With a population of more than 115 million, Maharashtra is the second largest state in India. Healthcare delivery to this widespread and diverse population has always been a challenge for the state. A proactive public and private sector dominant in the state is driving new models of healthcare delivery. Thus the healthcare sector in the state has seen a growth curve year on year. The contribution of private players has been primarily in strengthening the quality healthcare in the metro cities, whereas the government has introduced many schemes and extended support programmes to uplift the public healthcare pyramid in the state. The state has also seen adoption of new technologies and IT as a tool for bringing quality and efficiency in healthcare. The smaller towns and cities are also emerging as investment and excellence centres.