Measuring Maryland's Progress

 

 

The health and human services dashboards are intended to illustrate how Maryland fares on key public health measures and health care reform efforts, as well as describe enrollment and spending trends in core health and human services programs.  Data covers such diverse areas as infant mortality, opioid abuse, Maryland’s performance on the All-payer Model Contract, Medicaid, community services for individuals with developmental disabilities, the community mental health system, and poverty in Maryland.

 

 

HEALTH AND HUMAN SERVICES

 

Updated

Maryland State Health Improvement Process Measures

 

The Department of Health and Mental Hygiene’s State Health Improvement Process includes 39 measures in five focus areas (healthy beginnings, healthy living, healthy communities, access to health care, and quality preventive care).  This dashboard provides historic data through 2014 (the most recent data available) on 6 measures:  infant mortality, adult smoking, incidence of HIV, suicide rate, and age-adjusted mortality rates from cancer and heart disease.  Data is shown for Maryland overall, as well as by race/ethnicity, which highlights key health disparities. 

 

 

 

 

December 2016

 

Substance Use in Maryland:  Opioids

 

Opioid use and overdose is a public health epidemic in Maryland.  As shown in this dashboard, heroin and prescription opioids have contributed to the vast majority of the State’s overdose deaths and the rate of overdose deaths from opioids continues to rise at a staggering rate.  Heroin-related emergency department visits have also increased dramatically, along with opioid-related admissions to State-supported substance use treatment.

 

December 2016

Maryland's Performance on the Requirements of the All-payer Model Contract

 

Effective January 1, 2014, Maryland entered into a contract with the federal government to replace the State’s 36 year-old Medicare waiver with the new Maryland all-payer model contract.  Under the waiver, Maryland’s success was based solely on the cumulative rate of growth in Medicare inpatient per admission costs.  Under the model contract, however, the State not only will limit inpatient, outpatient, and Medicare per beneficiary hospital growth but will also shift hospital revenues to a population-based system and reduce both hospital readmissions and potentially preventable complications.  The model contract will be deemed successful if Maryland can meet cost and quality targets without inappropriately shifting costs to nonhospital settings and if there is a measurable improvement in quality of care.  This dashboard displays the requirements the State must meet under the model contract and the status of the State’s performance since June 30, 2014.

 

December  2016

 

Maryland Medicaid Program – Enrollment

 

This dashboard shows enrollment trends in the Medicaid and Maryland Children’s Health Program (MCHP).  In fiscal 2017, these programs are projected to cover just over 1.3 million individuals, including about 291,000 eligible under the 2014 federal Patient Protection and Affordable Care Act expansion.  About 1 in 5 Marylanders receive their health care coverage through Medicaid and MCHP.

 

 

 

December 2016

 

Maryland Medicaid Program – Spending

 

This dashboard displays spending in Medicaid and MCHP for fiscal 2016, which totaled nearly $8.3 billion.  Slightly more than half (52%) of expenditures were paid to Medicaid managed care organizations.  Some Medicaid populations, including the elderly and the disabled, account for a higher percentage of total spending relative to the total enrollment of such populations.  Conversely, spending on other populations is lower relative to enrollment (i.e., nondisabled children).

 

 

 

 

 

 

December 2016

 

Behavioral Health Administration – Mental Health Services

 

This dashboard shows enrollment trends and fee-for-service expenditures for community mental health services.  In fiscal 2016, total enrollment in the community mental health system was nearly 216,000.  Additional enrollment since 2012 reflects enrollment growth in the Medicaid program.  Enrollment has also grown faster among adults rather than children (individuals ages 0 to 21).  Total fee-for-service expenditures for community mental health services exceeded $839 million in fiscal 2016. 

 

 

 

 

 

January 2017

 

Developmental Disabilities Administration

 

The Developmental Disabilities Administration (DDA) provides direct services to developmentally disabled individuals in two State residential centers and through funding of a coordinated service delivery system that supports the integration of these individuals into the community.  This dashboard displays two measures related to DDA: individuals receiving community services and the number of individuals on the DDA waiting list.

 

January 2016

Maryland Human Services – Caseloads

 

In addition to Medicaid, many Marylanders are also reliant on the State for other forms of support such as temporary cash assistance, food stamps, and home energy assistance.  This dashboard shows caseload trends for these three key human services programs.  Recipients of cash assistance and home energy assistance appear to have peaked in 2010 and 2011.   The number of recipients of food stamps continued to increase through 2013, after which growth has slowed.

 

 

December 2015

 

Maryland Human Services – Child Support

 

This dashboard shows trends in child support collections since federal fiscal 2003.  Child support collections have increased in nearly all recent years.  Arrearage collections have increased in total since federal fiscal 2010, despite a slight decrease in federal fiscal 2013.  The growth in arrearage collections has occurred even as the cumulative arrearages declined by more than $200 million in federal fiscal 2012 due to enhanced case closure activity.  As a result, the percentage of arrearages owed that are collected increased by 23.7% (or 1.8 percentage points) between federal fiscal 2011 and 2012.  The percent of current support due that is collected increased by approximately 2.0 percentage points between federal fiscal 2012 and 2014.

 

December 2016

 

Maryland Energy Assistance Eligibility

 

This dashboard shows trends in eligibility for the Maryland Energy Assistance Program (MEAP).  After increasing in several years beginning in fiscal 2008, the percent of households receiving energy assistance through MEAP (primarily a heating program) and the Electric Universal Service Program began to decrease in fiscal 2011.  The percentage of households receiving assistance decreased more substantially in fiscal 2013.  The percentage of eligible households certified for benefits is anticipated to increase in fiscal 2016 and 2017.  This measure is impacted by changes in the estimated number of eligible households and factors such as weather.

 

December 2016

Maryland Demographics – Poverty

 

This dashboard provides data on total and child poverty rates in Maryland, as well as how Maryland compares with other states and Washington, DC.  In 2015, nearly 9.6% of all Marylanders and 13.8% of Maryland children lived in poverty.  Maryland ranked sixth lowest among all states for total poverty and ninth lowest for child poverty.  While Maryland has a low poverty rate overall, a high proportion of low-income Marylanders live in deep poverty (less than 50.0% of the federal poverty level).  In 2013, more than one-third of Maryland residents (37.6%) living in or near poverty (incomes up to 125.0% of the federal poverty level) were in deep poverty compared to 20.6% nationwide.  As those living in deep poverty are statistically least likely to work, they are not always served by core public assistance programs. 

 

September 2016

 

 

 

 

 

 

 

 

 

This page revised January 11, 2017