Managed Care · MD

Maryland

High opportunity · score 69

MA penetration is well below average — strong room for managed-care contracts.

State MA penetration
25.5%
National rank #47 · National avg 47.8%
-22.34 pp vs national
298,028
MA beneficiaries (rolled up)
1,170,380
Medicare eligibles
24
Counties indexed
221
SNFs in state
MA beneficiaries · 2016–2022
2016201720182019202020212022200,61989,815
YoY change: +123.4%
SNF utilization rate (MA enrollees)
20162017201820192020202120220.04660.0334
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).

Most saturated counties

  • Baltimore City
    38,611 of 100,581 eligibles
    38.4%
  • Prince George's
    49,250 of 152,793 eligibles
    32.2%
  • Somerset
    1,619 of 5,373 eligibles
    30.1%
  • Wicomico
    5,798 of 21,689 eligibles
    26.7%
  • Baltimore
    45,685 of 173,975 eligibles
    26.3%
  • Charles
    7,366 of 28,701 eligibles
    25.7%
  • Dorchester
    2,271 of 8,878 eligibles
    25.6%
  • Washington
    8,507 of 33,787 eligibles
    25.2%
  • Harford
    13,809 of 55,620 eligibles
    24.8%
  • Worcester
    4,187 of 17,183 eligibles
    24.4%

Highest opportunity counties

  • Talbot
    12,234 eligibles · 1,894 enrolled
    15.5%
  • Calvert
    18,910 eligibles · 2,979 enrolled
    15.8%
  • Queen Anne's
    13,087 eligibles · 2,181 enrolled
    16.7%
  • St. Mary's
    19,772 eligibles · 3,509 enrolled
    17.8%
  • Kent
    6,090 eligibles · 1,084 enrolled
    17.8%
  • Allegany
    17,189 eligibles · 3,070 enrolled
    17.9%
  • Carroll
    37,595 eligibles · 7,626 enrolled
    20.3%
  • Howard
    57,264 eligibles · 11,670 enrolled
    20.4%
  • Anne Arundel
    108,400 eligibles · 22,472 enrolled
    20.7%
  • Frederick
    51,730 eligibles · 10,755 enrolled
    20.8%

Top MA payers in Maryland

295,092 total MA enrolled

Top-rated SNFs in Maryland

221 total
Source: CMS MA State/County Penetration (Aug 2025). Secondary metrics from CMS Medicare Advantage Geographic Variation PUF (2016–2022). Penetration is computed by rolling up county-level CMS-published MA enrolled / Medicare eligibles. Trend chart spans 2016–2022.

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