Health Economics Program - Minnesota Dept. of Health

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. Learn more about the data we collect on the Data Resources and Management page. We also publish an online Minnesota Health Care Markets Chartbook with up-to-date data and statistics on health care costs, health insurance, health plans, and health care providers; and an interactive website with detailed insurance coverage statistics from the Minnesota Health Access Survey (MNHA).

Go to the Provider and Health Plan Data Reporting Requirements page for instructions on how to submit required data reports to the Health Economics Program.

New Publications

Administrative Costs at Minnesota Health Plans in 2015 (PDF)

This report presents data on 2015 administrative spending for all health plans (group purchasers) that reported more than $3 million in total health premiums collected from Minnesota residents. The report includes fourteen categories of administrative spending. (April 2017)

Quality Reporting System Risk Adjustment Assessment (PDF)

This legislatively required report examines the need and opportunity for refining risk adjustment for the Quality Reporting System and the market more generally. It explores the complex relationships between patient socio-demographic factors and provider performance, and lays out a series of policy options that offer ways to minimize harms to providers who serve patients that experience health disparities while allowing us to continue to identify and reduce disparities in patient outcomes. (March 2017)

Administrative Costs at Minnesota Health Plans in 2014 (PDF)

This report presents data on 2014 administrative spending for all health plans (group purchasers) that reported more than $3 million in total health premiums collected from Minnesota residents. The report includes fourteen categories of administrative spending. (November 2016)

Pharmaceutical Spending and Use in Minnesota: 2009-2013 (PDF)

This issue brief provides an overview of pharmaceutical spending and use trends in Minnesota from 2009 to 2013. This first analysis in a series of research initiatives distinguishes between prescription trends in retail pharmacy settings and medical settings (such as physicians’ offices and hospital outpatient clinics). The analysis looks at trends in the number of drug claims, total spending and spending per claim. (November 2016)

Uncompensated Care at Minnesota Hospitals in 2015 (PDF)

This infographic provides a summary of changes in uncompensated care at Minnesota community hospitals in the first two years of full implementation of the Affordable Care Act (ACA). Data is provided on overall uncompensated care, changes in the two components of uncompensated care, charity care and bad debt, and uncompensated care by health insurance coverage status. (October 2016)

State-Based Risk Adjustment and Feasibility Study – Report to the Minnesota Legislature September 2016 (PDF)

This study, commissioned by the 2013 Minnesota Legislature, investigates the feasibility of state-based risk adjustment in Minnesota's individual and small group markets. In the study, the research team assessed the performance of the federal model with Minnesota data and performed statistical and actuarial modeling of a number of scenarios for Minnesota-based risk adjustment, including the effect of reinsurance. (October 2016)

Trends at Minnesota Community Hospitals, 2011 to 2014 (PDF)

This issue brief reports key indicators of service use and financial performance for Minnesota's 132 community hospitals between 2011 and 2014. In addition to summarizing trends in financial performance and utilization of hospital services, this brief offers the first glimpses of the impact of the Affordable Care Act (ACA) on the hospital industry in Minnesota in aggregate. (July 2016)

Minnesota Hospital Community Benefit in 2013: A Report to the Minnesota Legislature (PDF)

This report to the Legislature describes community benefit spending by Minnesota hospitals between 2008 and 2013. It includes an analysis of community benefit by category of spending, hospital characteristics, and changes over time. The report also describes strengths and weakness of new federal reporting requirements for community benefit spending in the context of Minnesota’s requirements. (June 2016)

Health Care Spending and Projections, 2013 (PDF)
This annual report to the Legislature includes estimated actual health care spending for Minnesota residents in 2013 and projections for future spending. The report projects the marginal impact of policy changes associated with the Affordable Care Act. Topics include health care spending by source of funds and types of services, cost drivers, and analysis of commercial spending growth. (March 2016)

Health Insurance Coverage in Minnesota: Results from the 2015 Minnesota Health Access Survey (PDF)
This issue brief provides initial findings about health insurance coverage for Minnesotans in 2015, using data from the 2015 Minnesota Health Access Survey. The issue brief provides in-depth information about trends in health insurance coverage between 2001 and 2015, including the potential impact of federal health reform, changes in sources of health insurance coverage and the composition of the uninsured, disparities in access to health insurance coverage, and pathways to coverage for the uninsured. (February 2016)

Chronic Conditions in Minnesota: New Estimates of Prevalence, Cost and Geographic Variation for Insured Minnesotans, 2012 (PDF)
This report examines chronic disease prevalence and spending for Minnesota residents with health insurance in 2012, using Minnesota’s robust All Payer Claims Database (MN APCD). The report presents overall estimates of prevalence and spending for chronic conditions, considering approximately 125 distinct diseases. It also presents more detailed results for 10 select conditions. Estimates are prepared for the state overall, as well as at the county level. (January 2016)

Uncompensated Care at Minnesota Community Hospitals in 2014 (PDF)
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)

Health Economics Program Publications

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