{ "slug": "michigan-county-primary-care-access-2026", "title": "Michigan County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for Michigan, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 83 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "Michigan", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "michigan" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:58:51+00:00", "dataVintage": { "places": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "hpsa": "HRSA Primary Care HPSA detail extract, accessed 2026-08-01", "acs": "ACS 2019-2023 5-year estimates" }, "methodology": "A Health-Burden axis is built from CDC PLACES crude adult prevalence (diagnosed diabetes, obesity, high blood pressure, coronary heart disease, fair or poor self-rated health, frequent physical distress). An Access & SDOH barriers axis combines uninsured (adults 18-64), lack of reliable transportation, food insecurity, housing insecurity, below poverty (acs), households without a vehicle (acs) (Census ACS measures join CDC PLACES here). Each measure is min-max normalized across the state's counties to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per county), not direct counts. Scores are relative WITHIN Michigan: a 100 marks the worst county in the state on that axis, not a national benchmark.", "limitations": [ "Scores are intra-state relative, not absolute or cross-state comparable.", "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.", "HPSA aggregation takes the worst designated primary-care score per county; geographic, population-group, and facility designations are pooled.", "Equal axis weighting is a transparent default, not a calibrated policy model.", "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.", "This is informational analysis of public data, not clinical, individual, or actuarial advice." ], "sources": [ { "name": "CDC PLACES — Local Data for Better Health (County Data)", "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "url": "https://www.cdc.gov/places/", "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json", "accessedDate": "2026-08-01" }, { "name": "HRSA — Primary Care Health Professional Shortage Areas", "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)", "url": "https://data.hrsa.gov/data/download", "accessedDate": "2026-08-01" }, { "name": "U.S. Census Bureau — American Community Survey (5-year)", "dataset": "ACS 2019-2023 5-year estimates", "url": "https://www.census.gov/programs-surveys/acs/", "apiUrl": "https://api.census.gov/data/2023/acs/acs5", "accessedDate": "2026-08-01" } ], "measures": { "burden": [ { "id": "DIABETES", "label": "Diagnosed diabetes" }, { "id": "OBESITY", "label": "Obesity" }, { "id": "BPHIGH", "label": "High blood pressure" }, { "id": "CHD", "label": "Coronary heart disease" }, { "id": "GHLTH", "label": "Fair or poor self-rated health" }, { "id": "PHLTH", "label": "Frequent physical distress" } ], "access": [ { "id": "ACCESS2", "label": "Uninsured (adults 18-64)" }, { "id": "LACKTRPT", "label": "Lack of reliable transportation" }, { "id": "FOODINSECU", "label": "Food insecurity" }, { "id": "HOUSINSECU", "label": "Housing insecurity" }, { "id": "ACS_POVERTY", "label": "Below poverty (ACS)" }, { "id": "ACS_NOVEHICLE", "label": "Households without a vehicle (ACS)" } ] }, "stats": { "counties": 83, "countiesWithHpsa": 79, "countiesWithHpsaPct": 95, "medianDiabetes": 13.2, "diabetesMin": { "county": "Washtenaw", "value": 8.7 }, "diabetesMax": { "county": "Lake", "value": 17.2 }, "medianUninsured": 7.0 }, "keyFindings": [ "79 of Michigan's 83 counties (95%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 8.7% in Washtenaw County to 17.2% in Lake County, a 8.5-point spread within a single state.", "Lake County carries the highest combined targeting-priority index (83.2/100), led by its health burden score.", "The median county uninsured rate (adults 18-64) is 7.0%, and the median adult diabetes prevalence is 13.2%." ], "counties": [ { "fips": "26085", "name": "Lake", "population": 12734, "priorityIndex": 83.2, "burdenScore": 92.6, "accessScore": 80.2, "shortageScore": 76.9, "topDriver": "Health burden", "hpsaMaxScore": 20, "hpsaDesignations": 2, "raw": { "DIABETES": 17.2, "OBESITY": 40.5, "BPHIGH": 45.7, "CHD": 10.9, "GHLTH": 28.0, "PHLTH": 19.0, "ACCESS2": 10.7, "LACKTRPT": 10.7, "FOODINSECU": 21.8, "HOUSINSECU": 14.7, "ACS_POVERTY": 20.6, "ACS_NOVEHICLE": 7.5 }, "ci": { "DIABETES": { "lo": 15.0, "hi": 19.6 }, "OBESITY": { "lo": 31.8, "hi": 49.0 }, "BPHIGH": { "lo": 41.2, "hi": 50.2 }, "CHD": { "lo": 9.6, "hi": 12.2 }, "GHLTH": { "lo": 23.9, "hi": 32.1 }, "PHLTH": { "lo": 16.5, "hi": 21.5 }, "ACCESS2": { "lo": 8.6, "hi": 13.1 }, "LACKTRPT": { "lo": 9.2, "hi": 12.4 }, "FOODINSECU": { "lo": 18.2, "hi": 25.9 }, "HOUSINSECU": { "lo": 12.4, "hi": 17.3 } }, "rank": 1 }, { "fips": "26163", "name": "Wayne", "population": 1751169, "priorityIndex": 80.4, "burdenScore": 59.0, "accessScore": 90.0, "shortageScore": 92.3, "topDriver": "Provider shortage", "hpsaMaxScore": 24, "hpsaDesignations": 310, "raw": { "DIABETES": 14.3, "OBESITY": 37.4, "BPHIGH": 40.3, "CHD": 7.4, "GHLTH": 24.3, "PHLTH": 15.5, "ACCESS2": 8.1, "LACKTRPT": 11.9, "FOODINSECU": 23.5, "HOUSINSECU": 18.2, "ACS_POVERTY": 20.1, "ACS_NOVEHICLE": 11.8 }, "ci": { "DIABETES": { "lo": 12.7, "hi": 15.9 }, "OBESITY": { "lo": 33.9, "hi": 41.0 }, "BPHIGH": { "lo": 37.8, "hi": 43.0 }, "CHD": { "lo": 6.5, "hi": 8.2 }, "GHLTH": { "lo": 21.3, "hi": 27.2 }, "PHLTH": { "lo": 13.7, "hi": 17.3 }, "ACCESS2": { "lo": 6.5, "hi": 10.0 }, "LACKTRPT": { "lo": 10.3, "hi": 13.8 }, "FOODINSECU": { "lo": 19.8, "hi": 27.2 }, "HOUSINSECU": { "lo": 15.4, "hi": 21.1 } }, "rank": 2 }, { "fips": "26097", "name": "Mackinac", "population": 10851, "priorityIndex": 70.8, "burdenScore": 81.2, "accessScore": 62.1, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 7, "raw": { "DIABETES": 16.4, "OBESITY": 41.2, "BPHIGH": 43.2, "CHD": 10.4, "GHLTH": 24.2, "PHLTH": 17.6, "ACCESS2": 7.3, "LACKTRPT": 9.3, "FOODINSECU": 17.8, "HOUSINSECU": 12.3, "ACS_POVERTY": 16.9, "ACS_NOVEHICLE": 10.6 }, "ci": { "DIABETES": { "lo": 14.1, "hi": 18.7 }, "OBESITY": { "lo": 32.3, "hi": 49.8 }, "BPHIGH": { "lo": 38.4, "hi": 47.8 }, "CHD": { "lo": 9.1, "hi": 11.8 }, "GHLTH": { "lo": 20.3, "hi": 28.2 }, "PHLTH": { "lo": 15.1, "hi": 20.2 }, "ACCESS2": { "lo": 5.9, "hi": 9.1 }, "LACKTRPT": { "lo": 8.0, "hi": 10.8 }, "FOODINSECU": { "lo": 14.7, "hi": 21.4 }, "HOUSINSECU": { "lo": 10.3, "hi": 14.5 } }, "rank": 3 }, { "fips": "26035", "name": "Clare", "population": 31316, "priorityIndex": 69.5, "burdenScore": 81.1, "accessScore": 61.9, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 7, "raw": { "DIABETES": 15.4, "OBESITY": 40.5, "BPHIGH": 44.5, "CHD": 10.2, "GHLTH": 25.0, "PHLTH": 18.1, "ACCESS2": 7.9, "LACKTRPT": 9.0, "FOODINSECU": 17.8, "HOUSINSECU": 12.0, "ACS_POVERTY": 21.1, "ACS_NOVEHICLE": 8.1 }, "ci": { "DIABETES": { "lo": 13.2, "hi": 17.7 }, "OBESITY": { "lo": 32.0, "hi": 48.9 }, "BPHIGH": { "lo": 39.8, "hi": 49.2 }, "CHD": { "lo": 8.9, "hi": 11.7 }, "GHLTH": { "lo": 21.0, "hi": 29.4 }, "PHLTH": { "lo": 15.5, "hi": 20.8 }, "ACCESS2": { "lo": 6.0, "hi": 10.3 }, "LACKTRPT": { "lo": 7.6, "hi": 10.7 }, "FOODINSECU": { "lo": 14.1, "hi": 22.0 }, "HOUSINSECU": { "lo": 9.7, "hi": 14.5 } }, "rank": 4 }, { "fips": "26135", "name": "Oscoda", "population": 8545, "priorityIndex": 68.3, "burdenScore": 86.4, "accessScore": 56.9, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 1, "raw": { "DIABETES": 16.5, "OBESITY": 38.4, "BPHIGH": 45.4, "CHD": 11.2, "GHLTH": 25.8, "PHLTH": 18.6, "ACCESS2": 8.1, "LACKTRPT": 8.8, "FOODINSECU": 17.3, "HOUSINSECU": 11.4, "ACS_POVERTY": 15.8, "ACS_NOVEHICLE": 8.7 }, "ci": { "DIABETES": { "lo": 14.2, "hi": 19.1 }, "OBESITY": { "lo": 29.9, "hi": 47.2 }, "BPHIGH": { "lo": 40.9, "hi": 50.1 }, "CHD": { "lo": 9.7, "hi": 12.8 }, "GHLTH": { "lo": 21.8, "hi": 30.4 }, "PHLTH": { "lo": 16.1, "hi": 21.4 }, "ACCESS2": { "lo": 6.1, "hi": 10.5 }, "LACKTRPT": { "lo": 7.3, "hi": 10.4 }, "FOODINSECU": { "lo": 13.7, "hi": 21.3 }, "HOUSINSECU": { "lo": 9.4, "hi": 13.7 } }, "rank": 5 }, { "fips": "26119", "name": "Montmorency", "population": 9678, "priorityIndex": 67.8, "burdenScore": 84.1, "accessScore": 46.2, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 16.5, "OBESITY": 38.6, "BPHIGH": 45.7, "CHD": 11.2, "GHLTH": 24.5, "PHLTH": 18.0, "ACCESS2": 7.0, "LACKTRPT": 7.7, "FOODINSECU": 15.2, "HOUSINSECU": 10.0, "ACS_POVERTY": 17.9, "ACS_NOVEHICLE": 7.2 }, "ci": { "DIABETES": { "lo": 14.1, "hi": 19.2 }, "OBESITY": { "lo": 30.0, "hi": 48.0 }, "BPHIGH": { "lo": 40.9, "hi": 50.8 }, "CHD": { "lo": 9.7, "hi": 13.0 }, "GHLTH": { "lo": 20.7, "hi": 29.2 }, "PHLTH": { "lo": 15.6, "hi": 20.9 }, "ACCESS2": { "lo": 5.3, "hi": 9.3 }, "LACKTRPT": { "lo": 6.5, "hi": 9.1 }, "FOODINSECU": { "lo": 12.0, "hi": 18.8 }, "HOUSINSECU": { "lo": 8.1, "hi": 12.1 } }, "rank": 6 }, { "fips": "26145", "name": "Saginaw", "population": 187782, "priorityIndex": 67.0, "burdenScore": 58.9, "accessScore": 65.1, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 3, "raw": { "DIABETES": 14.1, "OBESITY": 36.6, "BPHIGH": 40.1, "CHD": 8.0, "GHLTH": 23.4, "PHLTH": 15.9, "ACCESS2": 8.2, "LACKTRPT": 9.7, "FOODINSECU": 19.6, "HOUSINSECU": 13.9, "ACS_POVERTY": 18.1, "ACS_NOVEHICLE": 7.5 }, "ci": { "DIABETES": { "lo": 12.3, "hi": 16.1 }, "OBESITY": { "lo": 30.5, "hi": 42.7 }, "BPHIGH": { "lo": 36.3, "hi": 43.8 }, "CHD": { "lo": 7.1, "hi": 9.1 }, "GHLTH": { "lo": 20.2, "hi": 26.8 }, "PHLTH": { "lo": 13.9, "hi": 18.1 }, "ACCESS2": { "lo": 6.6, "hi": 10.1 }, "LACKTRPT": { "lo": 8.4, "hi": 11.3 }, "FOODINSECU": { "lo": 16.3, "hi": 23.1 }, "HOUSINSECU": { "lo": 11.6, "hi": 16.3 } }, "rank": 7 }, { "fips": "26069", "name": "Iosco", "population": 25373, "priorityIndex": 65.8, "burdenScore": 82.3, "accessScore": 49.8, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 6, "raw": { "DIABETES": 15.9, "OBESITY": 38.8, "BPHIGH": 45.7, "CHD": 10.9, "GHLTH": 24.4, "PHLTH": 18.0, "ACCESS2": 7.7, "LACKTRPT": 8.1, "FOODINSECU": 15.9, "HOUSINSECU": 10.7, "ACS_POVERTY": 16.6, "ACS_NOVEHICLE": 7.3 }, "ci": { "DIABETES": { "lo": 13.5, "hi": 18.3 }, "OBESITY": { "lo": 30.7, "hi": 46.9 }, "BPHIGH": { "lo": 40.9, "hi": 50.2 }, "CHD": { "lo": 9.5, "hi": 12.4 }, "GHLTH": { "lo": 20.3, "hi": 28.5 }, "PHLTH": { "lo": 15.4, "hi": 20.6 }, "ACCESS2": { "lo": 5.8, "hi": 9.9 }, "LACKTRPT": { "lo": 6.8, "hi": 9.7 }, "FOODINSECU": { "lo": 12.7, "hi": 19.5 }, "HOUSINSECU": { "lo": 8.7, "hi": 12.8 } }, "rank": 8 }, { "fips": "26095", "name": "Luce", "population": 6435, "priorityIndex": 65.1, "burdenScore": 66.0, "accessScore": 60.0, "shortageScore": 69.2, "topDriver": "Provider shortage", "hpsaMaxScore": 18, "hpsaDesignations": 3, "raw": { "DIABETES": 14.1, "OBESITY": 40.9, "BPHIGH": 41.7, "CHD": 8.9, "GHLTH": 22.8, "PHLTH": 15.8, "ACCESS2": 8.2, "LACKTRPT": 9.6, "FOODINSECU": 17.8, "HOUSINSECU": 13.4, "ACS_POVERTY": 17.2, "ACS_NOVEHICLE": 6.7 }, "ci": { "DIABETES": { "lo": 12.1, "hi": 16.3 }, "OBESITY": { "lo": 32.0, "hi": 50.2 }, "BPHIGH": { "lo": 37.1, "hi": 46.3 }, "CHD": { "lo": 7.8, "hi": 10.1 }, "GHLTH": { "lo": 19.6, "hi": 26.8 }, "PHLTH": { "lo": 13.8, "hi": 18.3 }, "ACCESS2": { "lo": 6.5, "hi": 10.1 }, "LACKTRPT": { "lo": 8.2, "hi": 11.0 }, "FOODINSECU": { "lo": 14.7, "hi": 21.2 }, "HOUSINSECU": { "lo": 11.3, "hi": 15.7 } }, "rank": 9 }, { "fips": "26129", "name": "Ogemaw", "population": 20990, "priorityIndex": 63.2, "burdenScore": 75.8, "accessScore": 48.4, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 2, "raw": { "DIABETES": 15.3, "OBESITY": 39.4, "BPHIGH": 43.4, "CHD": 10.1, "GHLTH": 23.8, "PHLTH": 17.4, "ACCESS2": 7.4, "LACKTRPT": 8.2, "FOODINSECU": 15.8, "HOUSINSECU": 10.9, "ACS_POVERTY": 17.5, "ACS_NOVEHICLE": 6.3 }, "ci": { "DIABETES": { "lo": 13.0, "hi": 17.7 }, "OBESITY": { "lo": 31.2, "hi": 48.0 }, "BPHIGH": { "lo": 39.0, "hi": 48.1 }, "CHD": { "lo": 8.8, "hi": 11.5 }, "GHLTH": { "lo": 20.1, "hi": 28.1 }, "PHLTH": { "lo": 15.0, "hi": 20.1 }, "ACCESS2": { "lo": 5.6, "hi": 9.5 }, "LACKTRPT": { "lo": 6.8, "hi": 9.5 }, "FOODINSECU": { "lo": 12.5, "hi": 19.3 }, "HOUSINSECU": { "lo": 8.9, "hi": 13.0 } }, "rank": 10 }, { "fips": "26121", "name": "Muskegon", "population": 176564, "priorityIndex": 63.0, "burdenScore": 55.3, "accessScore": 52.9, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 6, "raw": { "DIABETES": 12.7, "OBESITY": 44.3, "BPHIGH": 36.7, "CHD": 7.4, "GHLTH": 21.4, "PHLTH": 15.0, "ACCESS2": 7.8, "LACKTRPT": 8.9, "FOODINSECU": 16.5, "HOUSINSECU": 13.1, "ACS_POVERTY": 12.6, "ACS_NOVEHICLE": 7.6 }, "ci": { "DIABETES": { "lo": 11.0, "hi": 14.6 }, "OBESITY": { "lo": 37.8, "hi": 50.8 }, "BPHIGH": { "lo": 32.9, "hi": 40.5 }, "CHD": { "lo": 6.4, "hi": 8.3 }, "GHLTH": { "lo": 18.3, "hi": 24.7 }, "PHLTH": { "lo": 13.0, "hi": 17.1 }, "ACCESS2": { "lo": 6.2, "hi": 9.8 }, "LACKTRPT": { "lo": 7.6, "hi": 10.3 }, "FOODINSECU": { "lo": 13.6, "hi": 19.8 }, "HOUSINSECU": { "lo": 10.9, "hi": 15.3 } }, "rank": 11 }, { "fips": "26013", "name": "Baraga", "population": 8310, "priorityIndex": 62.2, "burdenScore": 68.5, "accessScore": 60.5, "shortageScore": 57.7, "topDriver": "Health burden", "hpsaMaxScore": 15, "hpsaDesignations": 4, "raw": { "DIABETES": 14.5, "OBESITY": 40.3, "BPHIGH": 40.9, "CHD": 9.0, "GHLTH": 23.6, "PHLTH": 16.7, "ACCESS2": 7.9, "LACKTRPT": 10.1, "FOODINSECU": 18.6, "HOUSINSECU": 13.6, "ACS_POVERTY": 13.5, "ACS_NOVEHICLE": 8.0 }, "ci": { "DIABETES": { "lo": 12.4, "hi": 16.7 }, "OBESITY": { "lo": 31.3, "hi": 49.3 }, "BPHIGH": { "lo": 36.0, "hi": 45.4 }, "CHD": { "lo": 7.9, "hi": 10.2 }, "GHLTH": { "lo": 20.2, "hi": 27.1 }, "PHLTH": { "lo": 14.5, "hi": 18.9 }, "ACCESS2": { "lo": 6.3, "hi": 9.7 }, "LACKTRPT": { "lo": 8.7, "hi": 11.6 }, "FOODINSECU": { "lo": 15.4, "hi": 22.1 }, "HOUSINSECU": { "lo": 11.5, "hi": 16.0 } }, "rank": 12 }, { "fips": "26049", "name": "Genesee", "population": 401522, "priorityIndex": 61.9, "burdenScore": 58.5, "accessScore": 61.9, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 3, "raw": { "DIABETES": 13.2, "OBESITY": 40.6, "BPHIGH": 39.0, "CHD": 7.8, "GHLTH": 22.2, "PHLTH": 16.0, "ACCESS2": 7.3, "LACKTRPT": 9.9, "FOODINSECU": 19.1, "HOUSINSECU": 14.2, "ACS_POVERTY": 15.9, "ACS_NOVEHICLE": 8.0 }, "ci": { "DIABETES": { "lo": 11.5, "hi": 15.0 }, "OBESITY": { "lo": 35.7, "hi": 45.0 }, "BPHIGH": { "lo": 35.6, "hi": 42.0 }, "CHD": { "lo": 6.8, "hi": 8.8 }, "GHLTH": { "lo": 19.1, "hi": 25.4 }, "PHLTH": { "lo": 14.0, "hi": 18.2 }, "ACCESS2": { "lo": 5.8, "hi": 9.2 }, "LACKTRPT": { "lo": 8.5, 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"priorityIndex": 15.5, "burdenScore": 28.2, "accessScore": 18.2, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 10.6, "OBESITY": 35.2, "BPHIGH": 33.9, "CHD": 6.6, "GHLTH": 16.4, "PHLTH": 13.1, "ACCESS2": 5.8, "LACKTRPT": 6.3, "FOODINSECU": 11.1, "HOUSINSECU": 9.0, "ACS_POVERTY": 9.4, "ACS_NOVEHICLE": 2.9 }, "ci": { "DIABETES": { "lo": 8.9, "hi": 12.4 }, "OBESITY": { "lo": 28.1, "hi": 42.8 }, "BPHIGH": { "lo": 29.8, "hi": 38.1 }, "CHD": { "lo": 5.7, "hi": 7.6 }, "GHLTH": { "lo": 13.5, "hi": 19.5 }, "PHLTH": { "lo": 11.1, "hi": 15.2 }, "ACCESS2": { "lo": 4.4, "hi": 7.4 }, "LACKTRPT": { "lo": 5.2, "hi": 7.5 }, "FOODINSECU": { "lo": 8.6, "hi": 14.1 }, "HOUSINSECU": { "lo": 7.2, "hi": 11.0 } }, "rank": 82 }, { "fips": "26093", "name": "Livingston", "population": 196757, "priorityIndex": 6.9, "burdenScore": 17.3, "accessScore": 3.3, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 9.7, "OBESITY": 32.3, "BPHIGH": 32.3, "CHD": 6.2, "GHLTH": 14.5, "PHLTH": 12.3, "ACCESS2": 4.7, "LACKTRPT": 5.2, "FOODINSECU": 8.8, "HOUSINSECU": 7.1, "ACS_POVERTY": 4.9, "ACS_NOVEHICLE": 2.9 }, "ci": { "DIABETES": { "lo": 8.3, "hi": 11.3 }, "OBESITY": { "lo": 28.0, "hi": 36.8 }, "BPHIGH": { "lo": 29.2, "hi": 35.4 }, "CHD": { "lo": 5.4, "hi": 7.2 }, "GHLTH": { "lo": 11.9, "hi": 17.4 }, "PHLTH": { "lo": 10.4, "hi": 14.3 }, "ACCESS2": { "lo": 3.5, "hi": 6.2 }, "LACKTRPT": { "lo": 4.3, "hi": 6.4 }, "FOODINSECU": { "lo": 6.7, "hi": 11.3 }, "HOUSINSECU": { "lo": 5.6, "hi": 8.8 } }, "rank": 83 } ], "faq": [ { "question": "What does the Michigan county health-access scorecard measure?", "answer": "It ranks all 83 Michigan counties by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap." }, { "question": "Which public datasets is it built from?", "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-08-01." }, { "question": "How should the Targeting-Priority Index be used?", "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers." } ], "contentHash": "6db99d4a8cf24209" }