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      "geoLevel": "county",
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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)",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "CHD",
      "measureLabel": "Coronary heart disease",
      "value": 6.2,
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      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "GHLTH",
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      "value": 14.5,
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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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      "kind": "measured",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "PHLTH",
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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)",
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      "kind": "measured",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "ACCESS2",
      "measureLabel": "Uninsured (adults 18-64)",
      "value": 4.7,
      "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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      "ci_hi": 6.2
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      "kind": "measured",
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      "state": "MI",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "LACKTRPT",
      "measureLabel": "Lack of reliable transportation",
      "value": 5.2,
      "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",
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      "kind": "measured",
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      "geoName": "Livingston",
      "state": "MI",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "FOODINSECU",
      "measureLabel": "Food insecurity",
      "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)",
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      "rank": 83,
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      "ci_hi": 11.3
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    {
      "kind": "measured",
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      "fips": "26093",
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      "state": "MI",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "HOUSINSECU",
      "measureLabel": "Housing insecurity",
      "value": 7.1,
      "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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      "rank": 83,
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      "ci_lo": 5.6,
      "ci_hi": 8.8
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    {
      "kind": "measured",
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      "geoName": "Livingston",
      "state": "MI",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_POVERTY",
      "measureLabel": "Below poverty (ACS)",
      "value": 4.9,
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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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      "methodRef": "scripts/insights/build.py",
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    {
      "kind": "measured",
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      "geoName": "Livingston",
      "state": "MI",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_NOVEHICLE",
      "measureLabel": "Households without a vehicle (ACS)",
      "value": 2.9,
      "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",
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      "rankScope": "intra-state (Michigan, 83 counties)"
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    {
      "kind": "derived",
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      "fips": "26085",
      "geoName": "Lake",
      "state": "MI",
      "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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      "components": {
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 83.2,
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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": 1,
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      "value": 92.6,
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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)",
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      "value": 80.2,
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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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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26163",
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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": 2,
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      "components": {
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        "hpsaDesignations": 310
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 80.4,
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        "accessScore",
        "shortageScore"
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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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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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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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        "hpsaDesignations": 310
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 92.3,
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26097",
      "geoName": "Mackinac",
      "state": "MI",
      "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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      "components": {
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        "hpsaMaxScore": 18,
        "hpsaDesignations": 7
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 70.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
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      "fips": "26097",
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      "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": 3,
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      "measureId": "burdenScore",
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      "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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      "components": {
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      "measureId": "accessScore",
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      "value": 62.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Mackinac",
      "state": "MI",
      "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": {
        "burdenScore": 81.2,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 7
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26035",
      "geoName": "Clare",
      "state": "MI",
      "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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      "components": {
        "burdenScore": 81.1,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 69.5,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Clare",
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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": 4,
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      "components": {
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        "hpsaDesignations": 7
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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",
      "rank": 4,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 81.1,
        "accessScore": 61.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 61.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26035",
      "geoName": "Clare",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 81.1,
        "accessScore": 61.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26135",
      "geoName": "Oscoda",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 86.4,
        "accessScore": 56.9,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 68.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26135",
      "geoName": "Oscoda",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 86.4,
        "accessScore": 56.9,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 86.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26135",
      "geoName": "Oscoda",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 86.4,
        "accessScore": 56.9,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 56.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26135",
      "geoName": "Oscoda",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 86.4,
        "accessScore": 56.9,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26119",
      "geoName": "Montmorency",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 84.1,
        "accessScore": 46.2,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 67.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26119",
      "geoName": "Montmorency",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 84.1,
        "accessScore": 46.2,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 84.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26119",
      "geoName": "Montmorency",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 84.1,
        "accessScore": 46.2,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26119",
      "geoName": "Montmorency",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 84.1,
        "accessScore": 46.2,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26145",
      "geoName": "Saginaw",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 58.9,
        "accessScore": 65.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 67.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26145",
      "geoName": "Saginaw",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 58.9,
        "accessScore": 65.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
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      "value": 58.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26145",
      "geoName": "Saginaw",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 58.9,
        "accessScore": 65.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 65.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26145",
      "geoName": "Saginaw",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 58.9,
        "accessScore": 65.1,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26069",
      "geoName": "Iosco",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 82.3,
        "accessScore": 49.8,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 6
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 65.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26069",
      "geoName": "Iosco",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 82.3,
        "accessScore": 49.8,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 6
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      "measureId": "burdenScore",
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      "value": 82.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26069",
      "geoName": "Iosco",
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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": 8,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 82.3,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 6
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 49.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26069",
      "geoName": "Iosco",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 82.3,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 6
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26095",
      "geoName": "Luce",
      "state": "MI",
      "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": 66.0,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 65.1,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26095",
      "geoName": "Luce",
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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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        "shortageScore": 69.2,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26095",
      "geoName": "Luce",
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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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        "hpsaDesignations": 3
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      "value": 60.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26095",
      "geoName": "Luce",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 66.0,
        "accessScore": 60.0,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26129",
      "geoName": "Ogemaw",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 75.8,
        "accessScore": 48.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 63.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Ogemaw",
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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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      "components": {
        "burdenScore": 75.8,
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Ogemaw",
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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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      "measureId": "shortageScore",
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      "kind": "derived",
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      "fips": "26121",
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      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 52.9,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 6
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 63.0,
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        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Muskegon",
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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": 11,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
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        "hpsaDesignations": 6
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      "measureId": "burdenScore",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Muskegon",
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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": 11,
      "rankScope": "intra-state (Michigan, 83 counties)",
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        "shortageScore": 80.8,
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        "hpsaDesignations": 6
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Muskegon",
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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": 11,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 52.9,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 6
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26013",
      "geoName": "Baraga",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 68.5,
        "accessScore": 60.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 62.2,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26013",
      "geoName": "Baraga",
      "state": "MI",
      "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": 12,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "hpsaDesignations": 4
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Baraga",
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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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      "components": {
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26013",
      "geoName": "Baraga",
      "state": "MI",
      "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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      "components": {
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26049",
      "geoName": "Genesee",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
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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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      "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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      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26149",
      "geoName": "St. Joseph",
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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": 14,
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      "components": {
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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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    {
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      "measureId": "shortageScore",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26071",
      "geoName": "Iron",
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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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      "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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      "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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      "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",
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      "value": 69.2,
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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": 16,
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      "components": {
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        "shortageScore": 73.1,
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        "hpsaDesignations": 3
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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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      "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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        "shortageScore": 73.1,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26153",
      "geoName": "Schoolcraft",
      "state": "MI",
      "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": 17,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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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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      "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",
      "measureLabel": "Access & SDOH barriers",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26153",
      "geoName": "Schoolcraft",
      "state": "MI",
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26007",
      "geoName": "Alpena",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 69.2,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
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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": 18,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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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": 18,
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      "components": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 3
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      "measureLabel": "Access & SDOH barriers",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "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": 18,
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      "components": {
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        "shortageScore": 65.4,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26011",
      "geoName": "Arenac",
      "state": "MI",
      "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,
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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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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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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      "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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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26133",
      "geoName": "Osceola",
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      "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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      "components": {
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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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      "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": "michigan-county-primary-care-access-2026",
      "fips": "26143",
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      "state": "MI",
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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": 65.4,
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      "measureId": "priorityIndex",
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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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",
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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": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26143",
      "geoName": "Roscommon",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 77.6,
        "accessScore": 37.8,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26159",
      "geoName": "Van Buren",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 49.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 8
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 60.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26159",
      "geoName": "Van Buren",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 49.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 8
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 57.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26159",
      "geoName": "Van Buren",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 49.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 8
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 49.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26159",
      "geoName": "Van Buren",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 49.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 8
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26051",
      "geoName": "Gladwin",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 75.2,
        "accessScore": 43.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 60.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26051",
      "geoName": "Gladwin",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 75.2,
        "accessScore": 43.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 75.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26051",
      "geoName": "Gladwin",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 75.2,
        "accessScore": 43.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 43.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26051",
      "geoName": "Gladwin",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 75.2,
        "accessScore": 43.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26021",
      "geoName": "Berrien",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 50.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26021",
      "geoName": "Berrien",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 50.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 5
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 55.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26021",
      "geoName": "Berrien",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 50.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 5
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 50.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26021",
      "geoName": "Berrien",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 50.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 5
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26033",
      "geoName": "Chippewa",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 59.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 6
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.7,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26033",
      "geoName": "Chippewa",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 59.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 6
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      "measureId": "burdenScore",
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      "value": 50.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26033",
      "geoName": "Chippewa",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 59.4,
        "shortageScore": 69.2,
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        "hpsaDesignations": 6
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      "measureId": "accessScore",
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      "value": 59.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26033",
      "geoName": "Chippewa",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 50.5,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 6
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26031",
      "geoName": "Cheboygan",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 69.2,
        "accessScore": 35.9,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26031",
      "geoName": "Cheboygan",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 69.2,
        "accessScore": 35.9,
        "shortageScore": 73.1,
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        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26031",
      "geoName": "Cheboygan",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 69.2,
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26031",
      "geoName": "Cheboygan",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 69.2,
        "accessScore": 35.9,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26131",
      "geoName": "Ontonagon",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 82.2,
        "accessScore": 30.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26131",
      "geoName": "Ontonagon",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 82.2,
        "accessScore": 30.0,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 82.2,
      "derivedFrom": []
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26131",
      "geoName": "Ontonagon",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 82.2,
        "accessScore": 30.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 30.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26131",
      "geoName": "Ontonagon",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 82.2,
        "accessScore": 30.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26053",
      "geoName": "Gogebic",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 70.9,
        "accessScore": 45.0,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26053",
      "geoName": "Gogebic",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 70.9,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 70.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26053",
      "geoName": "Gogebic",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 70.9,
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        "shortageScore": 57.7,
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 45.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26053",
      "geoName": "Gogebic",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 70.9,
        "accessScore": 45.0,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26127",
      "geoName": "Oceana",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 62.7,
        "accessScore": 48.4,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26127",
      "geoName": "Oceana",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 62.7,
        "accessScore": 48.4,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 62.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26127",
      "geoName": "Oceana",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 62.7,
        "accessScore": 48.4,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 48.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26127",
      "geoName": "Oceana",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 62.7,
        "accessScore": 48.4,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26107",
      "geoName": "Mecosta",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 51.4,
        "accessScore": 52.3,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26107",
      "geoName": "Mecosta",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 51.4,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 4
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26107",
      "geoName": "Mecosta",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 51.4,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 52.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26107",
      "geoName": "Mecosta",
      "state": "MI",
      "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 (Michigan, 83 counties)",
      "components": {
        "burdenScore": 51.4,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26023",
      "geoName": "Branch",
      "state": "MI",
      "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": 31,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 56.7,
        "accessScore": 54.6,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.3,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26023",
      "geoName": "Branch",
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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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      "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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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Branch",
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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": "michigan-county-primary-care-access-2026",
      "fips": "26075",
      "geoName": "Jackson",
      "state": "MI",
      "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": 32,
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      "components": {
        "burdenScore": 51.6,
        "accessScore": 43.2,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26075",
      "geoName": "Jackson",
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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": 32,
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      "components": {
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      "measureId": "burdenScore",
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      "value": 51.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Jackson",
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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": 32,
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      "components": {
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        "shortageScore": 73.1,
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        "hpsaDesignations": 5
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 43.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26075",
      "geoName": "Jackson",
      "state": "MI",
      "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": 32,
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      "components": {
        "burdenScore": 51.6,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 5
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26151",
      "geoName": "Sanilac",
      "state": "MI",
      "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": 33,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 63.8,
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        "hpsaDesignations": 6
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.3,
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    },
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      "geoName": "Sanilac",
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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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      "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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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Sanilac",
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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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      "rankScope": "intra-state (Michigan, 83 counties)",
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        "shortageScore": 57.7,
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        "hpsaDesignations": 6
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26039",
      "geoName": "Crawford",
      "state": "MI",
      "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": 34,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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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": 34,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Crawford",
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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": 34,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 50.0,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 46.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Crawford",
      "state": "MI",
      "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": 34,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 69.8,
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        "shortageScore": 50.0,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26117",
      "geoName": "Montcalm",
      "state": "MI",
      "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": 35,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
        "accessScore": 48.8,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 10
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Montcalm",
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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": 35,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 10
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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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": 35,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 61.5,
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        "hpsaDesignations": 10
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      "measureId": "accessScore",
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      "value": 48.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26117",
      "geoName": "Montcalm",
      "state": "MI",
      "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": 35,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 55.3,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 10
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      "measureId": "shortageScore",
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      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26123",
      "geoName": "Newaygo",
      "state": "MI",
      "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": 36,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 58.1,
        "accessScore": 46.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 7
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
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      "geoName": "Newaygo",
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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": 36,
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    {
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Newaygo",
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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": 36,
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26059",
      "geoName": "Hillsdale",
      "state": "MI",
      "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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      "components": {
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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    {
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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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      "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": "michigan-county-primary-care-access-2026",
      "fips": "26027",
      "geoName": "Cass",
      "state": "MI",
      "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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      "components": {
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        "hpsaDesignations": 4
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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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": "michigan-county-primary-care-access-2026",
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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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      "fips": "26027",
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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": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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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": 39,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 84.6,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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      "value": 54.9,
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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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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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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    {
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      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "state": "MI",
      "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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      "rankScope": "intra-state (Michigan, 83 counties)",
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26109",
      "geoName": "Menominee",
      "state": "MI",
      "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": 40,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 64.1,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26109",
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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": 40,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 61.5,
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        "hpsaDesignations": 3
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      "measureId": "burdenScore",
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      "value": 64.1,
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26109",
      "geoName": "Menominee",
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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": 40,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26109",
      "geoName": "Menominee",
      "state": "MI",
      "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": 40,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 64.1,
        "accessScore": 37.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26073",
      "geoName": "Isabella",
      "state": "MI",
      "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": 41,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 36.3,
        "accessScore": 64.9,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 9
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26073",
      "geoName": "Isabella",
      "state": "MI",
      "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": 41,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "hpsaDesignations": 9
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      "measureId": "burdenScore",
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      "value": 36.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26073",
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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": 41,
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      "components": {
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        "hpsaDesignations": 9
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26073",
      "geoName": "Isabella",
      "state": "MI",
      "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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      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26141",
      "geoName": "Presque Isle",
      "state": "MI",
      "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": 42,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 50.0,
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "kind": "derived",
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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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      "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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      "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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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "fips": "26105",
      "geoName": "Mason",
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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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      "components": {
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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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      "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": "26041",
      "geoName": "Delta",
      "state": "MI",
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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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      "measureId": "priorityIndex",
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    {
      "kind": "derived",
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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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    {
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      "fips": "26041",
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      "state": "MI",
      "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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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 41.4,
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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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        "shortageScore": 57.7,
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        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "St. Clair",
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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": 45,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 47.9,
        "accessScore": 35.2,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
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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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      "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": 45,
      "rankScope": "intra-state (Michigan, 83 counties)",
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        "shortageScore": 73.1,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "St. Clair",
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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": 45,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 47.9,
        "accessScore": 35.2,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26063",
      "geoName": "Huron",
      "state": "MI",
      "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": 46,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 65.2,
        "accessScore": 37.2,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 8
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.1,
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        "shortageScore"
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      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Huron",
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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": 46,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 65.2,
        "accessScore": 37.2,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 8
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 65.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26063",
      "geoName": "Huron",
      "state": "MI",
      "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": 46,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 65.2,
        "accessScore": 37.2,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 8
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26063",
      "geoName": "Huron",
      "state": "MI",
      "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": 46,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 65.2,
        "accessScore": 37.2,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 8
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26157",
      "geoName": "Tuscola",
      "state": "MI",
      "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": 47,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 60.7,
        "accessScore": 41.5,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 9
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "derivedFrom": [
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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": 47,
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      "measureId": "burdenScore",
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      "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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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Tuscola",
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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": 47,
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26001",
      "geoName": "Alcona",
      "state": "MI",
      "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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      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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        "shortageScore"
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    {
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      "geoName": "Alcona",
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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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      "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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    {
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26113",
      "geoName": "Missaukee",
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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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      "components": {
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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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    {
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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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      "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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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26165",
      "geoName": "Wexford",
      "state": "MI",
      "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": 50,
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      "components": {
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        "shortageScore": 53.8,
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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      "value": 51.4,
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        "shortageScore"
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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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      "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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      "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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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 50.0,
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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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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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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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
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      "derivedFrom": []
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26101",
      "geoName": "Manistee",
      "state": "MI",
      "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": 52,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 57.7,
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        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "shortageScore"
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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": 52,
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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",
      "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": "shortageScore",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26057",
      "geoName": "Gratiot",
      "state": "MI",
      "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": 53,
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      "measureId": "priorityIndex",
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      "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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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26115",
      "geoName": "Monroe",
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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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      "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",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26003",
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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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      "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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      "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 2
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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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      "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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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "shortageScore",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26155",
      "geoName": "Shiawassee",
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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",
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      "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 43.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26067",
      "geoName": "Ionia",
      "state": "MI",
      "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": 61,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 41.0,
        "accessScore": 43.6,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 11
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26077",
      "geoName": "Kalamazoo",
      "state": "MI",
      "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": 62,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 24.2,
        "accessScore": 39.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26077",
      "geoName": "Kalamazoo",
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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": 62,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 24.2,
        "accessScore": 39.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 24.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26077",
      "geoName": "Kalamazoo",
      "state": "MI",
      "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": 62,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 24.2,
        "accessScore": 39.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 39.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26077",
      "geoName": "Kalamazoo",
      "state": "MI",
      "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": 62,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 24.2,
        "accessScore": 39.8,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26005",
      "geoName": "Allegan",
      "state": "MI",
      "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": 63,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.2,
        "accessScore": 27.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 44.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26005",
      "geoName": "Allegan",
      "state": "MI",
      "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": 63,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.2,
        "accessScore": 27.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 37.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26005",
      "geoName": "Allegan",
      "state": "MI",
      "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": 63,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.2,
        "accessScore": 27.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26005",
      "geoName": "Allegan",
      "state": "MI",
      "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": 63,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.2,
        "accessScore": 27.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26081",
      "geoName": "Kent",
      "state": "MI",
      "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": 64,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 22.5,
        "accessScore": 38.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 43.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26081",
      "geoName": "Kent",
      "state": "MI",
      "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": 64,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 22.5,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 5
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 22.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26081",
      "geoName": "Kent",
      "state": "MI",
      "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": 64,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 22.5,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 5
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 38.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26081",
      "geoName": "Kent",
      "state": "MI",
      "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": 64,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 22.5,
        "accessScore": 38.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 5
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26137",
      "geoName": "Otsego",
      "state": "MI",
      "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": 65,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 48.0,
        "accessScore": 27.9,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 42.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26137",
      "geoName": "Otsego",
      "state": "MI",
      "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": 65,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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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": 65,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 50.0,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
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      "value": 27.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26137",
      "geoName": "Otsego",
      "state": "MI",
      "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": 65,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 48.0,
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        "shortageScore": 50.0,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26047",
      "geoName": "Emmet",
      "state": "MI",
      "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": 66,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 33.3,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 40.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26047",
      "geoName": "Emmet",
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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": 66,
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      "components": {
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        "shortageScore": 69.2,
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      "measureId": "burdenScore",
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      "value": 33.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26047",
      "geoName": "Emmet",
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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": 66,
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      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
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      "value": 17.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26047",
      "geoName": "Emmet",
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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": 66,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 33.3,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26061",
      "geoName": "Houghton",
      "state": "MI",
      "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": 67,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 23.8,
        "accessScore": 40.3,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26061",
      "geoName": "Houghton",
      "state": "MI",
      "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": 67,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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      "kind": "derived",
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      "fips": "26061",
      "geoName": "Houghton",
      "state": "MI",
      "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": 67,
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        "shortageScore": 53.8,
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        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 40.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26061",
      "geoName": "Houghton",
      "state": "MI",
      "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": 67,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 53.8,
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        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26045",
      "geoName": "Eaton",
      "state": "MI",
      "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": 68,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.6,
        "accessScore": 24.7,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 22
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26045",
      "geoName": "Eaton",
      "state": "MI",
      "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": 68,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.6,
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        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 22
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 37.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26045",
      "geoName": "Eaton",
      "state": "MI",
      "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": 68,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.6,
        "accessScore": 24.7,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 22
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26045",
      "geoName": "Eaton",
      "state": "MI",
      "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": 68,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.6,
        "accessScore": 24.7,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 22
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26015",
      "geoName": "Barry",
      "state": "MI",
      "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": 69,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.6,
        "accessScore": 22.3,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26015",
      "geoName": "Barry",
      "state": "MI",
      "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": 69,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.6,
        "accessScore": 22.3,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 37.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26015",
      "geoName": "Barry",
      "state": "MI",
      "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": 69,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.6,
        "accessScore": 22.3,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26015",
      "geoName": "Barry",
      "state": "MI",
      "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": 69,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 37.6,
        "accessScore": 22.3,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26103",
      "geoName": "Marquette",
      "state": "MI",
      "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": 70,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 31.6,
        "accessScore": 31.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 37.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26103",
      "geoName": "Marquette",
      "state": "MI",
      "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": 70,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 31.6,
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
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      "value": 31.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26103",
      "geoName": "Marquette",
      "state": "MI",
      "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": 70,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 31.6,
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26103",
      "geoName": "Marquette",
      "state": "MI",
      "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": 70,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 31.6,
        "accessScore": 31.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26019",
      "geoName": "Benzie",
      "state": "MI",
      "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": 71,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 47.9,
        "accessScore": 15.8,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26019",
      "geoName": "Benzie",
      "state": "MI",
      "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": 71,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "shortageScore": 46.2,
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        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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      "value": 47.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26019",
      "geoName": "Benzie",
      "state": "MI",
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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": 71,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 47.9,
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        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
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      "value": 15.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26019",
      "geoName": "Benzie",
      "state": "MI",
      "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": 71,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 47.9,
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        "shortageScore": 46.2,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26083",
      "geoName": "Keweenaw",
      "state": "MI",
      "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": 72,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 50.3,
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        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26083",
      "geoName": "Keweenaw",
      "state": "MI",
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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": 72,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 50.3,
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        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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      "value": 50.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26083",
      "geoName": "Keweenaw",
      "state": "MI",
      "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": 72,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 50.3,
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        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 5.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26083",
      "geoName": "Keweenaw",
      "state": "MI",
      "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": 72,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 50.3,
        "accessScore": 5.3,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26125",
      "geoName": "Oakland",
      "state": "MI",
      "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": 73,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 16.4,
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        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
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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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      "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": 73,
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      "components": {
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        "shortageScore": 73.1,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Oakland",
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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": 73,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
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        "accessScore": 18.1,
        "shortageScore": 73.1,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26089",
      "geoName": "Leelanau",
      "state": "MI",
      "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": 74,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 36.1,
        "accessScore": 2.7,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 32.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Leelanau",
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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": 74,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 36.1,
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        "shortageScore": 57.7,
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        "hpsaDesignations": 2
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      "measureId": "burdenScore",
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      "value": 36.1,
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      "kind": "derived",
      "jurisdictionSlug": "michigan-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": 74,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 36.1,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 2.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26089",
      "geoName": "Leelanau",
      "state": "MI",
      "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": 74,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 36.1,
        "accessScore": 2.7,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26161",
      "geoName": "Washtenaw",
      "state": "MI",
      "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": 75,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 0.0,
        "accessScore": 30.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26161",
      "geoName": "Washtenaw",
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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": 75,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 0.0,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 0.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26161",
      "geoName": "Washtenaw",
      "state": "MI",
      "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": 75,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 0.0,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 30.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26161",
      "geoName": "Washtenaw",
      "state": "MI",
      "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": 75,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 0.0,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26139",
      "geoName": "Ottawa",
      "state": "MI",
      "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": 76,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 15.4,
        "accessScore": 21.5,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Ottawa",
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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": 76,
      "rankScope": "intra-state (Michigan, 83 counties)",
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      "measureId": "burdenScore",
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      "value": 15.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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      "geoName": "Ottawa",
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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": 76,
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        "shortageScore": 57.7,
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      "value": 21.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26139",
      "geoName": "Ottawa",
      "state": "MI",
      "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": 76,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 15.4,
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        "shortageScore": 57.7,
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26029",
      "geoName": "Charlevoix",
      "state": "MI",
      "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": 77,
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      "components": {
        "burdenScore": 42.4,
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        "shortageScore": 30.8,
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      "measureId": "priorityIndex",
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        "shortageScore"
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    {
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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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      "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": "michigan-county-primary-care-access-2026",
      "fips": "26029",
      "geoName": "Charlevoix",
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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": 77,
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      "components": {
        "burdenScore": 42.4,
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      "measureId": "shortageScore",
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      "value": 30.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26087",
      "geoName": "Lapeer",
      "state": "MI",
      "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": 78,
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      "components": {
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        "shortageScore": 11.5,
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
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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": 78,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26087",
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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": 78,
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      "components": {
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      "measureId": "accessScore",
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      "value": 30.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26087",
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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": 78,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 43.1,
        "accessScore": 30.6,
        "shortageScore": 11.5,
        "hpsaMaxScore": 3,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 11.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26055",
      "geoName": "Grand Traverse",
      "state": "MI",
      "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": 79,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 30.8,
        "accessScore": 18.6,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 24.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26055",
      "geoName": "Grand Traverse",
      "state": "MI",
      "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": 79,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 30.8,
        "accessScore": 18.6,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 30.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26055",
      "geoName": "Grand Traverse",
      "state": "MI",
      "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": 79,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 30.8,
        "accessScore": 18.6,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 18.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26055",
      "geoName": "Grand Traverse",
      "state": "MI",
      "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": 79,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 30.8,
        "accessScore": 18.6,
        "shortageScore": 23.1,
        "hpsaMaxScore": 6,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 23.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26009",
      "geoName": "Antrim",
      "state": "MI",
      "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": 80,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 48.0,
        "accessScore": 15.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 21.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26009",
      "geoName": "Antrim",
      "state": "MI",
      "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": 80,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 48.0,
        "accessScore": 15.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 48.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26009",
      "geoName": "Antrim",
      "state": "MI",
      "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": 80,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 48.0,
        "accessScore": 15.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 15.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26009",
      "geoName": "Antrim",
      "state": "MI",
      "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": 80,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 48.0,
        "accessScore": 15.8,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26111",
      "geoName": "Midland",
      "state": "MI",
      "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": 81,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 29.3,
        "accessScore": 24.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 17.8,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26111",
      "geoName": "Midland",
      "state": "MI",
      "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": 81,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 29.3,
        "accessScore": 24.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 29.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26111",
      "geoName": "Midland",
      "state": "MI",
      "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": 81,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 29.3,
        "accessScore": 24.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 24.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26111",
      "geoName": "Midland",
      "state": "MI",
      "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": 81,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 29.3,
        "accessScore": 24.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26037",
      "geoName": "Clinton",
      "state": "MI",
      "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": 82,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 28.2,
        "accessScore": 18.2,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 15.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26037",
      "geoName": "Clinton",
      "state": "MI",
      "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": 82,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 28.2,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 28.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26037",
      "geoName": "Clinton",
      "state": "MI",
      "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": 82,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 28.2,
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        "shortageScore": 0.0,
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        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 18.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26037",
      "geoName": "Clinton",
      "state": "MI",
      "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": 82,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 28.2,
        "accessScore": 18.2,
        "shortageScore": 0.0,
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        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26093",
      "geoName": "Livingston",
      "state": "MI",
      "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": 83,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 17.3,
        "accessScore": 3.3,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 6.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26093",
      "geoName": "Livingston",
      "state": "MI",
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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": 83,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 17.3,
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        "shortageScore": 0.0,
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        "hpsaDesignations": 0
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      "measureId": "burdenScore",
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      "value": 17.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26093",
      "geoName": "Livingston",
      "state": "MI",
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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": 83,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 17.3,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 3.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "michigan-county-primary-care-access-2026",
      "fips": "26093",
      "geoName": "Livingston",
      "state": "MI",
      "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": 83,
      "rankScope": "intra-state (Michigan, 83 counties)",
      "components": {
        "burdenScore": 17.3,
        "accessScore": 3.3,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 0.0,
      "derivedFrom": []
    }
  ]
}
