Health Economics Program
The Health Economics Program conducts research and applied policy analysis to monitor changes in the health care marketplace; to understand factors influencing health care cost, quality and access; and to provide technical assistance in the development of state health care policy. The information is used to inform policy makers, consumers, and other stakeholders in Minnesota's health care system.
The Health Economics Program collects data and produces a variety of reports, papers, issue briefs, and presentations, covering topics such as health care costs and spending, the uninsured, private market insurance trends, and hospital and other health care provider trends. It also publishes an online Minnesota Health Care Markets Chartbook with up-to-date data and statistics on health care cost, health insurance, health plans, and health care providers; and an interactive web site with detailed insurance coverage statistics from the Minnesota Health Access Survey (MNHA).
Instructions to submit required data reports for health plans and health care providers. This link provides instructions for health care providers on how to submit data to the Health Economics Program at the Minnesota Department of Health.
Uncompensated Care at Minnesota Community Hospitals in 2014
This issue brief describes the changes in uncompensated care at Minnesota hospitals in 2014, the first year in which the most significant coverage provisions of the Affordable Care Act (ACA) were implemented in Minnesota and the nation. The issue brief includes findings on trends for overall uncompensated care and components, charity care and bad debt, as well as changes by insurance status. This analysis uses data from annual hospital filings. (September 2015)
Potentially Preventable Health Care Events in Minnesota (PDF)
This report provides a baseline for the volume and associated spending of potentially preventable health care events in Minnesota in 2012. These events comprise emergency department visits, hospital stays and hospital readmissions that could have potentially been prevented with timely access to primary care better care coordination and prescription management improved health care literacy by patients and better coordination across providers and between patients, their families, providers and social support services. (July 2015).
Stratifying Health Care Quality Measures Using Socio-demographic Factors (PDF)
MDH issued a report which presents findings from its study of stratifying Quality Reporting System measures based on disability, race, ethnicity, language, and other socio-demographic factors that are correlated with health disparities and impact performance on quality measures as required by 2014 Minnesota Laws, Chapter 312 Article 23, Section 10. Eliminating health disparities and creating a culture of health equity in which all individuals have the opportunity to be healthy is among MDH's highest priorities. This report lays out a series of recommendations that offer multiple pathways to stratification that acknowledge both the differing sources of data that make up the Quality Reporting System and the current state of the evidence. (March 2015)
Trends at Minnesota's Community Hospitals in 2013 (PDF)
This issue brief continues the analysis of trends and selected indicators at Minnesota’s 133 community hospitals, expanded to include the most current four-year period of available data (2010 to 2013). This analysis focuses on trends in utilization, financial performance and health care workforce, as well a comparison of trends in Critical Access Hospitals (CAH) and Prospective Payment System hospitals (PPS). (May 2015)
Administrative Costs at Minnesota Health Plans in 2013 (PDF)
This report contains information about administrative costs reported by health plan companies (group purchasers) that conducted business in Minnesota during 2013. (March 2015)
Minnesota All Payer Claims Database (MN APCD) Workgroup Report to the 2015 Minnesota Legislature (PDF)
This study presents recommendations from discussions of a workgroup of experts about a framework for potential broader use of the Minnesota All-payer Claims Database. Among other suggestions, the workgroup recommended that the Legislature authorize the development of a Public Use File and the establishment advisory bodies to assist with the further development and use of the data.
Chronic Pain Procedures in Minnesota (PDF)
This report examines the provision of chronic pain management services in Minnesota from 2010 through 2012. The report includes a description of the volume, geographic distribution, facility type, and provider type/specialty of the rendering provider. (January 2015).
Nurse Staffing Levels and Patient Outcomes (PDF)
This report describes the relationship between hospital nurse staffing levels and patient outcomes as required by the Minnesota Legislature. Specifically, this report includes a description of an expert workgroup and their key feedback, a review and synthesis of relevant literature, and the development of a Minnesota-specific study approach to quantitative analysis. (January 2015)
Minnesota's Adult Uninsured Rate 2014 (PDF)
This infographic provides a summary of findings about health insurance coverage and access to care for Minnesota adults in 2014, using the Health Reform Monitoring Survey – Minnesota. This study, a component of the national Health Reform Monitoring Survey, was designed to produce timely information about health reform implementation in Minnesota.
This issue brief presents new estimates of uninsurance for non-elderly Minnesota adults, as well as and estimates of satisfaction with aspects of health insurance coverage, confidence with insurance terms and navigating insurance coverage, and forgone care among adults ages 18 to 64 in September 2014. The results and analysis are from the Health Reform Monitoring Survey – Minnesota.
Minnesota Health Care Spending and Projections, 2012 (PDF)
This annual report to the Legislature includes estimated actual health care spending for Minnesota residents in 2012 and projections for future spending. The report compares estimated actual spending with spending that would have been expected absent Minnesota reforms or other changes to cost drivers, of which the calculated difference is defined as savings associated with the implementation of Minnesota's 2008 health reform law. The report also projects the marginal impact of policy changes associated with the Affordable Care Act. (June 2014)
Health Insurance in Minnesota: Results from the 2013 Minnesota Health Access Survey (PDF)
This fact sheet provides updated results from the 2013 Minnesota Health Access Survey, and compares the findings to analyses of surveys conducted in previous years. Topics include the rate of uninsurance in the state, sources of insurance coverage, disparities in access to insurance, and demographic and employment characteristics of the uninsured in Minnesota. This fact sheet has been updated from the preliminary results that appeared in February 2014. Updates include an adjustment to the statistical weights for the years 2009 and 2011, and a refinement in the calculation of potential eligibility for public programs. (May 2014)
Risk Adjustment in the Individual & Small Group Market in Minnesota - A Progress Report (PDF)
This report presents a progress update of the work conducted in fulfillment of MDH's requirements as directed by the 2013 Minnesota Legislature to perform a series of state-based risk adjustment studies. (April 2014)
Administrative Costs at Minnesota Health Plans in 2012 (PDF)
This report contains information about administrative costs reported by health plan companies (group purchasers) that conducted business in Minnesota during 2012. (March 2014)
Study of Capital Reserve Limits in Minnesota (PDF)
This report to the Minnesota Legislature presents policy considerations related to implementing upper limits on capital reserves of health plan companies in Minnesota. It is based on findings from interviews with stakeholders, financial analyses of health plan companies, and a study of available research. (March 2014)
Health Insurance in Minnesota: Preliminary Results from the 2013 Minnesota Health Access Survey (PDF)
This fact sheet provides initial results from the 2013 Minnesota Health Access Survey, and compares the findings to analyses of surveys conducted in previous years. Topics include the rate of uninsurance in the state, sources of insurance coverage, disparities in access to insurance, and demographic and employment characteristics of the uninsured in Minnesota. (February 2014)
Measuring the Affordable Care Act in Minnesota: Access to Health Care and Familiarity with the ACA at Baseline (PDF)
This issue brief presents data from the 2013 Minnesota Health Access Survey (MNHA) related to access to health care and the ability to afford needed services; many of the used metrics establish a baseline against which to measure the impact of the Affordable Care Act (ACA) in Minnesota. The issue brief also presents information on how well Minnesotans say they understand the health care market changes that are taking place. (February 2014)
Trends at Minnesota's Community Hospitals 2009 to 2012 (PDF)
This issue brief continues the analysis of trends and selected indicators at Minnesota’s 133 community hospitals, expanded to include the most current four-year period of available data (2009 to 2012). This analysis focuses on trends in utilization, financial performance and health care workforce, drawing on data annually submitted to the Minnesota Department of Health (MDH) by currently operating hospitals in Minnesota. (January 2014)