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      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
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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",
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      "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": "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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      "measureId": "ACCESS2",
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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": "LACKTRPT",
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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",
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      "kind": "measured",
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      "datasetKey": "cdc_places_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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      "kind": "measured",
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      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
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      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
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      "kind": "derived",
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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "measureId": "priorityIndex",
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 34.0,
      "derivedFrom": []
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31107",
      "geoName": "Knox",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 66.2,
        "accessScore": 34.0,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31043",
      "geoName": "Dakota",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 51.8,
        "accessScore": 66.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31043",
      "geoName": "Dakota",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 51.8,
        "accessScore": 66.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 51.8,
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31043",
      "geoName": "Dakota",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 51.8,
        "accessScore": 66.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 66.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31043",
      "geoName": "Dakota",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 51.8,
        "accessScore": 66.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31079",
      "geoName": "Hall",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 49.1,
        "accessScore": 56.7,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 57.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31079",
      "geoName": "Hall",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 49.1,
        "accessScore": 56.7,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 49.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31079",
      "geoName": "Hall",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 49.1,
        "accessScore": 56.7,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 56.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31079",
      "geoName": "Hall",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 49.1,
        "accessScore": 56.7,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31133",
      "geoName": "Pawnee",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 75.7,
        "accessScore": 35.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31133",
      "geoName": "Pawnee",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 75.7,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 75.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31133",
      "geoName": "Pawnee",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 57.7,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31133",
      "geoName": "Pawnee",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 75.7,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31123",
      "geoName": "Morrill",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 64.1,
        "accessScore": 42.3,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.0,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31123",
      "geoName": "Morrill",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
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        "hpsaDesignations": 3
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      "measureId": "burdenScore",
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    {
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      "jurisdictionSlug": "nebraska-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": 7,
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      "components": {
        "burdenScore": 64.1,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 42.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31123",
      "geoName": "Morrill",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
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      "components": {
        "burdenScore": 64.1,
        "accessScore": 42.3,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31157",
      "geoName": "Scotts Bluff",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
        "burdenScore": 56.6,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
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      "measureId": "priorityIndex",
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      "value": 55.8,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Scotts Bluff",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
        "burdenScore": 56.6,
        "accessScore": 49.2,
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      "measureId": "burdenScore",
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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",
      "rank": 8,
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      "components": {
        "burdenScore": 56.6,
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      "measureId": "accessScore",
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      "value": 49.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31157",
      "geoName": "Scotts Bluff",
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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": 8,
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      "components": {
        "burdenScore": 56.6,
        "accessScore": 49.2,
        "shortageScore": 61.5,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31161",
      "geoName": "Sheridan",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 62.0,
        "accessScore": 30.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31161",
      "geoName": "Sheridan",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 9,
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      "components": {
        "burdenScore": 62.0,
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      "fips": "31161",
      "geoName": "Sheridan",
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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": 9,
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      "components": {
        "burdenScore": 62.0,
        "accessScore": 30.3,
        "shortageScore": 69.2,
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 30.3,
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Sheridan",
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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": 9,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 62.0,
        "accessScore": 30.3,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31065",
      "geoName": "Furnas",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 68.9,
        "accessScore": 30.4,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.6,
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
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      "geoName": "Furnas",
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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": 10,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 68.9,
        "accessScore": 30.4,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 68.9,
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31065",
      "geoName": "Furnas",
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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": 10,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 68.9,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 30.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Furnas",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 68.9,
        "accessScore": 30.4,
        "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": "nebraska-county-primary-care-access-2026",
      "fips": "31105",
      "geoName": "Kimball",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 85.3,
        "accessScore": 36.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31105",
      "geoName": "Kimball",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 85.3,
        "accessScore": 36.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 85.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31105",
      "geoName": "Kimball",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 85.3,
        "accessScore": 36.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 36.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31105",
      "geoName": "Kimball",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 85.3,
        "accessScore": 36.7,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31165",
      "geoName": "Sioux",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 95.0,
        "accessScore": 37.6,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 53.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Sioux",
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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": 12,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 95.0,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
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      "measureId": "burdenScore",
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      "value": 95.0,
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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": 12,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 95.0,
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        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Sioux",
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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": 12,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 95.0,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31147",
      "geoName": "Richardson",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 73.1,
        "accessScore": 31.7,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.9,
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        "shortageScore"
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      "fips": "31147",
      "geoName": "Richardson",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 13,
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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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      "components": {
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      "geoName": "Richardson",
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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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      "components": {
        "burdenScore": 73.1,
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      "measureId": "shortageScore",
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      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31145",
      "geoName": "Red Willow",
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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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        "hpsaDesignations": 2
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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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      "components": {
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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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    {
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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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      "components": {
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31031",
      "geoName": "Cherry",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
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      "components": {
        "burdenScore": 58.2,
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.4,
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      "kind": "derived",
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      "fips": "31031",
      "geoName": "Cherry",
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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": 15,
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      "components": {
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        "shortageScore": 69.2,
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      "value": 58.2,
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      "geoName": "Cherry",
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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": 15,
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      "components": {
        "burdenScore": 58.2,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 29.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Cherry",
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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": 15,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 29.7,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31037",
      "geoName": "Colfax",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 49.3,
        "accessScore": 57.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 5
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.3,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31037",
      "geoName": "Colfax",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 49.3,
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 5
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "geoName": "Colfax",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 49.3,
        "accessScore": 57.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 5
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 57.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31037",
      "geoName": "Colfax",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 49.3,
        "accessScore": 57.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 5
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31087",
      "geoName": "Hitchcock",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 65.0,
        "accessScore": 27.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 51.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31087",
      "geoName": "Hitchcock",
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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": 17,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 65.0,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31087",
      "geoName": "Hitchcock",
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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": 17,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 65.0,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31087",
      "geoName": "Hitchcock",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 65.0,
        "accessScore": 27.6,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31069",
      "geoName": "Garden",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 85.2,
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        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "shortageScore"
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    {
      "kind": "derived",
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      "fips": "31069",
      "geoName": "Garden",
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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": 18,
      "rankScope": "intra-state (Nebraska, 93 counties)",
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Garden",
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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": 18,
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      "components": {
        "burdenScore": 85.2,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
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      "value": 30.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Garden",
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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": {
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31057",
      "geoName": "Dundy",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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    {
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      "jurisdictionSlug": "nebraska-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",
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      "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",
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      "rank": 20,
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        "burdenScore": 60.1,
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        "hpsaDesignations": 5
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31111",
      "geoName": "Lincoln",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 57.2,
        "accessScore": 35.4,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 48.8,
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        "shortageScore"
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      "kind": "derived",
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      "geoName": "Lincoln",
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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": 21,
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      "components": {
        "burdenScore": 57.2,
        "accessScore": 35.4,
        "shortageScore": 53.8,
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      "measureId": "burdenScore",
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      "value": 57.2,
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      "kind": "derived",
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      "geoName": "Lincoln",
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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": 21,
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      "components": {
        "burdenScore": 57.2,
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        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31111",
      "geoName": "Lincoln",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 57.2,
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        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31017",
      "geoName": "Brown",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 61.9,
        "accessScore": 32.7,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 48.2,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31017",
      "geoName": "Brown",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 61.9,
        "accessScore": 32.7,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 61.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31017",
      "geoName": "Brown",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 61.9,
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 32.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31017",
      "geoName": "Brown",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 61.9,
        "accessScore": 32.7,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31051",
      "geoName": "Dixon",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 63.1,
        "accessScore": 29.9,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 47.7,
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31051",
      "geoName": "Dixon",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 63.1,
        "accessScore": 29.9,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 63.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31051",
      "geoName": "Dixon",
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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": 23,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 63.1,
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31051",
      "geoName": "Dixon",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 63.1,
        "accessScore": 29.9,
        "shortageScore": 50.0,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31015",
      "geoName": "Boyd",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 72.7,
        "accessScore": 18.1,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.9,
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        "shortageScore"
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      "geoName": "Boyd",
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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": 24,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Boyd",
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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": 24,
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      "components": {
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      "measureId": "accessScore",
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      "value": 18.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31015",
      "geoName": "Boyd",
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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": 24,
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      "components": {
        "burdenScore": 72.7,
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31033",
      "geoName": "Cheyenne",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 48.2,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "kind": "derived",
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      "fips": "31033",
      "geoName": "Cheyenne",
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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": 25,
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      "components": {
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      "measureId": "burdenScore",
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      "value": 48.2,
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    {
      "kind": "derived",
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      "geoName": "Cheyenne",
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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": 25,
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      "components": {
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31033",
      "geoName": "Cheyenne",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 48.2,
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      "measureId": "shortageScore",
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      "value": 61.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31067",
      "geoName": "Gage",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 60.4,
        "accessScore": 37.0,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.6,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31067",
      "geoName": "Gage",
      "state": "NE",
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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": 26,
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      "components": {
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        "shortageScore": 42.3,
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        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 60.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31067",
      "geoName": "Gage",
      "state": "NE",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 26,
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        "burdenScore": 60.4,
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31067",
      "geoName": "Gage",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 60.4,
        "accessScore": 37.0,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31101",
      "geoName": "Keith",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 53.9,
        "accessScore": 28.2,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.6,
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        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31101",
      "geoName": "Keith",
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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": 27,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 53.9,
        "accessScore": 28.2,
        "shortageScore": 57.7,
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        "hpsaDesignations": 2
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      "measureLabel": "Health burden score",
      "value": 53.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31101",
      "geoName": "Keith",
      "state": "NE",
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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": 27,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 53.9,
        "accessScore": 28.2,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 28.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31101",
      "geoName": "Keith",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 53.9,
        "accessScore": 28.2,
        "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": "nebraska-county-primary-care-access-2026",
      "fips": "31141",
      "geoName": "Platte",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 43.8,
        "accessScore": 34.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31141",
      "geoName": "Platte",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 43.8,
        "accessScore": 34.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 43.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31141",
      "geoName": "Platte",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 43.8,
        "accessScore": 34.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 34.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31141",
      "geoName": "Platte",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 43.8,
        "accessScore": 34.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31163",
      "geoName": "Sherman",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 68.0,
        "accessScore": 27.6,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 46.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31163",
      "geoName": "Sherman",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 68.0,
        "accessScore": 27.6,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 68.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31163",
      "geoName": "Sherman",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 68.0,
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        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31163",
      "geoName": "Sherman",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 68.0,
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        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31095",
      "geoName": "Jefferson",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 52.6,
        "accessScore": 33.1,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31095",
      "geoName": "Jefferson",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
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      "components": {
        "burdenScore": 52.6,
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        "shortageScore": 50.0,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31095",
      "geoName": "Jefferson",
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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": 30,
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      "components": {
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        "shortageScore": 50.0,
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      "measureId": "accessScore",
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      "value": 33.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31095",
      "geoName": "Jefferson",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
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      "components": {
        "burdenScore": 52.6,
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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": "nebraska-county-primary-care-access-2026",
      "fips": "31091",
      "geoName": "Hooker",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 60.3,
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        "shortageScore": 53.8,
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        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.2,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31091",
      "geoName": "Hooker",
      "state": "NE",
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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": 31,
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      "components": {
        "burdenScore": 60.3,
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      "measureId": "burdenScore",
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      "value": 60.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Hooker",
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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": 31,
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      "components": {
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 21.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31091",
      "geoName": "Hooker",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 60.3,
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        "shortageScore": 53.8,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31137",
      "geoName": "Phelps",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 43.0,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
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      "value": 45.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31137",
      "geoName": "Phelps",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA 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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      "geoName": "Phelps",
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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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      "geoName": "Nuckolls",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 58.7,
        "accessScore": 15.4,
        "shortageScore": 61.5,
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        "hpsaDesignations": 2
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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",
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      "rankScope": "intra-state (Nebraska, 93 counties)",
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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": 33,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 61.5,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 15.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31129",
      "geoName": "Nuckolls",
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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": 33,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 58.7,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31125",
      "geoName": "Nance",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 34.5,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 44.6,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31125",
      "geoName": "Nance",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 57.1,
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        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 57.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31125",
      "geoName": "Nance",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 57.1,
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        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 34.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31125",
      "geoName": "Nance",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 57.1,
        "accessScore": 34.5,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31119",
      "geoName": "Madison",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 41.2,
        "accessScore": 37.1,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 44.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31119",
      "geoName": "Madison",
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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,
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      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Madison",
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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,
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      "components": {
        "burdenScore": 41.2,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31119",
      "geoName": "Madison",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 41.2,
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        "shortageScore": 53.8,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31061",
      "geoName": "Franklin",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 72.3,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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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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      "components": {
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Franklin",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 36,
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      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31035",
      "geoName": "Clay",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 45.1,
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "kind": "derived",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "components": {
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    {
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "components": {
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31035",
      "geoName": "Clay",
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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",
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31013",
      "geoName": "Box Butte",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "priorityIndex",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "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",
      "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": "nebraska-county-primary-care-access-2026",
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      "geoName": "Deuel",
      "state": "NE",
      "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": 39,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "components": {
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      "measureId": "burdenScore",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31049",
      "geoName": "Deuel",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 38.5,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31097",
      "geoName": "Johnson",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 39.9,
        "accessScore": 37.1,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 42.3,
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31097",
      "geoName": "Johnson",
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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": 40,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "geoName": "Johnson",
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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": 40,
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Johnson",
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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": 40,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31131",
      "geoName": "Otoe",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
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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)",
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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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    {
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      "fips": "31181",
      "geoName": "Webster",
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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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      "vintage": "places: PLACES: Local Data for Better Health, County 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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      "fips": "31117",
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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",
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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": 43,
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      "components": {
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
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      "kind": "derived",
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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": 44,
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      "components": {
        "burdenScore": 51.8,
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        "shortageScore": 50.0,
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        "hpsaDesignations": 4
      },
      "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)",
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      "rank": 44,
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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": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 24.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Holt",
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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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      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 50.0,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31055",
      "geoName": "Douglas",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 17.2,
        "accessScore": 39.6,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 42.0,
      "derivedFrom": [
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        "shortageScore"
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    {
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      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31055",
      "geoName": "Douglas",
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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": 45,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 17.2,
        "accessScore": 39.6,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 17.2,
      "derivedFrom": []
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    {
      "kind": "derived",
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      "fips": "31055",
      "geoName": "Douglas",
      "state": "NE",
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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": 45,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 17.2,
        "accessScore": 39.6,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 39.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31055",
      "geoName": "Douglas",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 17.2,
        "accessScore": 39.6,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31175",
      "geoName": "Valley",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 60.3,
        "accessScore": 22.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.8,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
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      "geoName": "Valley",
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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": 46,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 42.3,
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        "hpsaDesignations": 2
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      "measureId": "burdenScore",
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-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": 46,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "accessScore": 22.8,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31175",
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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,
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      "components": {
        "burdenScore": 60.3,
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        "shortageScore": 42.3,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31085",
      "geoName": "Hayes",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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      "components": {
        "burdenScore": 70.9,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
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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",
      "rank": 47,
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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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    {
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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": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31005",
      "geoName": "Arthur",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 48,
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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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    {
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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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      "rank": 48,
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      "components": {
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      "measureId": "shortageScore",
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    {
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      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 49,
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      "components": {
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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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    {
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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",
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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": 30.8,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Dodge",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 45.0,
        "accessScore": 35.2,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.6,
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 50,
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      "components": {
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        "shortageScore": 38.5,
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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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        "shortageScore": 38.5,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Dodge",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 45.0,
        "accessScore": 35.2,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31077",
      "geoName": "Greeley",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 51,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 46.9,
        "accessScore": 21.7,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.5,
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        "shortageScore"
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      "fips": "31077",
      "geoName": "Greeley",
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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 (Nebraska, 93 counties)",
      "components": {
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      "value": 46.9,
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    {
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      "geoName": "Greeley",
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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": 51,
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        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31077",
      "geoName": "Greeley",
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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": 51,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 46.9,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31041",
      "geoName": "Custer",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 46.8,
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        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.4,
      "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)",
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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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    {
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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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      "components": {
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      "measureId": "shortageScore",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31149",
      "geoName": "Rock",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 50.1,
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        "shortageScore": 50.0,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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        "shortageScore"
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    {
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      "fips": "31149",
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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",
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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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    {
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      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Perkins",
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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",
      "rank": 54,
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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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      "rank": 54,
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      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31059",
      "geoName": "Fillmore",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 55,
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      "components": {
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 39.1,
      "derivedFrom": [
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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",
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      "measureId": "shortageScore",
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    {
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      "jurisdictionSlug": "nebraska-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",
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      "components": {
        "burdenScore": 47.6,
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        "shortageScore": 50.0,
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        "hpsaDesignations": 2
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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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      "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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      "components": {
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31063",
      "geoName": "Frontier",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 57,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 42.9,
        "accessScore": 20.0,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "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",
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      "components": {
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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",
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      "geoName": "Frontier",
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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": 57,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31127",
      "geoName": "Nemaha",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 58,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 44.9,
        "accessScore": 35.0,
        "shortageScore": 34.6,
        "hpsaMaxScore": 9,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-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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    {
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      "geoName": "Nemaha",
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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": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31121",
      "geoName": "Merrick",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 59,
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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",
      "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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      "components": {
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        "shortageScore": 73.1,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
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      "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",
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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": "nebraska-county-primary-care-access-2026",
      "fips": "31103",
      "geoName": "Keya Paha",
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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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      "rankScope": "intra-state (Nebraska, 93 counties)",
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        "shortageScore": 23.1,
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        "hpsaDesignations": 1
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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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 2
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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
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      "kind": "derived",
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      "fips": "31019",
      "geoName": "Buffalo",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 21.0,
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        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 53.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31009",
      "geoName": "Blaine",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 58.8,
        "accessScore": 21.3,
        "shortageScore": 19.2,
        "hpsaMaxScore": 5,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 33.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31009",
      "geoName": "Blaine",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
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        "shortageScore": 19.2,
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      "fips": "31009",
      "geoName": "Blaine",
      "state": "NE",
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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": 67,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 19.2,
        "hpsaMaxScore": 5,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 21.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31009",
      "geoName": "Blaine",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 58.8,
        "accessScore": 21.3,
        "shortageScore": 19.2,
        "hpsaMaxScore": 5,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 19.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31039",
      "geoName": "Cuming",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 50.2,
        "accessScore": 21.8,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 33.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31039",
      "geoName": "Cuming",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 50.2,
        "accessScore": 21.8,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 50.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31039",
      "geoName": "Cuming",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 50.2,
        "accessScore": 21.8,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 21.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31039",
      "geoName": "Cuming",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 50.2,
        "accessScore": 21.8,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 26.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31007",
      "geoName": "Banner",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 52.5,
        "accessScore": 14.8,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 31.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31007",
      "geoName": "Banner",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 52.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31007",
      "geoName": "Banner",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31007",
      "geoName": "Banner",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 52.5,
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        "shortageScore": 26.9,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31025",
      "geoName": "Cass",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 31.1,
        "accessScore": 9.3,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 30.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31025",
      "geoName": "Cass",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31025",
      "geoName": "Cass",
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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": 70,
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      "components": {
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31025",
      "geoName": "Cass",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
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        "shortageScore": 50.0,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31045",
      "geoName": "Dawes",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 24.5,
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        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 29.4,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31045",
      "geoName": "Dawes",
      "state": "NE",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "rank": 71,
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      "components": {
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Dawes",
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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,
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      "components": {
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31045",
      "geoName": "Dawes",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 24.5,
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        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 38.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31115",
      "geoName": "Loup",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 51.6,
        "accessScore": 7.6,
        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 28.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31115",
      "geoName": "Loup",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 51.6,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 51.6,
      "derivedFrom": []
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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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      "components": {
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    {
      "kind": "derived",
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      "geoName": "Loup",
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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": {
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        "shortageScore": 26.9,
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31075",
      "geoName": "Grant",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 41.2,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "kind": "derived",
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      "geoName": "Grant",
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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,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 41.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31075",
      "geoName": "Grant",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 41.2,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 17.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31075",
      "geoName": "Grant",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 41.2,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31155",
      "geoName": "Saunders",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 27.3,
        "accessScore": 11.7,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 28.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31155",
      "geoName": "Saunders",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 27.3,
        "accessScore": 11.7,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 27.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31155",
      "geoName": "Saunders",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 27.3,
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        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 11.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31155",
      "geoName": "Saunders",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 27.3,
        "accessScore": 11.7,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31151",
      "geoName": "Saline",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 42.2,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 27.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31151",
      "geoName": "Saline",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
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      "measureId": "burdenScore",
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      "value": 42.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Saline",
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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": 75,
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      "components": {
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Saline",
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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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 42.2,
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        "shortageScore": 0.0,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31167",
      "geoName": "Stanton",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 38.5,
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        "shortageScore": 30.8,
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      "measureId": "priorityIndex",
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        "shortageScore"
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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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": "nebraska-county-primary-care-access-2026",
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      "geoName": "Stanton",
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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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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31139",
      "geoName": "Pierce",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": {
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        "hpsaDesignations": 2
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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)",
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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": "nebraska-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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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31001",
      "geoName": "Adams",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 26.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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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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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "shortageScore",
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 58.2,
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        "shortageScore": 0.0,
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        "hpsaDesignations": 0
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31003",
      "geoName": "Antelope",
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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": 79,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31003",
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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": 79,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 22.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31003",
      "geoName": "Antelope",
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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": 79,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 58.2,
        "accessScore": 22.3,
        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31179",
      "geoName": "Wayne",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 15.6,
        "accessScore": 31.4,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 1
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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",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31179",
      "geoName": "Wayne",
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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": 80,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31179",
      "geoName": "Wayne",
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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": 80,
      "rankScope": "intra-state (Nebraska, 93 counties)",
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31179",
      "geoName": "Wayne",
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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": 80,
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        "shortageScore": 30.8,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31027",
      "geoName": "Cedar",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 38.0,
        "accessScore": 8.9,
        "shortageScore": 30.8,
        "hpsaMaxScore": 8,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Cedar",
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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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      "rank": 81,
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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": "nebraska-county-primary-care-access-2026",
      "fips": "31027",
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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",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31183",
      "geoName": "Wheeler",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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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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      "measureId": "accessScore",
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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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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31113",
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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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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA 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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      "jurisdictionSlug": "nebraska-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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      "components": {
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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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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        "hpsaDesignations": 1
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      "measureId": "accessScore",
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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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      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "shortageScore": 26.9,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-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": 86,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 51.3,
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        "hpsaDesignations": 0
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      "measureId": "priorityIndex",
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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)",
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      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31143",
      "geoName": "Polk",
      "state": "NE",
      "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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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA 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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      "kind": "derived",
      "jurisdictionSlug": "nebraska-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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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-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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      "components": {
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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": "shortageScore",
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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": {
        "burdenScore": 30.0,
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        "shortageScore": 0.0,
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        "hpsaDesignations": 0
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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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "rankScope": "intra-state (Nebraska, 93 counties)",
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        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31177",
      "geoName": "Washington",
      "state": "NE",
      "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": 90,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31099",
      "geoName": "Kearney",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 91,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 27.3,
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        "shortageScore": 0.0,
        "hpsaMaxScore": 0,
        "hpsaDesignations": 0
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31099",
      "geoName": "Kearney",
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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": 91,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
        "burdenScore": 27.3,
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        "hpsaDesignations": 0
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoName": "Kearney",
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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": 91,
      "rankScope": "intra-state (Nebraska, 93 counties)",
      "components": {
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        "hpsaDesignations": 0
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      "measureId": "accessScore",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31099",
      "geoName": "Kearney",
      "state": "NE",
      "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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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
      "fips": "31159",
      "geoName": "Seward",
      "state": "NE",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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    {
      "kind": "derived",
      "jurisdictionSlug": "nebraska-county-primary-care-access-2026",
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      "geoLevel": "county",
      "unit": "index_0_100",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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  ]
}
