Minnesota Health Care Markets Chartbook

Minnesota’s health care marketplace is a complex and continually evolving set of relationships between consumers, health care providers, health insurance plans, employers, and government. The Health Economics Program’s “Minnesota Health Care Markets Chartbook” is intended to provide convenient access to the most up-to-date Minnesota statistics on a wide variety of topics, including health care spending and drivers of increased health care costs in Minnesota, access to insurance coverage, and health care provider trends. The chartbook is updated regularly as new data and analysis become available.

Each section of the chartbook can be viewed individually in Adobe Acrobat as a pdf file or downloaded as a PowerPoint file. The chartbook is organized into eight sections as follows:

Section 1: Minnesota Health Care Spending and Cost Drivers – This section includes information on total health care spending in Minnesota, by sources and uses of funds. It also includes comparisons to national health care spending estimates. Finally, it includes information on trends in premiums and underlying costs in Minnesota’s private health insurance market. (Last update: July 2014) Section 2: Trends and Variation in Health Insurance Coverage – This section provides an overview of the sources of health insurance coverage for Minnesotans, how the sources of coverage have changed over time, and variation in sources of insurance coverage by age group, income, and race/ethnicity. (Last update: July 2014) Section 3: Employment-Based Health Insurance – This section provides an overview of the market for employer-based health insurance in Minnesota, using pooled data from the Insurance Component of the federal Medical Expenditure Panel Survey. It includes information on variations in health insurance offer rates, employee eligibility, take-up rates, total premiums and employer/employee shares, and other enrollee cost sharing requirements. (Last update: July 2012) Section 4: Small Group and Individual Health Insurance Markets – This section presents information on trends Minnesota’s small group and individual health insurance markets and benefit sets. It includes information on enrollment trends, premium growth, benefit sets (deductibles, copayments, etc.), and health plan market shares. (Last update: July 2014) Section 5: Public Health Insurance Programs – This section provides information on key enrollment and spending trends in publicly-financed health insurance programs that cover Minnesotans, including Medicare, Medical Assistance (Medicaid), MinnesotaCare, General Assistance Medical Care, the Prescription Drug Program, and the Minnesota Comprehensive Health Association (MCHA). (Last update: January 2010) Section 6: Uninsurance and the Safety Net – This section provides an in-depth look at the rate of uninsurance in Minnesota and how it varies over time and by demographic characteristics of Minnesotans. The slides also describe the makeup of the uninsured population by the demographic and employment characteristics and provide comparison to the population overall. This section includes further a detailed look at uncompensated care provided by Minnesota community hospitals. (Last update: June 2014) Section 7: Health Plans – This section presents information on the structure of the private health insurance market in Minnesota, including market shares by health plan and financial ’s HMOs. (Last update: July 2014) Section 8: Health Care Providers and Service Availability – This section provides an overview of trends related to hospitals and physician services. For hospitals, it includes information on system capacity, utilization trends, financial trends, and uncompensated care. For physicians, it provides a summary of the number of primary care and specialty physicians per 1,000 people in different areas of the state. Supplemental information on financial and utilization trends by hospital and detailed information on the number of physicians by specialty and urban/rural practice location can be downloaded in Excel (.xls) or PDF format. (Last update: January 2014)

       Supplemental Information:

  • Inpatient Acute Care Beds at MN Community Hospitals,
    2006 to 2011
    Includes: Licensed Beds, Available Beds, etc.
    Excel: 55KB  PDF: 250KB/3pgs
  • Financial Statistics for Minnesota Community Hospitals,
    2006 to 2011
    Includes: Net Income, Profit Margin, etc.
    Excel: 122KB   PDF: 191KB/9pgs
  • Service Utilization at Minnesota Community Hospitals,
    2006 to 2011
    Includes: Acute Care Admissions, Outpatient Registration, etc.
    Excel: 143KB   PDF: 302KB/17pgs
  • Minnesota Hospital Uncompensated Care and Its Components
    Includes: Charity Care, Bad Debt, etc.
    Excel: 5844KB   PDF: 182KB/9pgs

    Most of the information included in the chartbook is from research and analysis conducted by the Health Economics Program using data collected by the Minnesota Department of Health or other state agencies. We have included some useful links to other commonly used sources of state-level information on health care markets and trends below.

    Useful data sources for cross-state comparisons

    While most of the information included in the chartbook comes from data collection efforts that are specific to Minnesota and that have been designed to enable detailed analysis of Minnesota’s health care markets, for some purposes it is useful to consult a data source that provides estimates that are comparable across states. The following links are to some of the most commonly used sources of data for cross-state comparisons:

    • Current Population Survey – This survey, conducted annually by the U.S. Census Bureau, is the most commonly used source of state-level estimates of uninsurance when cross-state or national comparisons are necessary. Attention: Non-MDH link.


    • Statehealthfacts.org – This site, sponsored by the Kaiser Family Foundation, is a compilation of state-level data related to health care on a wide range of topics from many different sources. Attention: Non-MDH link.


    • Medical Expenditure Panel Survey Insurance Component – This survey of employers, conducted annually by the Agency for Healthcare Research and Quality (AHRQ), provides state-level data on the market for employment-based health insurance. While this can be a useful source for cross-state comparisons, the estimates should be used with caution because some of the estimates have a large margin of error – in other words, differences between states (or between a state estimate and the national average, or differences over time) may appear large even though they are not statistically different. Attention: Non-MDH link.

    Other sources of Minnesota-specific data

    The Web sites listed below include additional Minnesota-specific information related to the state’s health care marketplace.

    • Minnesotahealthinfo.org – This site was developed by the Health Economics Program in order to provide Minnesota consumers with an online clearinghouse of comparative information on health care cost and quality in Minnesota. In addition to providing links to state-specific information on health care providers and health care quality, it includes links to a wide variety of general resources that Minnesota consumers can use in making health and health care decisions.
    • Minnesota Department of Human Services:

  • Health Care Programs Eligibility and Enrollment Information - Information on public health care program eligibility and up-to-date enrollment information by program. Attention: Non-MDH link.
  • Reports and Forecasts Division – Detailed enrollment and financial information on Minnesota’s health care coverage programs. Attention: Non-MDH link.
  • Managed Care Health Contracting Information - All public information about managed care plans that contract with the state to provide health care for enrollees in public programs is now available. The website, established by DHS under a March 23 executive order from Gov. Mark Dayton, includes all public data and reports related to managed care plan contracts. It is part of a state reform effort that also involves the Departments of Commerce and Health. More information is in a press release about reforming how the state provides and pays for health care.

    • Minnesota Hospital Association – The Minnesota Hospital Association’s website presents statistical information on Minnesota hospitals, including some measures that are not included in the Minnesota Health Care Markets Chartbook. (Click on “About Hospitals” from the MHA home page.) Attention: Non-MDH link.

     

    Updated Wednesday, September 10, 2014 at 11:43AM