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      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
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      "kind": "measured",
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      "fips": "54037",
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      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "ACCESS2",
      "measureLabel": "Uninsured (adults 18-64)",
      "value": 7.7,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
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      "rank": 55,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "ci_lo": 5.9,
      "ci_hi": 9.7
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      "kind": "measured",
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      "fips": "54037",
      "geoName": "Jefferson",
      "state": "WV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "LACKTRPT",
      "measureLabel": "Lack of reliable transportation",
      "value": 7.2,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 55,
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      "ci_lo": 5.9,
      "ci_hi": 8.6
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      "kind": "measured",
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      "fips": "54037",
      "geoName": "Jefferson",
      "state": "WV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "FOODINSECU",
      "measureLabel": "Food insecurity",
      "value": 12.5,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 55,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "ci_lo": 9.8,
      "ci_hi": 15.6
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    {
      "kind": "measured",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54037",
      "geoName": "Jefferson",
      "state": "WV",
      "geoLevel": "county",
      "datasetKey": "cdc_places_county",
      "measureId": "HOUSINSECU",
      "measureLabel": "Housing insecurity",
      "value": 10.8,
      "unit": "percent",
      "vintage": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "sourceName": "CDC PLACES — Local Data for Better Health (County Data)",
      "sourceUrl": "https://www.cdc.gov/places/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 55,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "ci_lo": 8.8,
      "ci_hi": 13.1
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    {
      "kind": "measured",
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      "fips": "54037",
      "geoName": "Jefferson",
      "state": "WV",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_POVERTY",
      "measureLabel": "Below poverty (ACS)",
      "value": 8.8,
      "unit": "percent",
      "vintage": "ACS 2019-2023 5-year estimates",
      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
      "sourceUrl": "https://www.census.gov/programs-surveys/acs/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
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      "rankScope": "intra-state (West Virginia, 55 counties)"
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    {
      "kind": "measured",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54037",
      "geoName": "Jefferson",
      "state": "WV",
      "geoLevel": "county",
      "datasetKey": "census_acs5_county",
      "measureId": "ACS_NOVEHICLE",
      "measureLabel": "Households without a vehicle (ACS)",
      "value": 5.6,
      "unit": "percent",
      "vintage": "ACS 2019-2023 5-year estimates",
      "sourceName": "U.S. Census Bureau — American Community Survey (5-year)",
      "sourceUrl": "https://www.census.gov/programs-surveys/acs/",
      "accessedDate": "2026-08-01",
      "methodRef": "scripts/insights/build.py",
      "rank": 55,
      "rankScope": "intra-state (West Virginia, 55 counties)"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54047",
      "geoName": "McDowell",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 1,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 97.0,
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        "shortageScore": 88.5,
        "hpsaMaxScore": 23,
        "hpsaDesignations": 7
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 93.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
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      "fips": "54047",
      "geoName": "McDowell",
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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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        "hpsaMaxScore": 23,
        "hpsaDesignations": 7
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 97.0,
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    {
      "kind": "derived",
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      "fips": "54047",
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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": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 93.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54047",
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      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 1,
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      "components": {
        "burdenScore": 97.0,
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        "shortageScore": 88.5,
        "hpsaMaxScore": 23,
        "hpsaDesignations": 7
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 88.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54059",
      "geoName": "Mingo",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 89.2,
        "accessScore": 78.4,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 82.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54059",
      "geoName": "Mingo",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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      "components": {
        "burdenScore": 89.2,
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        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 89.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54059",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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      "components": {
        "burdenScore": 89.2,
        "accessScore": 78.4,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 78.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54059",
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      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
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      "components": {
        "burdenScore": 89.2,
        "accessScore": 78.4,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54013",
      "geoName": "Calhoun",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 89.2,
        "accessScore": 64.0,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 75.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54013",
      "geoName": "Calhoun",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 3,
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      "components": {
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "fips": "54013",
      "geoName": "Calhoun",
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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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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 64.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54013",
      "geoName": "Calhoun",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 89.2,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54101",
      "geoName": "Webster",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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      "measureId": "priorityIndex",
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      "value": 75.4,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54101",
      "geoName": "Webster",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
      "kind": "derived",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
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      "components": {
        "burdenScore": 81.5,
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      "measureId": "accessScore",
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      "value": 56.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54101",
      "geoName": "Webster",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
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      "components": {
        "burdenScore": 81.5,
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      "measureId": "shortageScore",
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      "value": 88.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54043",
      "geoName": "Lincoln",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 76.9,
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        "shortageScore": 88.5,
        "hpsaMaxScore": 23,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 72.7,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54043",
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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": 5,
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      "components": {
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        "hpsaDesignations": 2
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      "measureId": "burdenScore",
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      "geoLevel": "county",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54043",
      "geoName": "Lincoln",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
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        "burdenScore": 76.9,
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        "shortageScore": 88.5,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54109",
      "geoName": "Wyoming",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 79.7,
        "accessScore": 52.9,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 71.1,
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      "fips": "54109",
      "geoName": "Wyoming",
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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": "burdenScore",
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      "kind": "derived",
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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 (West Virginia, 55 counties)",
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        "burdenScore": 79.7,
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        "shortageScore": 80.8,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54109",
      "geoName": "Wyoming",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 79.7,
        "accessScore": 52.9,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54045",
      "geoName": "Logan",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 76.1,
        "accessScore": 52.9,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 5
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 69.9,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54045",
      "geoName": "Logan",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 76.1,
        "accessScore": 52.9,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 5
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54045",
      "geoName": "Logan",
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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": 7,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 76.1,
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        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 5
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 52.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54045",
      "geoName": "Logan",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 76.1,
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        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 5
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54015",
      "geoName": "Clay",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 74.9,
        "accessScore": 52.7,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 69.5,
      "derivedFrom": [
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54015",
      "geoName": "Clay",
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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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      "geoName": "Clay",
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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": "west-virginia-county-primary-care-access-2026",
      "fips": "54015",
      "geoName": "Clay",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
        "burdenScore": 74.9,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54087",
      "geoName": "Roane",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 77.3,
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        "shortageScore": 76.9,
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        "hpsaDesignations": 6
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      "measureId": "priorityIndex",
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      "value": 68.4,
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        "shortageScore"
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
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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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54087",
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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": 9,
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      "components": {
        "burdenScore": 77.3,
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        "shortageScore": 76.9,
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      "measureId": "shortageScore",
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      "value": 76.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54089",
      "geoName": "Summers",
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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": 73.9,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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      "value": 63.6,
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "measureId": "shortageScore",
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    {
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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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      "measureId": "priorityIndex",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "vintage": "places: PLACES: Local Data for Better Health, County 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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      "fips": "54007",
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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 (West Virginia, 55 counties)",
      "components": {
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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)",
      "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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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
        "burdenScore": 75.5,
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        "shortageScore": 65.4,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54055",
      "geoName": "Mercer",
      "state": "WV",
      "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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      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
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        "shortageScore": 88.5,
        "hpsaMaxScore": 23,
        "hpsaDesignations": 2
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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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
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      "geoName": "Ritchie",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County 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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 39.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54031",
      "geoName": "Hardy",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 71.0,
        "accessScore": 39.5,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54105",
      "geoName": "Wirt",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 67.7,
        "accessScore": 32.7,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54105",
      "geoName": "Wirt",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 67.7,
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        "shortageScore": 76.9,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 67.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54105",
      "geoName": "Wirt",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 67.7,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 32.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54105",
      "geoName": "Wirt",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 67.7,
        "accessScore": 32.7,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54081",
      "geoName": "Raleigh",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 67.1,
        "accessScore": 48.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 58.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54081",
      "geoName": "Raleigh",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 67.1,
        "accessScore": 48.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 67.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54081",
      "geoName": "Raleigh",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 67.1,
        "accessScore": 48.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 48.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54081",
      "geoName": "Raleigh",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 67.1,
        "accessScore": 48.1,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54001",
      "geoName": "Barbour",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 62.1,
        "accessScore": 39.7,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 58.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54001",
      "geoName": "Barbour",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 62.1,
        "accessScore": 39.7,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 62.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54001",
      "geoName": "Barbour",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 62.1,
        "accessScore": 39.7,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 39.7,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54001",
      "geoName": "Barbour",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 19,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 62.1,
        "accessScore": 39.7,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54091",
      "geoName": "Taylor",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 20,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 54.4,
        "accessScore": 31.1,
        "shortageScore": 84.6,
        "hpsaMaxScore": 22,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54091",
      "geoName": "Taylor",
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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": 20,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
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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": 20,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54091",
      "geoName": "Taylor",
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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": 20,
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      "components": {
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        "shortageScore": 84.6,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 84.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54025",
      "geoName": "Greenbrier",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": {
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
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      "value": 56.5,
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        "shortageScore"
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    {
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      "fips": "54025",
      "geoName": "Greenbrier",
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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": 21,
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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)",
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54025",
      "geoName": "Greenbrier",
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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": 61.8,
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        "shortageScore": 73.1,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54067",
      "geoName": "Nicholas",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 59.5,
        "accessScore": 29.3,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54067",
      "geoName": "Nicholas",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
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      "measureId": "burdenScore",
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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": 76.9,
        "hpsaMaxScore": 20,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 29.3,
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    {
      "kind": "derived",
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      "fips": "54067",
      "geoName": "Nicholas",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 59.5,
        "accessScore": 29.3,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54097",
      "geoName": "Upshur",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 37.9,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 4
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.1,
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      "kind": "derived",
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      "fips": "54097",
      "geoName": "Upshur",
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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,
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      "measureId": "burdenScore",
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      "kind": "derived",
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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 (West Virginia, 55 counties)",
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        "burdenScore": 50.5,
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        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.9,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54097",
      "geoName": "Upshur",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 50.5,
        "accessScore": 37.9,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 4
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54099",
      "geoName": "Wayne",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 62.6,
        "accessScore": 35.1,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54099",
      "geoName": "Wayne",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 62.6,
        "accessScore": 35.1,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 62.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54099",
      "geoName": "Wayne",
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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,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 62.6,
        "accessScore": 35.1,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 35.1,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54099",
      "geoName": "Wayne",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 62.6,
        "accessScore": 35.1,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54071",
      "geoName": "Pendleton",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 25,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 60.9,
        "accessScore": 20.6,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.1,
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54071",
      "geoName": "Pendleton",
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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": 25,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "fips": "54071",
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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": 25,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 20.6,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54071",
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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": 25,
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      "components": {
        "burdenScore": 60.9,
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        "shortageScore": 80.8,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54035",
      "geoName": "Jackson",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
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        "shortageScore": 69.2,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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      "value": 53.8,
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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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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": "54035",
      "geoName": "Jackson",
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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": 26,
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      "components": {
        "burdenScore": 58.8,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
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      "value": 69.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54063",
      "geoName": "Monroe",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 64.2,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
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      "value": 53.7,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54063",
      "geoName": "Monroe",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
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      "components": {
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        "shortageScore": 69.2,
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      "measureId": "accessScore",
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      "value": 27.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54063",
      "geoName": "Monroe",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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,
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      "components": {
        "burdenScore": 64.2,
        "accessScore": 27.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
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      "fips": "54075",
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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": 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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
      "kind": "derived",
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      "fips": "54075",
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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 (West Virginia, 55 counties)",
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        "shortageScore": 42.3,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54039",
      "geoName": "Kanawha",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
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        "burdenScore": 47.9,
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        "shortageScore": 76.9,
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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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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
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        "hpsaMaxScore": 20,
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      "measureId": "accessScore",
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      "value": 33.6,
      "derivedFrom": []
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    {
      "kind": "derived",
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      "fips": "54039",
      "geoName": "Kanawha",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 47.9,
        "accessScore": 33.6,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54021",
      "geoName": "Gilmer",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 50.9,
        "accessScore": 53.4,
        "shortageScore": 53.8,
        "hpsaMaxScore": 14,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 52.7,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
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      "geoName": "Gilmer",
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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": 30,
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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": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54021",
      "geoName": "Gilmer",
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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": 30,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54011",
      "geoName": "Cabell",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 31,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
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        "shortageScore": 73.1,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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      "value": 52.3,
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        "shortageScore"
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      "fips": "54011",
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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",
      "jurisdictionSlug": "west-virginia-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",
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      "components": {
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54103",
      "geoName": "Wetzel",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
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      "components": {
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54041",
      "geoName": "Lewis",
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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)",
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      "components": {
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      "measureId": "priorityIndex",
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      "value": 51.6,
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        "shortageScore"
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    {
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "fips": "54041",
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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": 33,
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      "components": {
        "burdenScore": 55.4,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 41.6,
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      "kind": "derived",
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      "fips": "54041",
      "geoName": "Lewis",
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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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 55.4,
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        "shortageScore": 57.7,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54095",
      "geoName": "Tyler",
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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": 34,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 63.7,
        "accessScore": 23.5,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 50.9,
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      "kind": "derived",
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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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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
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        "shortageScore": 65.4,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 23.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
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      "geoName": "Tyler",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 63.7,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54107",
      "geoName": "Wood",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 56.1,
        "accessScore": 26.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 49.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54107",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 35,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 56.1,
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        "shortageScore": 65.4,
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      "measureId": "burdenScore",
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      "value": 56.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54107",
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      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 56.1,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 26.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54107",
      "geoName": "Wood",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 56.1,
        "accessScore": 26.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54083",
      "geoName": "Randolph",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 58.6,
        "accessScore": 31.9,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 49.4,
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        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54083",
      "geoName": "Randolph",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 58.6,
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      "measureId": "burdenScore",
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    {
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      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54083",
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      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 36,
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      "components": {
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54083",
      "geoName": "Randolph",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 36,
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      "components": {
        "burdenScore": 58.6,
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        "shortageScore": 57.7,
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54029",
      "geoName": "Hancock",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 37,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 57.6,
        "accessScore": 21.5,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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      "value": 48.2,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54029",
      "geoName": "Hancock",
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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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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA 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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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54023",
      "geoName": "Grant",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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      "measureId": "priorityIndex",
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      "value": 47.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54023",
      "geoName": "Grant",
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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": 38,
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      "measureId": "burdenScore",
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    {
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      "jurisdictionSlug": "west-virginia-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)",
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      "rank": 38,
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      "measureId": "accessScore",
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      "value": 22.1,
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    {
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      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54023",
      "geoName": "Grant",
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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": 38,
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        "burdenScore": 58.3,
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        "shortageScore": 61.5,
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      "measureId": "shortageScore",
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      "value": 61.5,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54053",
      "geoName": "Mason",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
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        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
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      "measureId": "priorityIndex",
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      "value": 46.9,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54053",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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    {
      "kind": "derived",
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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": "west-virginia-county-primary-care-access-2026",
      "fips": "54051",
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      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 50.5,
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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)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 40,
      "rankScope": "intra-state (West Virginia, 55 counties)",
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        "shortageScore": 65.4,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54051",
      "geoName": "Marshall",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54027",
      "geoName": "Hampshire",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 54.2,
        "accessScore": 17.9,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54027",
      "geoName": "Hampshire",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
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      "measureId": "burdenScore",
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      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54027",
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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": 41,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
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      "measureId": "accessScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54027",
      "geoName": "Hampshire",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 54.2,
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        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54017",
      "geoName": "Doddridge",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 42,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
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        "hpsaDesignations": 1
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 45.6,
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      "kind": "derived",
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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "accessScore",
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    {
      "kind": "derived",
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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": "west-virginia-county-primary-care-access-2026",
      "fips": "54093",
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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": "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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      "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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    {
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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": 44,
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      "components": {
        "burdenScore": 54.2,
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      "measureId": "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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      "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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      "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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      "rankScope": "intra-state (West Virginia, 55 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)",
      "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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      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 65.4,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54003",
      "geoName": "Berkeley",
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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",
      "rank": 47,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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      "geoName": "Berkeley",
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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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      "geoName": "Berkeley",
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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": 73.1,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54033",
      "geoName": "Harrison",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": 1
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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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    {
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    {
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      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54009",
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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": "west-virginia-county-primary-care-access-2026",
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54077",
      "geoName": "Preston",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 44.0,
        "accessScore": 27.5,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54057",
      "geoName": "Mineral",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 42.4,
        "accessScore": 15.4,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.5,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54057",
      "geoName": "Mineral",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 42.4,
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        "shortageScore": 57.7,
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 42.4,
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    {
      "kind": "derived",
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      "fips": "54057",
      "geoName": "Mineral",
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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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 42.4,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 15.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54057",
      "geoName": "Mineral",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 42.4,
        "accessScore": 15.4,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54079",
      "geoName": "Putnam",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 33.8,
        "accessScore": 3.4,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 38.0,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54079",
      "geoName": "Putnam",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 33.8,
        "accessScore": 3.4,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 33.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54079",
      "geoName": "Putnam",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 33.8,
        "accessScore": 3.4,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 3.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54079",
      "geoName": "Putnam",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 33.8,
        "accessScore": 3.4,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54069",
      "geoName": "Ohio",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 40.4,
        "accessScore": 27.2,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.6,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54069",
      "geoName": "Ohio",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 40.4,
        "accessScore": 27.2,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 40.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54069",
      "geoName": "Ohio",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 40.4,
        "accessScore": 27.2,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 27.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54069",
      "geoName": "Ohio",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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 (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 40.4,
        "accessScore": 27.2,
        "shortageScore": 42.3,
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        "hpsaDesignations": 1
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54061",
      "geoName": "Monongalia",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 54,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 0.0,
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 30.4,
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54061",
      "geoName": "Monongalia",
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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": 54,
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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": "west-virginia-county-primary-care-access-2026",
      "fips": "54061",
      "geoName": "Monongalia",
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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": 54,
      "rankScope": "intra-state (West Virginia, 55 counties)",
      "components": {
        "burdenScore": 0.0,
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        "shortageScore": 69.2,
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        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54037",
      "geoName": "Jefferson",
      "state": "WV",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; 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": {
        "burdenScore": 25.4,
        "accessScore": 9.8,
        "shortageScore": 46.2,
        "hpsaMaxScore": 12,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
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      "value": 27.1,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "west-virginia-county-primary-care-access-2026",
      "fips": "54037",
      "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",
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    {
      "kind": "derived",
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      "vintage": "places: PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023); hpsa: HRSA Primary Care HPSA detail extract, accessed 2026-08-01; acs: ACS 2019-2023 5-year estimates",
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      "measureId": "accessScore",
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    {
      "kind": "derived",
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      "fips": "54037",
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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": 55,
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      "components": {
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        "shortageScore": 46.2,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 46.2,
      "derivedFrom": []
    }
  ]
}