Pay for performance remains a top priority, and wellness initiatives have grown. More people are now covered because of health care reform, but deductibles are frequently very high. County residents' median household income is $59,548. The county's average household income is higher than both the national average of $53,650 and the state's median household income of $44,446. By the end of the year, it is anticipated that a new car manufacturing facility would have increased local employment by 1,500 production line positions and 300 administrative jobs. The production jobs will pay a median salary of $45,000 and come with health, vision, and dental insurance coverage. When reviewing this data, keep in mind that a portion of the population will become eligible for Medicare, that the addition of manufacturing jobs with benefits will boost commercial insurance coverage, and that the changes brought about by the health care reform will result in more patients on the market who have insurance coverage