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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "HOUSINSECU",
      "measureLabel": "Housing insecurity",
      "value": 8.9,
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      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
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      "datasetKey": "census_acs5_county",
      "measureId": "ACS_POVERTY",
      "measureLabel": "Below poverty (ACS)",
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      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
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      "datasetKey": "census_acs5_county",
      "measureId": "ACS_NOVEHICLE",
      "measureLabel": "Households without a vehicle (ACS)",
      "value": 3.5,
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      "vintage": "ACS 2019-2023 5-year estimates",
      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
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      "fips": "25005",
      "geoName": "Bristol",
      "state": "MA",
      "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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      "measureId": "priorityIndex",
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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",
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      "measureId": "shortageScore",
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      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25025",
      "geoName": "Suffolk",
      "state": "MA",
      "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": 18
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      "measureId": "priorityIndex",
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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "measureId": "shortageScore",
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      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25009",
      "geoName": "Essex",
      "state": "MA",
      "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",
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      "kind": "derived",
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      "fips": "25011",
      "geoName": "Franklin",
      "state": "MA",
      "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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      "components": {
        "burdenScore": 61.2,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 23
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.2,
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      "fips": "25011",
      "geoName": "Franklin",
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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": 6,
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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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        "shortageScore": 69.2,
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      "measureId": "accessScore",
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      "value": 32.1,
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    {
      "kind": "derived",
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      "geoName": "Franklin",
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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": 6,
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      "components": {
        "burdenScore": 61.2,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 23
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
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      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
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      "geoName": "Worcester",
      "state": "MA",
      "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 (Massachusetts, 14 counties)",
      "components": {
        "burdenScore": 55.6,
        "accessScore": 41.5,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 12
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.9,
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        "shortageScore"
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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": 7,
      "rankScope": "intra-state (Massachusetts, 14 counties)",
      "components": {
        "burdenScore": 55.6,
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      "measureId": "burdenScore",
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      "value": 55.6,
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      "geoName": "Worcester",
      "state": "MA",
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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": 7,
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      "components": {
        "burdenScore": 55.6,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 12
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 41.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25027",
      "geoName": "Worcester",
      "state": "MA",
      "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 (Massachusetts, 14 counties)",
      "components": {
        "burdenScore": 55.6,
        "accessScore": 41.5,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 12
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25001",
      "geoName": "Barnstable",
      "state": "MA",
      "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 (Massachusetts, 14 counties)",
      "components": {
        "burdenScore": 63.1,
        "accessScore": 6.2,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 42.3,
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25001",
      "geoName": "Barnstable",
      "state": "MA",
      "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 (Massachusetts, 14 counties)",
      "components": {
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
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      "value": 63.1,
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    {
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      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25001",
      "geoName": "Barnstable",
      "state": "MA",
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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": 8,
      "rankScope": "intra-state (Massachusetts, 14 counties)",
      "components": {
        "burdenScore": 63.1,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 6.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25001",
      "geoName": "Barnstable",
      "state": "MA",
      "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 (Massachusetts, 14 counties)",
      "components": {
        "burdenScore": 63.1,
        "accessScore": 6.2,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25023",
      "geoName": "Plymouth",
      "state": "MA",
      "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,
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      "components": {
        "burdenScore": 47.3,
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.2,
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        "accessScore",
        "shortageScore"
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      "geoName": "Plymouth",
      "state": "MA",
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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",
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    {
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      "geoName": "Plymouth",
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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",
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      "value": 26.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25023",
      "geoName": "Plymouth",
      "state": "MA",
      "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",
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25007",
      "geoName": "Dukes",
      "state": "MA",
      "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": 3
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      "measureId": "priorityIndex",
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      "value": 39.4,
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      "geoName": "Dukes",
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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)",
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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",
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    {
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      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25007",
      "geoName": "Dukes",
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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",
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25021",
      "geoName": "Norfolk",
      "state": "MA",
      "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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        "shortageScore": 65.4,
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      "measureId": "priorityIndex",
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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)",
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      "measureId": "burdenScore",
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      "measureId": "accessScore",
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    {
      "kind": "derived",
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      "fips": "25021",
      "geoName": "Norfolk",
      "state": "MA",
      "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 (Massachusetts, 14 counties)",
      "components": {
        "burdenScore": 14.3,
        "accessScore": 14.3,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25015",
      "geoName": "Hampshire",
      "state": "MA",
      "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 (Massachusetts, 14 counties)",
      "components": {
        "burdenScore": 9.9,
        "accessScore": 25.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 8
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25015",
      "geoName": "Hampshire",
      "state": "MA",
      "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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      "measureId": "burdenScore",
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      "value": 9.9,
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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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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 25.5,
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25015",
      "geoName": "Hampshire",
      "state": "MA",
      "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,
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      "measureId": "shortageScore",
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      "value": 57.7,
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25017",
      "geoName": "Middlesex",
      "state": "MA",
      "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 (Massachusetts, 14 counties)",
      "components": {
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        "accessScore": 19.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 30.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25017",
      "geoName": "Middlesex",
      "state": "MA",
      "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,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 5.7,
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25017",
      "geoName": "Middlesex",
      "state": "MA",
      "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,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 19.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25017",
      "geoName": "Middlesex",
      "state": "MA",
      "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": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "massachusetts-county-primary-care-access-2026",
      "fips": "25019",
      "geoName": "Nantucket",
      "state": "MA",
      "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,
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      "components": {
        "burdenScore": 16.1,
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        "shortageScore": 42.3,
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 22.1,
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        "shortageScore"
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    {
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      "fips": "25019",
      "geoName": "Nantucket",
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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)",
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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)",
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      "measureId": "accessScore",
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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)",
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    }
  ]
}
