": 21.2,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 8
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 21.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02016",
      "geoName": "Aleutians West",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 10.0,
        "accessScore": 21.2,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 8
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02110",
      "geoName": "Juneau",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 23,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 15.8,
        "accessScore": 6.3,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 9
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.0,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02110",
      "geoName": "Juneau",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 23,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 15.8,
        "accessScore": 6.3,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 9
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 15.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02110",
      "geoName": "Juneau",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 23,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 15.8,
        "accessScore": 6.3,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 9
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 6.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02110",
      "geoName": "Juneau",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 23,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 15.8,
        "accessScore": 6.3,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 9
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02090",
      "geoName": "Fairbanks North Star",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 24,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 7.0,
        "accessScore": 7.4,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 7
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.0,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02090",
      "geoName": "Fairbanks North Star",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 24,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 7.0,
        "accessScore": 7.4,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 7
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 7.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02090",
      "geoName": "Fairbanks North Star",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 24,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 7.0,
        "accessScore": 7.4,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 7
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 7.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02090",
      "geoName": "Fairbanks North Star",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 24,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 7.0,
        "accessScore": 7.4,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 7
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02063",
      "geoName": "Chugach",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 25,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 17.5,
        "accessScore": 4.1,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 6
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 23.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02063",
      "geoName": "Chugach",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 25,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 17.5,
        "accessScore": 4.1,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 6
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02063",
      "geoName": "Chugach",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 25,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "hpsaDesignations": 6
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 4.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02063",
      "geoName": "Chugach",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 25,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 17.5,
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        "hpsaMaxScore": 13,
        "hpsaDesignations": 6
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02020",
      "geoName": "Anchorage",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 12.8,
        "accessScore": 10.8,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 20
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 23.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02020",
      "geoName": "Anchorage",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "accessScore": 10.8,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 20
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 12.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02020",
      "geoName": "Anchorage",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 12.8,
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        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 20
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 10.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02020",
      "geoName": "Anchorage",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 12.8,
        "accessScore": 10.8,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 20
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02068",
      "geoName": "Denali",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 10.9,
        "accessScore": 7.2,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 22.7,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02068",
      "geoName": "Denali",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 10.9,
        "accessScore": 7.2,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 10.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02068",
      "geoName": "Denali",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 10.9,
        "accessScore": 7.2,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 7.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02068",
      "geoName": "Denali",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 10.9,
        "accessScore": 7.2,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02230",
      "geoName": "Skagway",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 21.1,
        "accessScore": 7.0,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 20.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02230",
      "geoName": "Skagway",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 21.1,
        "accessScore": 7.0,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 21.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02230",
      "geoName": "Skagway",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 21.1,
        "accessScore": 7.0,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 7.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02230",
      "geoName": "Skagway",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 21.1,
        "accessScore": 7.0,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 34.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02150",
      "geoName": "Kodiak Island",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 29,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 11.7,
        "accessScore": 12.5,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 9
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 19.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02150",
      "geoName": "Kodiak Island",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 29,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 11.7,
        "accessScore": 12.5,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 9
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 11.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02150",
      "geoName": "Kodiak Island",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 29,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "accessScore": 12.5,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 9
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 12.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02150",
      "geoName": "Kodiak Island",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 29,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 9
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 34.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02220",
      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
        "burdenScore": 15.6,
        "accessScore": 7.8,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 19.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02220",
      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
      "rankScope": "intra-state (Alaska, 30 boroughs and census areas)",
      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "fips": "02220",
      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
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      "measureId": "accessScore",
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      "value": 7.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "alaska-county-primary-care-access-2026",
      "fips": "02220",
      "geoName": "Sitka",
      "state": "AK",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
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      "components": {
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 34.6,
      "derivedFrom": []
    }
  ]
}
