Delaware

A collection of resources on health system performance in Delaware.

Switch States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
View of the Delaware State House

#27 Delaware's 2022 Rank

The 2022 Scorecard on State Health System Performance identifies a range of health care system deficiencies, and how they have been exacerbated by the pandemic. See why Delaware ranked #27 this year.

Read the Scorecard →

Delaware Performance Data

Show All Performance Areas
Access to Health Care
Children
Consumer Insurance and Medical Costs
Health Care System Spending
Health Insurance Coverage
Health Status and Outcomes
Hospital Safety and Quality
Mental Health
Older Adults
Outpatient Safety and Quality
Post-Acute Care and Long Term Care
Potentially Avoidable Care
Preventive and Well Care
Primary Health Care
Reproductive Care and Women’s Health
Working Age Adults
No results for

Access to Health Care

Access to Health Care
Indicator
Latest
U.S. Avg.
Adults who went without care because of cost
8.2%
2022
11.2%
Adults with a usual source of care
86.4%
2022
82%
Adults with any mental illness reporting unmet need
31%
2019-20
28%
Adults with any mental illness who did not receive treatment
48%
2019-20
55%
Adults without a dental visit
35.8%
2022
36.1%
Children who received needed mental health care
83.1%
2021-22
80.6%
65.2%
2021-22
64.4%
Children with a medical home
43.2%
2021-22
44.9%
Youth with depression who did not receive mental health services
48%
2019-20
60%

Children

Children
Indicator
Latest
U.S. Avg.
Children who are overweight or obese
32.7%
2021-22
32.7%
Children who received needed mental health care
83.1%
2021-22
80.6%
65.2%
2021-22
64.4%
Children with a medical home
43.2%
2021-22
44.9%
Children with all recommended vaccines
76%
2021
72%
Infant mortality per 1,000 live births
5.1
2020
5.4
Uninsured children
3.2%
2022
5.1%
Youth with depression who did not receive mental health services
48%
2019-20
60%
Consumer Insurance and Medical Costs
Consumer Insurance and Medical Costs
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults who went without care because of cost
8.2%
2022
11.2%
Employee contribution to total premium cost for employer-sponsored health insurance plans
$5,030
2021
$4,967
Employee deductible for employer-sponsored health insurance plans
$3,070
2021
$3,371
4.7%
2021
4.6%
Employee total potential out-of-pocket medical costs
$8,100
2021
$8,338
Employee total potential out-of-pocket medical costs, as a share of state median income
12.3%
2021
11.5%
Individuals with high out-of-pocket medical spending
10%
2021-22
10%
People with medical debt
16.3%
2021
12.6%
Total premium cost for employer-sponsored health insurance plans
$18,045
2021
$17,650
27.5%
2021
24.2%
Health Care System Spending
Health Care System Spending
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Doctors' office visit employer-sponsored insurance spending per enrollee
$488
2021
$540
Doctors' office visit spending per Medicare beneficiary
$1,175
2021
$1,088
Home health spending per Medicare beneficiary
$392
2021
$518
Inpatient employer-sponsored insurance spending per enrollee
$1,702
2021
$1,512
Inpatient spending per Medicare beneficiary
$2,479
2021
$2,563
Primary care spending as share of total, age 65 and older
5.4%
2021
5.3%
Primary care spending as share of total, ages 18–64
5.5%
2021
6.9%
Primary care spending per beneficiary, age 65 and older
$654
2021
$621
Primary care spending per enrollee, ages 18–64
$473
2021
$558
Public health funding
$35
2019
$40
Skilled nursing facility spending per Medicare beneficiary
$656
2021
$821
Total employer-sponsored insurance spending per enrollee
$6,163
2021
$6,060
Total spending per Medicare beneficiary
$10,411
2021
$10,478
Health Insurance Coverage
Health Insurance Coverage
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Uninsured adults
8.1%
2022
11.2%
Uninsured children
3.2%
2022
5.1%
Health Status and Outcomes
Health Status and Outcomes
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults who are obese
39.3%
2022
34.3%
Adults who have lost six or more teeth
7.8%
2022
8.6%
Adults who report fair or poor health
15.3%
2022
16%
Adults who smoke
12.8%
2022
12.9%
Alcohol deaths per 100,000 population
13.1
2021
14.4
Breast cancer deaths per 100,000 female population
22.4
2021
19.4
Children who are overweight or obese
32.7%
2021-22
32.7%
Colorectal cancer deaths per 100,000 population
10.8
2021
13.4
Drug overdose deaths per 100,000 population
54
2021
32.4
Hospital 30-day mortality
11.9%
07/2018 - 06/2021
12.3%
Infant mortality per 1,000 live births
5.1
2020
5.4
Maternal mortality per 100,000 live births
-
2019-2021
25.6
Mortality amenable to health care, deaths per 100,000 population
82.5
2019-20
86.8
Premature avoidable deaths per 100,000 population
318.1
2020-21
320.8
Premature deaths from preventable causes per 100,000 population
233.3
2020-21
231.9
Premature deaths from treatable causes per 100,000 population
84.7
2020-21
88.8
Public health funding
$35
2019
$40
Suicide deaths per 100,000 population
13.6
2021
14.1
Hospital Safety and Quality
Hospital Safety and Quality
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
48
2021
49
Central line-associated blood stream infection (CLABSI), Standardized Infection Ratio
0.661
2021
0.921
58
2021
60
78
2021
78
79
2021
78
Hospital 30-day mortality
11.9%
07/2018 - 06/2021
12.3%
Hospital 30-day readmissions age 65 and older, per 1,000 Medicare beneficiaries
29.9
2021
33.1
Hospital 30-day readmissions ages 18–64, per 1,000 employer coverage enrollees
2.9
2021
2.9
87%
2021
86%
Mental Health
Mental Health
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults with any mental illness reporting unmet need
31%
2019-20
28%
Adults with any mental illness who did not receive treatment
48%
2019-20
55%
Alcohol deaths per 100,000 population
13.1
2021
14.4
Antidepressant use and adherence for depression
39.6%
2021
38.2%
Children who received needed mental health care
83.1%
2021-22
80.6%
Drug overdose deaths per 100,000 population
54
2021
32.4
Suicide deaths per 100,000 population
13.6
2021
14.1
Youth with depression who did not receive mental health services
48%
2019-20
60%
Older Adults
Older Adults
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
At risk adults with a recent check-up
92.7%
2022
90.7%
Doctors' office visit spending per Medicare beneficiary
$1,175
2021
$1,088
Home health patients with a hospital admission
16%
2019
15%
Home health spending per Medicare beneficiary
$392
2021
$518
Hospital 30-day mortality
11.9%
07/2018 - 06/2021
12.3%
Hospital 30-day readmissions age 65 and older, per 1,000 Medicare beneficiaries
29.9
2021
33.1
Inpatient spending per Medicare beneficiary
$2,479
2021
$2,563
16%
2020
17%
Older adults who received the pneumonia vaccine
74.6%
2022
70%
Potentially avoidable ED visits age 65 and older, per 1,000 Medicare beneficiaries
138
2021
141.3
Preventable hospitalizations age 65 and older, per 1,000 Medicare beneficiaries
29.3
2021
28.6
Primary care spending as share of total, age 65 and older
5.4%
2021
5.3%
Primary care spending per beneficiary, age 65 and older
$654
2021
$621
Skilled nursing facility spending per Medicare beneficiary
$656
2021
$821
Total spending per Medicare beneficiary
$10,411
2021
$10,478
Outpatient Safety and Quality
Outpatient Safety and Quality
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults with low back pain with an imaging study at diagnosis
68.6%
2021
69.1%
Appropriate antibiotic among adults with bacterial pneumonia
42%
2021
44.3%
Post-Acute Care and Long Term Care
Post-Acute Care and Long Term Care
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Home health patients whose wounds healed after an operation
93%
2019
92%
Home health patients with a hospital admission
16%
2019
15%
Home health patients with improved mobility
82%
2019
80%
Home health spending per Medicare beneficiary
$392
2021
$518
16%
2020
17%
Nursing home residents with an antipsychotic medication
11.7%
2020
14.4%
Nursing home residents with pressure sores
3.6%
2017
5.6%
Skilled nursing facility spending per Medicare beneficiary
$656
2021
$821
Potentially Avoidable Care
Potentially Avoidable Care
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults with low back pain with an imaging study at diagnosis
68.6%
2021
69.1%
Hospital 30-day readmissions age 65 and older, per 1,000 Medicare beneficiaries
29.9
2021
33.1
Hospital 30-day readmissions ages 18–64, per 1,000 employer coverage enrollees
2.9
2021
2.9
Potentially avoidable ED visits age 65 and older, per 1,000 Medicare beneficiaries
138
2021
141.3
Potentially avoidable ED visits ages 18–64, per 1,000 employer coverage enrollees
126.3
2021
133.9
Preventable hospitalizations age 65 and older, per 1,000 Medicare beneficiaries
29.3
2021
28.6
Preventable hospitalizations ages 18–64, per 1,000 employer coverage enrollees
3.9
2021
4.4
Preventive and Well Care
Preventive and Well Care
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adult women who received a cervical cancer screening Pap test
77.2%
2020
75.8%
Adult women who received a mammogram
79.8%
2022
76.7%
Adult women who received a recommended cervical cancer screening test
82.3%
2022
82%
Adults ages 45–74 who received a colon cancer screening test
64.7%
2022
59.5%
Adults who received a colon cancer screening test
77.2%
2020
72.4%
Adults with a recent flu shot
48.2%
2022
45%
Adults with age- and gender-appropriate cancer screenings
70.9%
2020
68.8%
Adults with age- and gender-appropriate cancer screenings (2022 update)
68.1%
2022
64.6%
Adults with age-appropriate vaccines
45.3%
2022
41.9%
Adults without a dental visit
35.8%
2022
36.1%
At risk adults with a recent check-up
92.7%
2022
90.7%
65.2%
2021-22
64.4%
Children with all recommended vaccines
76%
2021
72%
Diabetic adults with an annual hemoglobin A1c test
88.8%
2021
90.1%
Diabetic adults with an annual LDL-C test
85.3%
2021
79.3%
Older adults who received the pneumonia vaccine
74.6%
2022
70%
Premature avoidable deaths per 100,000 population
318.1
2020-21
320.8
Premature deaths from preventable causes per 100,000 population
233.3
2020-21
231.9
Premature deaths from treatable causes per 100,000 population
84.7
2020-21
88.8
Primary care spending as share of total, age 65 and older
5.4%
2021
5.3%
Primary care spending as share of total, ages 18–64
5.5%
2021
6.9%
Primary care spending per beneficiary, age 65 and older
$654
2021
$621
Primary care spending per enrollee, ages 18–64
$473
2021
$558
Public health funding
$35
2019
$40
Primary Health Care
Primary Health Care
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adult women who received a cervical cancer screening Pap test
77.2%
2020
75.8%
Adult women who received a mammogram
79.8%
2022
76.7%
Adults who received a colon cancer screening test
77.2%
2020
72.4%
Adults with a usual source of care
86.4%
2022
82%
Adults with age- and gender-appropriate cancer screenings
70.9%
2020
68.8%
Adults with age- and gender-appropriate cancer screenings (2022 update)
68.1%
2022
64.6%
Adults with age-appropriate vaccines
45.3%
2022
41.9%
At risk adults with a recent check-up
92.7%
2022
90.7%
65.2%
2021-22
64.4%
Children with a medical home
43.2%
2021-22
44.9%
Children with all recommended vaccines
76%
2021
72%
Diabetic adults with an annual hemoglobin A1c test
88.8%
2021
90.1%
Diabetic adults with an annual LDL-C test
85.3%
2021
79.3%
Doctors' office visit employer-sponsored insurance spending per enrollee
$488
2021
$540
Doctors' office visit spending per Medicare beneficiary
$1,175
2021
$1,088
Mortality amenable to health care, deaths per 100,000 population
82.5
2019-20
86.8
Older adults who received the pneumonia vaccine
74.6%
2022
70%
Premature avoidable deaths per 100,000 population
318.1
2020-21
320.8
Premature deaths from preventable causes per 100,000 population
233.3
2020-21
231.9
Premature deaths from treatable causes per 100,000 population
84.7
2020-21
88.8
Primary care spending as share of total, age 65 and older
5.4%
2021
5.3%
Primary care spending as share of total, ages 18–64
5.5%
2021
6.9%
Primary care spending per beneficiary, age 65 and older
$654
2021
$621
Primary care spending per enrollee, ages 18–64
$473
2021
$558
Reproductive Care and Women’s Health
Reproductive Care and Women’s Health
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
All-cause mortality rate per 100,000 women ages 15–44
147.5
2021
124.2
Breast and cervical cancer deaths per 100,000 female population
24.7
2021
21.7
Breast cancer deaths per 100,000 female population
22.4
2021
19.4
Infant mortality per 1,000 live births
5.1
2020
5.4
Maternal mortality per 100,000 live births
-
2019-2021
25.6
No early prenatal care
20.7%
2021
21.7%
Preterm birth rate
11%
2021
10.5%
Self-pay in-hospital births
1.3%
2021
2.7%
Severe maternal morbidity
79.9
2020
88.2
Women ages 18–44 without a routine checkup
11.1%
2021
13%
Women ages 18–44 without a usual source of care
20.4%
2021
20.9%
Women without a postpartum checkup after birth
12%
2020
11.1%
Working Age Adults
Working Age Adults
Indicator
Latest
The values below are from the most recent year or time period available for the indicator. Hover over the value to see the year or time period.
U.S. Avg.
Adults who are obese
39.3%
2022
34.3%
Adults who have lost six or more teeth
7.8%
2022
8.6%
Adults with low back pain with an imaging study at diagnosis
68.6%
2021
69.1%
Antidepressant use and adherence for depression
39.6%
2021
38.2%
Appropriate antibiotic among adults with bacterial pneumonia
42%
2021
44.3%
Diabetic adults with an annual hemoglobin A1c test
88.8%
2021
90.1%
Diabetic adults with an annual LDL-C test
85.3%
2021
79.3%
Doctors' office visit employer-sponsored insurance spending per enrollee
$488
2021
$540
Employee contribution to total premium cost for employer-sponsored health insurance plans
$5,030
2021
$4,967
Employee deductible for employer-sponsored health insurance plans
$3,070
2021
$3,371
4.7%
2021
4.6%
Employee total potential out-of-pocket medical costs
$8,100
2021
$8,338
Employee total potential out-of-pocket medical costs, as a share of state median income
12.3%
2021
11.5%
Hospital 30-day readmissions ages 18–64, per 1,000 employer coverage enrollees
2.9
2021
2.9
Inpatient employer-sponsored insurance spending per enrollee
$1,702
2021
$1,512
Potentially avoidable ED visits ages 18–64, per 1,000 employer coverage enrollees
126.3
2021
133.9
Preventable hospitalizations ages 18–64, per 1,000 employer coverage enrollees
3.9
2021
4.4
Primary care spending as share of total, ages 18–64
5.5%
2021
6.9%
Primary care spending per enrollee, ages 18–64
$473
2021
$558
Total employer-sponsored insurance spending per enrollee
$6,163
2021
$6,060
Total premium cost for employer-sponsored health insurance plans
$18,045
2021
$17,650
27.5%
2021
24.2%
Uninsured adults
8.1%
2022
11.2%
Click to ExpandContent

Delaware Policy Information

Policy
Status
Medicaid Expansion Status

Traditionally expanded Medicaid (33 states + DC)

Health Insurance Marketplace Type

Federally facilitated marketplace; state conducting plan management (13)

Public Coverage Options

Has not established a public coverage option

Annual Open Enrollment Period Extensions

Did not extend 2018–2022 open enrollment

Health Coverage Subsidies

Provides no premium or cost-sharing subsidies

Non-compliant Short-term Plans

Sets stricter limits on the sale of short-term coverage than the federal government

Non-compliant Transitional Plans

Prohibits non-compliant transitional policies

Other Non-compliant Plans

Does not exempt other coverage from insurance rules

Promotion of ACA Marketplace Competition

No rules to promote marketplace competition

Standardized Individual Market Plans

Does not require standardized cost-sharing plan design

Click to ExpandContent

Delaware Key Demographics

970K
Total Population
$70.4K
Median Household Income
26%
Below 200% of Federal Poverty Level (FPL)
60%
% White race, non-Hispanic
21%
% Black race, non-Hispanic
10%
% Hispanic ethnicity
4%
% Asian American, Native Hawaiian, or Pacific Islander race, non-Hispanic
1%
% American Indian or Alaska Native race, non-Hispanic