Ranking Highlights

2020 RankChange from Baseline
Overall Ranking14-5
Access and Affordability13-5
Prevention and Treatment14-7
Avoidable Hospital Use and Cost23-1
Healthy Lives22+1
Medicaid Expansion (as of Jan. 2018)Yes


Total Population5,943,754322,324,172
Median Household Income$89,456$67,877
Below 200% of Federal Poverty Level (FPL)21%30%
% White Race, Non-Hispanic50%60%
% Black Race, Non-Hispanic29%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicity10%18%
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Top Ranked Indicators

  • Alcohol deaths
  • Employer-sponsored insurance spending per enrollee
  • Adults without all recommended vaccines

Bottom Ranked Indicators

  • Central line-associated blood stream infection (CLABSI)
  • Children without a medical home
  • Drug poisoning deaths

Most Improved Indicators

  • Home health patients without improved mobility
  • Central line-associated blood stream infection (CLABSI)
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Preventable hospitalizations ages 18–64
  • Drug poisoning deaths
  • Children without a medical home

Comparison with the U.S. Average

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Estimated Gains Maryland Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the Mid-Atlantic regionGains for Maryland
173,163158,997more adults and children would be insured
184,342138,256fewer adults would skip needed care because of its cost
110,97655,488more adults would receive age- and gender-appropriate cancer screenings
10,5976,358more children (ages 19–35 months) would receive all recommended vaccines
131,02886,234fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
1,951956fewer premature deaths (before age 75) would occur from causes that are potentially treatable or preventable with timely and appropriate care

Estimated impact if this state’s performance improved to the rate of two benchmark levels — a national benchmark set at the level of the best-performing state and a regional benchmark set at the level of the top-performing state in region ( Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).