The green growth of Beijing-Tianjin-Hebei (BTH) urban agglomeration plays a leading and exemplary role in overcoming internal resource restrictions, addressing climate change, and supporting China's high-quality growth. From the standpoint of pollution reduction and carbon reduction, this paper first conducts a comprehensive evaluation of the environmental impact based on combined weighting technique. The Logarithmic Mean Divisia Index (LMDI) model is used to decompose the environmental impact drivers in distinct areas. A decoupling effort index is further constructed to measure the effect of various efforts on the decoupling of economic growth and environmental impact, the improved grey Markov model is applied to predict the future trend of regional decoupling efforts. The results of empirical analysis based on data of the BTH region during 2011–2018 show that: 1) the environmental impact index of Beijing is the lowest followed by Tianjin and Hebei; 2) environmental regulation exerts the most significant impact on reducing environmental pressure in Beijing while technology progress and energy intensity have the most significant effect on easing environmental pressure in Tianjin; 3) strong decoupling efforts have been found in Beijing, Tianjin and Hebei, however, such effect is more significant in Beijing; 4) Beijing's decoupling state is mostly driven by regulatory effect, intensity effect, and scale effect, while Tianjin and Hebei's decoupling states are primarily driven by improvements in environmental regulation and energy intensity; 5) according to the forecast outcome of the improved grey Markov technique, a state of strong decoupling effort will be maintained in the BTH area by 2025, and the decoupling effort index in Beijing will remain the highest while the index in Hebei will remain the lowest.