County Health Rankings & Roadmaps, A Healthier Nation, County by County

The County Health Rankings models and measures

Our Approach

The County Health Rankings model of population health

What can I do?

Action Center

Explore guides and tools for improving health.

What Works for Health

Explore programs and policies that work!

What can I learn from others?


Key findings from the last four years of County Health Rankings and other national reports.

County-by-County Blog

Project updates, commentaries, events and news about health across the nation from the County Health Rankings & Roadmaps team.

Policies & Programs, filtered by "Mixed Evidence"

Policies and programs that can improve health

10 results

Charter schools

Mixed Evidence

Establish publicly financed schools that are not subject to many of the regulations that govern traditional public schools, such as staffing, curriculum, and budgeting requirements


Consumer-directed health plans

Mixed Evidence

Establish high deductible health plans, often paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs)

Quality of Care

Court mandated programs for perpetrators of intimate partner violence

Mixed Evidence

Expand court-referred intimate partner violence offenders’ understanding of abuse, teach alternative reactions, and work to change gender role attitudes; also called batterer intervention programs (BIPs)

Community Safety

Individual Development Accounts (IDAs)

Mixed Evidence

Support subsidized asset accumulation programs in which deposits by low and moderate income participants are matched by program sponsors; withdrawals must be used for qualified expenses to retain matching funds


Medical marijuana legalization

Mixed Evidence

Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs)

Alcohol and Drug Use

Minimum wage increases

Mixed Evidence

Increase the lowest hourly, daily, or monthly compensation that employers may legally pay to workers


School or community-based abstinence-only education

Mixed Evidence

Promote abstinence from sexual activity, generally only with mention of condoms and birth control to highlight failure rates

Sexual Activity

School-based social norming: alcohol consumption

Mixed Evidence

Provide objective, normative information to reduce students’ misperceptions about alcohol use and, ultimately, change their alcohol consumption

Alcohol and Drug Use

Secondhand smoke education

Mixed Evidence

Use counseling, informational materials, etc. to inform smokers and non-smokers of the harms of secondhand smoke and encourage them to implement home smoking bans

Tobacco Use

Tiered drug formularies

Mixed Evidence

Vary patient drug costs by tier; e.g., generic drugs have the lowest co-pay or cost sharing in tier one, then preferred brand name medications (tier two), then non-formulary drugs (tier three)

Quality of Care