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Kentucky, the Bluegrass State, ranks 44th in the most recent America’s Health Rankings. The state fares poorly in several categories: immunization among adolescents (46th); obesity (38th); pertussis (36th); preventable hospitalizations (31st); and, teen birth rate (32nd).Diabetes in adults has increased 18% in the past year. Kentucky has over 4.4 million residents, with over 7% of the population uninsured. The average cost of an inpatient hospital stay before insurance is $1,782 per day based on 2014 data, according to The Henry J. Kaiser Family Foundation. Kentucky had healthcare expenditures totaling more than $28.4 billion in 2009. The state has 104 hospitals and 37 HMO groups with membership exceeding 1.4 million individuals.