Minnesota Health Care Markets Chartbook

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 as a PDF file or downloaded as a PowerPoint file. The chartbook is organized into nine 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: September 2020)

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 private health insurance. (Last update: August 2019)

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: March 2019)

Section 4: Individual and Small Group Health Insurance Markets – This section presents information on trends in Minnesota’s individual and small group 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: October 2018)

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) and MinnesotaCare. (Last update: September 2019)

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: March 2021)

Supplemental Information:

  • Detailed tables on health insurance coverage across multiple demographics; these tables are showing graphically in chartbook 6. Section 6 Supplement (Excel)

    Section 7: Health Plan Companies – This section presents information on the structure and market share of health plan companies in Minnesota, medical loss ratios, and financial and enrollment summaries for Minnesota’s Health Maintenance Organizations (HMOs). (Last update: July 2019)

    Supplemental Information:

  • Detailed Information on HMO Finances and Enrollment includes: Income by product line, profitability by product line, enrollment by product line, enrollment by health plan company and product line, enrollment by age.
    Detailed Information on HMO Finances and Enrollment (Excel)

    Section 8: Health Care Providers and Service Availability - This section provides an overview of trends related to health care providers and facilities, including hospitals, physician services, clinics, diagnostic imaging and freestanding outpatient surgical centers. 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. For clinics, diagnostic imaging and freestanding outpatient surgical centers, it provides information on locations, utilization, and affiliation. Supplemental information on financial and utilization trends by hospitals can be downloaded in Excel (.xlsx). (Last update: May 2021)

    Supplemental Information:

  • Inpatient Acute Care Beds at MN Community Hospitals,
    2011 to 2019
    Includes: Licensed Beds, Available Beds, etc.
  • Financial Statistics for Minnesota Community Hospitals,
    2011 to 2019
    Includes: Net Income, Profit Margin, etc.
  • Service Utilization at Minnesota Community Hospitals,
    2011 to 2019
    Includes: Acute Care Admissions, Outpatient Registration, etc.
  • Minnesota Hospital Uncompensated Care and Its Components
    2011 to 2019
    Includes: Charity Care, Bad Debt, etc.

    Section 9: Statewide Quality Reporting and Measurement System – This section provides an overview of summary results for selected physician clinic and hospital quality measures. It includes trends over time, stratified results by health insurance product, and measure specifications. (Last update: March 2020)

    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:

    • 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.

    • 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.

    • 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, May 26, 2021 at 01:20PM