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Section 5: Public Health Insurance Programs
Page 5 – Medicare Financing in the U.S.
This bar chart shows how Medicare is financed nationally for year 2021. Medicare spending = $887.6 billion.
- General revenue=45.7%
- Payroll taxes=34.1%
- Premiums=14.9%
- Taxation of benefits=2.8%
- Transfers from States=1.4%
- Other=0.6%
- Interest=0.6%
- Sources: 2022 Annual Report of The Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds, Table II.B1, Medicare data for calendar year 2021.
Page 7 – Change in Medicare From Previous Year, Enrollment and Spending
This line graph shows the change from the previous years for Minnesota’s Medicare enrollment, spending, and spending per enrollee.
- 2012: Enrollment=3.8%, Spending=7.6%, Spending per Enrollee=3.6%
- 2013: Enrollment=3.3%, Spending=4.3%, Spending per Enrollee=0.9%
- 2014: Enrollment=2.9%, Spending=5.0%, Spending per Enrollee=2.1%
- 2015: Enrollment=2.8%, Spending=4.3%, Spending per Enrollee=1.5%
- 2016: Enrollment=3.0%, Spending=4.6%, Spending per Enrollee=1.6%
- 2017: Enrollment=2.8%, Spending=7.3%, Spending per Enrollee=4.4%
- 2018: Enrollment=3.0%, Spending=5.8%, Spending per Enrollee=2.7%
- 2019: Enrollment=2.6%, Spending=5.4%, Spending per Enrollee=2.7%
- 2020: Enrollment=2.4%, Spending=-0.9%, Spending per Enrollee=-3.2%
- 2021: Enrollment=2.1%, Spending=9.4%, Spending per Enrollee=7.1%
- Sources: CMS Program Statistics; downloaded March 2023. Minnesota spending estimates are based on MDH annual spending report data for Medicare – public payer data and exclude out-of-pocket expenditures (updated through 2020).
- The COVID-19 Pandemic began in late 2019. A Public Health Emergency was declared on January 27, 2020.
Page 8 - Distribution of Minnesota Medicare Beneficiaries by Reason for Eligibility
This bar chart shows the percentage of Minnesota and United States Medicare beneficiaries who are Age 65 or older and People with Disabilities1, for 2017 through 2021.
- Minnesota:
- 2017: Age 65 or older=87.1%; People with Disabilities=12.9%
- 2018: Age 65 or older=87.6%; People with Disabilities=12.4%
- 2019: Age 65 or older=88.2%; People with Disabilities=11.8%
- 2020: Age 65 or older=88.7%; People with Disabilities=11.3%
- 2021: Age 65 or older=89.2%; People with Disabilities=10.8%
- United States
- 2017: Age 65 or older=85.0%; People with Disabilities=15.0%
- 2018: Age 65 or older=85.5%; People with Disabilities=14.5%
- 2019: Age 65 or older=86.1%; People with Disabilities=13.9%
- 2020: Age 65 or older=86.8%; People with Disabilities=13.2%
- 2021: Age 65 or older=87.4%; People with Disabilities=12.6%
- Source: CMS Program Statistics; downloaded March 2023. U.S. expenditure data are from the Health Consumption Expenditures of the National Health Expenditure Accounts (NHEA) for 2012 to 2021. U.S. population estimates are based on the United States and do not include territories, Puerto Rico, or other/outlying areas.
1People with disabilities includes enrollees with disabilities that are under age 65 and those with End-Stage Renal Disease-only. Those aged 65 or older and with ESRD or disabilities are classified as Age 65 or Older.
Page 9 - Distribution of Minnesota Medicare Beneficiaries by Dual-Enrollment Coverage
This bar chart shows the percentage of people in Minnesota and the United States who are Medicare beneficiaries and are dually enrolled compared to those who are not dually enrolled for 2017 through 2021. Dual eligible are full-benefit MMEs (Medicare – Medicaid Enrollees) and Qualified Disabled working individuals.
- Minnesota
- 2017: Dually Enrolled=12.5%; Not Dually Enrolled=87.5%
- 2018: Dually Enrolled=12.2%; Not Dually Enrolled=87.8%
- 2019: Dually Enrolled=11.9%; Not Dually Enrolled=88.1%
- 2020: Dually Enrolled=11.7%; Not Dually Enrolled=88.3%
- 2021: Dually Enrolled=13.6%; Not Dually Enrolled=86.4%
- United States
- 2017: Dually Enrolled=13.3%; Not Dually Enrolled=86.7%
- 2018: Dually Enrolled=13.1%; Not Dually Enrolled=86.9%
- 2019: Dually Enrolled=12.9%; Not Dually Enrolled=87.1%
- 2020: Dually Enrolled=12.9%; Not Dually Enrolled=87.1%
- 2021: Dually Enrolled=13.4%; Not Dually Enrolled=86.6%
- Sources: CMS Beneficiary Characteristics, Medicare-Medicaid Dual Enrollment, MDCR Enroll AB 42, February 2023; years 2017-2021. U.S. population estimates are based on the United States and do not include territories, Puerto Rico, or other/outlying areas.
Page 10 - Medicare Enrollment as a Percent of Population, by County, 2021
This map shows Minnesota’s enrollment in Medicare as percent of the population for each county by five quintiles, for 2020. The quintiles are 0-18.5%, 18.6%-22.1%, 22.2%-24.2%, 24.3%-27.2%, 27.3% and greater. Minnesota’s Medicare enrollment as a percent of population is 18.7%. The following counties have enrollment in each quintile (by alphabetical order):
- 0-18.5% = Anoka, Benton, Blue Earth, Carver, Chisago, Clay, Dakota, Dodge, Hennepin, Nicollet, Nobles, Olmsted, Ramsey, Rice, Scott, Sherburne, Stearns, Washington, Wright
- 18.6%-22.1% = Beltrami, Carlton, Isanti, Kandiyohi, Le Sueur, Lyon, McLeod, Mower, Pennington, Polk, Roseau, Sibley, Steele, Stevens, Waseca, Watonwan, Wilkin, Winona
- 22.2%-24.2% = Becker, Brown, Chippewa, Clearwater, Fillmore, Goodhue, Mahnomen, Meeker, Mille Lacs, Morrison, Pipestone, Red Lake, Redwood, Renville, Rock, St. Louis, Swift, Todd, Yellow Medicine
- 24.3%-27.2% = Cottonwood, Crow Wing, Douglas, Faribault, Freeborn, Grant, Houston, Jackson, Kanabec, Lincoln, Marshall, Martin, Norman, Pine, Pope, Wabasha, Wadena
- 27.3% and greater = Aitkin, Big Stone, Cass, Cook, Hubbard, Itasca, Kittson, Koochiching, Lac qui Parle, Lake, Lake of the Woods, Murray, Otter Tail, Traverse
- Sources: CMS, CMS Enrollment Dashboard 2021, calendar year; U.S. Census Bureau, Annual Estimates of the Resident Population for Counties in Minnesota: April 1, 2020 to July 1, 2021, (CO-EST2021-POP-27). Map shapefile from 2021 Mapbox: OpenStreetMap. Ranges are based on quintiles.
Page 11 - Distribution of Medicare Enrollees and State Population Across Regions
This bar chart shows Minnesota’s distribution of Medicare enrollees and the state population, by region for 2021.
- Twin Cities Metro= Medicare 48.3%; State Population 55.3%
- Central= Medicare 14.5%; State Population 13.8%
- Southeast= Medicare 9.8%; State Population 9.1%
- Northeast= Medicare 7.8%; State Population 5.7%
- South Central= Medicare 5.9%; State Population 5.2%
- Southwest= Medicare 4.7%; State Population 3.8%
- Northwest=Medicare 4.5%; State Population 3.6%
- West Central= Medicare 4.4%; State Population 3.5%
- For the regional boundaries, see slide 43 at the end of this chartbook.
- Sources: CMS, CMS Enrollment Dashboard 2021, calendar year; U.S. Census Bureau, Annual Estimates of the Resident Population for Counties in Minnesota: April 1, 2020 to July 1, 2021, (CO-EST2021-POP-27). Distribution percentages are based on calculating the share of the total Minnesota population in each region and based on the share of the total Medicare population in each region.
Page 13 – Medicare Enrollment, as of December 2021
These bar charts show Minnesota’s distribution of Medicare enrollment between original Medicare plans and Private Medicare Plans (Medicare Cost and Medicare Advantage plans).
- Original Medicare=46.8%
- Private Medicare=53.2%
- Medicare Cost=5.8%
- Medicare Advantage=47.4%
- Source: CMS, Medicare Advantage Monthly Enrollment by State/County/Contract as of December 2021. Total Medicare enrollment is based off CMS Enrollment Dashboard 2021, calendar year. Private Medicare is representative of Medicare and Medicare Cost Plans. Medicare Advantage and Medicare Cost Plans cover Medicare hospital and provider benefits (Part A and Part B) and may cover Part D (drug). Original Medicare is the traditional fee-for-service Medicare health care system. These do not include stand-alone Medicare Part D (drug) plans, or other Medicare supplement plans. As this is a point in time estimate, results may differ from data reported on a calendar year basis.
Page 14 - Total Medicare Private Plan Enrollment as a Percent of Population, Minnesota and the United States
This line graph shows the share of Medicare enrollees in private plans in Minnesota and the United States.
- 2012: Minnesota=47.9%, United States=26.7%
- 2013: Minnesota=50.6%, United States=28.3%
- 2014: Minnesota=52.7%, United States=30.2%
- 2015: Minnesota=54.7%, United States=31.5%
- 2016: Minnesota=56.5%, United States=32.3%
- 2017: Minnesota=58.3%, United States=34.0%
- 2018: Minnesota=58.4%, United States=35.7%
- 2019: Minnesota=46.2%, United States=37.6%
- 2020: Minnesota=49.2%, United States=40.3%
- 2021: Minnesota=53.2%, United States=43.6%
- Source: CMS, Medicare Advantage Monthly Enrollment by State/County/Contract as of December of each year. Total Medicare enrollment is based off CMS Enrollment Dashboard 2021, calendar year. Medicare private plans include Medicare Advantage and Medicare Cost Plans that cover Medicare hospital and provider benefits (Part A and Part B) and may cover Part D (drug). It does not include stand-alone Medicare Part D (drug) plans, or other Medicare supplement plans. U.S. population estimates are based on the United States and do not include territories, Puerto Rico, or other/outlying areas.
Page 15 - Medicare Private Plan Enrollment as a Percent of Total Enrollment in Minnesota
This line graph shows the share of Medicare enrollees by private Medicare plan type in Minnesota.
- 2012: Medicare Cost=26.6%, Medicare Advantage=21.2%
- 2013: Medicare Cost=29.5%, Medicare Advantage=21.1%
- 2014: Medicare Cost=32.8%, Medicare Advantage=19.9%
- 2015: Medicare Cost=37.1%, Medicare Advantage=17.6%
- 2016: Medicare Cost=39.6%, Medicare Advantage=16.9%
- 2017: Medicare Cost=41.1%, Medicare Advantage=17.2%
- 2018: Medicare Cost=40.1%, Medicare Advantage=18.3%
- 2019: Medicare Cost=6.1%, Medicare Advantage=40.2%
- 2020: Medicare Cost=5.8%, Medicare Advantage=43.4%
- 2021: Medicare Cost=5.8%, Medicare Advantage=47.4%
- Source: CMS, Medicare Advantage Monthly Enrollment by State/County/Contract as of December as of each year. Total Medicare enrollment is based off CMS Enrollment Dashboard 2021, calendar year. Medicare private plans include Medicare Advantage and Medicare Cost Plans that cover Medicare hospital and provider benefits (Part A and Part B) and may cover Part D (drug). It does not include stand-alone Medicare Part D (drug) plans, or other Medicare supplement plans.
Page 17 - Medicare Private Plan Enrollment as a Percent of Population, by County, as of December 2021
This map shows Minnesota’s Medicare private plan enrollment for each county by five quintiles, for 2021.
- The quintiles are: 0.0%-37.9%, 38.0%-43.0%, 43.1%-48.9%, 49.0%-58.6%, 58.7% and greater. Statewide Medicare Private enrollment as a percent of total Medicare enrollment: 53.2%. The following counties have enrollment in each quintile (by alphabetical order):
- 0.0%-37.9%= Beltrami, Big Stone, Blue Earth, Brown, Chippewa, Clay, Cottonwood, Dodge, Faribault, Fillmore, Hubbard, Jackson, Kittson, Lac qui Parle, Lincoln, Lyon, Mahnomen, Marshall, Martin, Murray, Nicollet, Nobles, Norman, Olmsted, Polk, Pope, Redwood, Renville, Swift, Watonwan, Wilkin
- 38.0%-43.0%= Grant, Houston, Lake of the Woods, Mower, Pennington, Roseau, Steele, Stevens, Wadena, Waseca, Winona
- 43.1%-48.9%=Becker, Benton, Cass, Clearwater, Crow Wing, Douglas, Freeborn, Kandiyohi, Morrison, Otter Tail, Pipestone, Stearns, Traverse, Wabasha
- 49.0%-58.6%= Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Itasca, Kanabec, Koochiching, Lake, Ramsey, Red Lake, Rock, Scott, Sherburne, Todd, Washington, Wright, Yellow Medicine
- 58.7% and greater = Aitkin, Carlton, Cook, Goodhue, Le Sueur, McLeod, Meeker, Mille Lacs, Pine, Rice, Sibley, St. Louis
- Sources: CMS, CMS Enrollment Dashboard 2021, calendar year; U.S. Census Bureau, Annual Estimates of the Resident Population for Counties in Minnesota: April 1, 2020 to July 1, 2021, (CO-EST2021-POP-27). Accessed December 2021. Map shapefile from 2021 Mapbox @OpenStreetMap. Ranges are based on quintiles.
- Medicare private plans include Medicare Advantage and Medicare Cost Plans that cover Medicare hospital and provider benefits (Part A and Part B) and may cover Part D (drug). It does not include stand-alone Medicare Part D (drug) plans, or other Medicare supplement plans. Ranges are based on quintiles. Distribution is based on Private Medicare Plan Enrollees as a percent of total Medicare enrollees.
Page 18 - Distribution of Minnesota Medicare Private Plan Enrollees, by Region & Type of Plan, December 2021
This bar graph shows the distribution of Minnesota Medicare private plan enrollees by region and type of plan for 2021.
- Rural: Medicare Cost=23.7%, Medicare Advantage=76.3%
- Urban: Medicare Cost=6.4%, Medicare Advantage=93.6%
- Statewide: Medicare Cost=10.9%, Medicare Advantage =89.1%
- Source: CMS, Medicare Advantage Monthly Enrollment by State/County/Contract Report as of December 2021.
- These plans cover Medicare hospital and provider benefits (Part A and Part B) and may cover Part D benefits (prescription drugs). These do not include stand-alone Medicare Part D (drug) plans, or other Medicare supplement plans. Medicare Cost plans represented are 1876 Cost Plans, the Medicare Advantage plans represented are local Coordinated Care Plans (CCPs); due to low population we have included PFFS plans (which refer to Private Fee for Service Plans) and Medicare MSA plans within the Medicare Advantage plans, both of which have less than 0.1% of Medicare enrollees enrolled within these plan types. In 2021 there were no Regional Medicare Advantage CCPs.
Page 19 - Medicare Private Plan Enrollment as a Percent of Medicare Enrollment, by Type & County, December 2021
This map shows Minnesota’s Medicare private plan enrollment allocated between Medicare Advantage and Medicare Cost plans for each county by five quintiles, for 2021.
- Medicare Advantage:
- The quintiles are 0.0%-25.9%, 26.0%-32.7%, 32.8%-41.6%, 41.7%-87.4%, 87.5% or greater. Statewide Medicare Advantage enrollment as a percent of Medicare Private enrollment: 89.1%. The following counties have enrollment in each quintile (by alphabetical order):
- 0.0%-25.9%= Le Sueur, McLeod, Rock, Stevens, Traverse, Yellow Medicine
- 26.0%-32.7%= Goodhue, Koochiching, Meeker, Rice, Sibley
- 32.8%-41.6%= Carlton, Cook, Itasca, Lake, Pipestone
- 41.7%-87.4%=Aitkin, Kanabec, Mille Lacs, Pine, St. Louis
- 87.5% or greater=Anoka, Becker, Beltrami, Benton, Big Stone, Blue Earth, Brown, Carver, Cass, Chippewa, Chisago, Clay, Clearwater, Cottonwood, Crow Wing, Dakota, Dodge, Douglas, Faribault, Fillmore, Freeborn, Grant, Hennepin, Houston, Hubbard, Isanti, Jackson, Kandiyohi, Kittson, Lac qui Parle, Lake of the Woods, Lincoln, Lyon, Mahnomen, Marshall, Martin, Morrison, Mower, Murray, Nicollet, Nobles, Norman, Olmsted, Otter Tail, Pennington, Polk, Pope, Ramsey, Red Lake, Redwood, Renville, Roseau, Scott, Sherburne, Stearns, Steele, Swift, Todd, Wabasha, Wadena, Waseca, Washington, Watonwan, Wilkin, Winona, Wright.
- Medicare Cost:
- The quintiles are no enrollment, >0.0%-12.4%, 12.5%-58.2%, 58.3%-67.2%, 67.3%-73.9%, 74.0% and greater. Statewide Medicare Cost enrollment as a percent of Medicare Private enrollment: 10.9%. The following counties have enrollment in each quintile (by alphabetical order):
- No enrollment: Anoka, Becker, Beltrami, Benton, Big Stone, Blue Earth, Brown, Carver, Cass, Chippewa, Chisago, Clay, Clearwater, Cottonwood, Crow Wing, Dodge, Douglas, Faribault, Fillmore, Freeborn, Grant, Houston, Hubbard, Isanti, Jackson, Kandiyohi, Kittson, Lac qui Parle, Lake of the Woods, Lyon, Mahnomen, Marshall, Martin, Morrison, Mower, Murray, Nicollet, Nobles, Norman, Olmsted, Otter Tail, Pennington, Polk, Pope, Red Lake, Redwood, Renville, Roseau, Sherburne, Stearns, Steele, Swift, Todd, Wabasha, Wadena, Waseca, Watonwan, Wilkin, Winona, Wright
- >0.0%-12.4%= Dakota, Hennepin, Lincoln, Ramsey, Scott, Washington
- 12.5%-58.2%= Aitkin, Kanabec, Mille Lacs, Pine, St. Louis
- 58.3%-67.2%=Carlton, Cook, Itasca, Lake, Pipestone
- 67.3%-73.9%=Goodhue, Koochiching, Meeker, Rice, Sibley
- 74.0% and greater=Le Sueur, McLeod, Rock, Stevens, Traverse, Yellow Medicine
- Sources: CMS, CMS Enrollment Dashboard 2021, calendar year; U.S. Census Bureau, Annual Estimates of the Resident Population for Counties in Minnesota: April 1, 2020 to July 1, 2021, (CO-EST2021-POP-27). Map shapefile from 2021 Mapbox: OpenStreetMap. Ranges are based on quintiles. It does not include stand-alone Medicare Part D (drug) plans, or other Medicare supplement plans. Distribution is based on Enrollment as percent of total Private Medicare Plan enrollees.
Page 21 - Distribution of Prescription Drug Coverage for Medicare Enrollees, by Type, 2021
This bar graph shows the types of prescription drug coverage for Medicare enrollees in Minnesota and the United States for 2021.
- Stand-alone Prescription Drug Plan: Minnesota=33.6%, United States=38.6%
- Medicare Advantage: Minnesota=45.5%, United States=38.4%
- No Identified Source of Creditable Coverage: Minnesota=19.5%, United States=21.3%
- Employer Plan: Minnesota=1.4%, United States=1.8%
- Source: CMS, CMS Program Statistics 2021, calendar year. “Employer Plan” is defined as Medicare participants enrolled in a Retiree Drug Subsidy (RDS). “No Identified Source of Coverage” is defined as Medicare participants without a Part D plan, RDS, but may include those who have other prescription drug coverage, including creditable coverage (defined as coverage that meets or exceeds the actuarial value of the standard Medicare Part D benefit). Creditable coverage data is no longer published by CMS. Medicare Advantage CMS definition does not implicitly indicate this includes Medicare Cost plans. U.S. population estimates are based on the United States and do not include territories, Puerto Rico, or other/outlying areas.
Page 22 – Change in Annual Prescription Drug Coverage, by Type
This bar graph shows the annual percent change in enrollment for Medicare prescription drug coverage enrollees in Minnesota and the United States for years 2017 through 2021.
- Minnesota:
- Stand Alone Prescription Drug Plan (2021 enrollment: 359,230): 2017: 3.5%; 2018: 2.5%; 2019: -9.2%; 2020: -3.2%; 2021: -6.5%
- Medicare Advantage (2021 enrollment: 486,129): 2017: 4.8%; 2018: 4.9%; 2019: 21.4%; 2020: 10.0%; 2021: 11.6%
- No Identified Source of Coverage (2021 enrollment: 208,021): 2017: 1.3%; 2018: 1.9%; 2019: -1.0%; 2020: -0.1%; 2021: -0.9%
- Employer Plan (2021 enrollment: 15,171): 2017: -16.5%; 2018: -5.4%; 2019: -9.5%; 2020: -11.2%; 2021: -10.8%
- United States:
- Stand Alone Prescription Drug Plan (2021 enrollment: 24,135,825): 2017: 1.7%; 2018: 1.3%; 2019: 0.1%; 2020: -1.6%; 2021: -4.0%
- Medicare Advantage (2021 enrollment: 24,029,306): 2017: 7.1%; 2018: 7.0%; 2019: 8.5%; 2020: 10.1%; 2021: 11.1%
- No Identified Source of Coverage (2021 enrollment: 13,316,501): 2017: 1.3%; 2018: 1.3%; 2019: 0.5%; 2020: -1.3%; 2021: -1.3%
- Employer Plan (2021 enrollment: 1,108,827): 2017: -12.1%; 2018: -9.7%; 2019: -8.4%; 2020: -6.8%; 2021: -13.6%
- Source: CMS, CMS Program Statistics 2017-2021, calendar year. “Employer Plan” is defined as Medicare participants enrolled in a Retiree Drug Subsidy (RDS). “No Identified Source of Coverage” is defined as Medicare participants without a Part D plan, RDS, but may include those who have other prescription drug coverage, including creditable coverage (defined as coverage that meets or exceeds the actuarial value of the standard Medicare Part D benefit). Creditable coverage data is no longer published by CMS. Medicare Advantage CMS definition does not implicitly indicate this includes Medicare Cost plans. U.S. population estimates are based on the United States and do not include territories, Puerto Rico, or other/outlying areas.
Page 25 - Change in Medical Assistance from Previous Year, Enrollment and Spending1-3
This line graph shows the annual changes in enrollment, total spending, and spending per enrollee, for Medical Assistance.1-3
- 2013: Enrollment=1.6%, Total Spending=-2.4%, Spending per Enrollee=-3.9%
- 2014: Enrollment=13.4%, Total Spending=15.2%, Spending per Enrollee=1.5%
- 2015: Enrollment=25.2%, Total Spending=14.2%, Spending per Enrollee=-8.8%
- 2016: Enrollment=2.8%, Total Spending=6.1%, Spending per Enrollee=3.1%
- 2017: Enrollment=0.3%, Total Spending=-3.0%, Spending per Enrollee=-3.3%
- 2018: Enrollment=1.8%, Total Spending=15.2%, Spending per Enrollee=13.2%
- 2019: Enrollment=-1.2%, Total Spending=-2.1%, Spending per Enrollee=-0.9%
- 2020: Enrollment=-1.3%, Total Spending=8.9%, Spending per Enrollee=10.3%
- 2021: Enrollment=10.6%, Total Spending=3.0%, Spending per Enrollee=-6.9%
- 2022: Enrollment=9.1%, Total Spending=19.8%, Spending per Enrollee=9.8%
- Source: Minnesota Department of Human Services, February 2023 Expenditure Forecast, data for state fiscal years. Lower enrollment in SFY 2020 is a result of lower enrollment for the first three quarters of 2020, making the average monthly enrollment in SFY2020 lower than the average in SFY2019.
1Some MinnesotaCare enrollees qualified for Medical Assistance (MA) following the March 2011 MA eligibility expansion to include childless adults with incomes at or below 75% of the Federal Poverty Guidelines (FPG).
2In 2014, under the ACA, eligibility was increased to all childless adults, parents and caretakers, and children (aged 19 to 20) with incomes at or below 133% FPG, and children (aged 2 to 18) with incomes at or below 275% FPG.
3The Public Health Emergency related to the COVID-19 pandemic began on January 27, 2020 (ASPE: https://aspr.hhs.gov/legal/PHE/Pages/2019-nCoV.aspx) and allowed for continuous enrollment for anyone enrolled on or after March 31, 2020. The continuous enrollment provision ended on March 31, 2023.
Page 26 - Medical Assistance Enrollment as a Percent of Population, by County, Calendar Year 2022
This map shows Minnesota’s enrollment in Medical Assistance as percent of the population for each county by five quintiles, for 2022. The quintiles are 0.0%-20.6%, 20.7%-23.7%, 23.8%-26.7%, 26.8%-29.7%, 29.8% and greater. Minnesota’s Medical Assistance gross enrollment as a percent of population is 23.5%. The following counties have enrollment in each quintile (by alphabetical order):
- 0.0%-20.6%=Brown, Carver, Chisago, Dakota, Douglas, Goodhue, Houston, Le Sueur, Nicollet, Pennington, Scott, Sherburne, Stevens, Wabasha, Washington, Winona, Wright
- 20.7%-23.7%=Anoka, Blue Earth, Carlton, Cook, Fillmore, Isanti, Jackson, Lake, Lincoln, Marshall, McLeod, Meeker, Olmsted, Rice, Rock, Roseau
- 23.8%-26.7%=Benton, Clay, Crow Wing, Hennepin, Kittson, Lac qui Parle, Lake of the Woods, Morrison, Murray, Otter Tail, Red Lake, Sibley, St. Louis, Stearns, Todd, Wilkin, Yellow Medicine
- 26.8%-29.7%=Aitkin, Becker, Big Stone, Freeborn, Hubbard, Itasca, Kanabec, Koochiching, Lyon, Martin, Pine, Pipestone, Polk, Redwood, Renville, Swift, Watonwan
- 29.8% and greater=Beltrami, Cass, Chippewa, Clearwater, Cottonwood, Faribault, Kandiyohi, Mahnomen, Mille Lacs, Mower, Nobles, Norman, Pope, Ramsey, Steele, Traverse, Wadena
- Source: Minnesota Department of Human Services, enrollment data for calendar year 2022; County estimates from U.S. Census Bureau, Annual Estimates of the Resident Population for Counties: April 1, 2021 to July 1, 2022 (CO-EST2022-POP); map shapefile from 2022 Mapbox: OpenStreetMap. Ranges are based on quintiles. Enrollment excludes “other” with no known category. Includes all enrollees, even those with dual-coverage (Medicare or private coverage) during the year.
1DHS does not separate out Grant county enrollment and it is instead included in Pope county; Dodge and Waseca counties enrollment is combined into enrollment for Steele county.
Page 27 – Distribution of Medical Assistance Enrollees and State Population, by Region, Calendar Year 2022
This bar chart shows the distribution of Medical Assistance enrollees and the state population, by region, for 2022.
- Twin Cities Metro= Medical Assistance 54.3%; State Population 55.1%
- Central= Medical Assistance 13.8%; State Population 14.0%
- Southeast= Medical Assistance 8.8%; State Population 9.1%
- Northeast= Medical Assistance 5.9%; State Population 5.7%
- South Central= Medical Assistance 4.6%; State Population 5.2%
- Southwest= Medical Assistance 4.6%; State Population 3.8%
- Northwest=Medical Assistance 4.4%; State Population 3.6%
- West Central= Medical Assistance 3.6%; State Population 3.5%
- For the regional boundaries, see slide 43 at the end of this chartbook.
- Source: Minnesota Department of Human Services, enrollment data for calendar year 2022; County estimates from U.S. Census Bureau, Annual Estimates of the Resident Population for Counties: April 1, 2021 to July 1, 2022 (CO-EST2022-POP). Enrollment excludes “other” with no known category. Distribution percentages are based on calculating the share of the total Minnesota population in each region and based on the share of the total Medical Assistance population in each region.
Page 28 - Medical Assistance Enrollment, by Eligibility Category
These bar graphs show the distribution of Medical Assistance enrollment by eligibility category for the state fiscal years 2018 through 2022.
- Families with Children: 2018: 714,083; 2019: 710,062; 2020:703,038; 2021: 772,776; 2022: 830,701
- People with Disabilities / Elderly: 2018: 176,995; 2019: 177,427; 2020: 176,678; 2021: 179,665; 2022: 187,182
- Adults no Children: 2018: 211,009; 2019: 201,203; 2020: 194,849; 2021: 235,844; 2022: 278,707
- Source: Minnesota Department of Human Services, February 2023 Expenditure Forecast.
Page 29 - Distribution of Medical Assistance Enrollment and Spending, by Eligibility Category, Calendar Year 2022
These bar graphs show the distribution of Medical Assistance spending compared to eligibility, by eligibility category, for 2022.
- Families with Children: Eligibility=63.1%, Spending=25.7%; population: 848,169
- Adults no Children: Eligibility=22.3%, Spending=20.3%; population: 300,603
- People with Disabilities: Eligibility=9.0%, Spending=37.9%; population: 121,227
- Elderly: Eligibility=5.6%, Spending=16.1%; population: 75,082
- Source: Minnesota Department of Human Services, data for calendar year 2022. Data source is different than prior slide, which data is based on state fiscal years. Enrollment within eligibility labels is rounded.
Page 30 - Medical Assistance Spending, per Recipient, State Fiscal Year
These bar and line graphs show the monthly average payments and annual enrollment by various Medical Assistance eligibility and spending categories over the past 10 years.
- Aged and Disabled Basic Care1
- State fiscal year 2013: Monthly Average Payments: $843, Enrollment: 181,743
- State fiscal year 2014: Monthly Average Payments: $989, Enrollment: 183,951
- State fiscal year 2015: Monthly Average Payments: $948, Enrollment: 179,329
- State fiscal year 2016: Monthly Average Payments: $1,047, Enrollment: 177,005
- State fiscal year 2017: Monthly Average Payments: $1,032, Enrollment: 177,262
- State fiscal year 2018: Monthly Average Payments: $1,174, Enrollment: 176,995
- State fiscal year 2019: Monthly Average Payments: $1,138, Enrollment: 177,427
- State fiscal year 2020: Monthly Average Payments: $1,220, Enrollment: 176,678
- State fiscal year 2021: Monthly Average Payments: $1,172, Enrollment: 179,665
- State fiscal year 2022: Monthly Average Payments: $1,324, Enrollment: 186,863
- Families Basic Care
- State fiscal year 2013: Monthly Average Payments: $341, Enrollment: 471,949
- State fiscal year 2014: Monthly Average Payments: $386, Enrollment: 532,952
- State fiscal year 2015: Monthly Average Payments: $351, Enrollment: 677,188
- State fiscal year 2016: Monthly Average Payments: $367, Enrollment: 698,257
- State fiscal year 2017: Monthly Average Payments: $302, Enrollment: 705,441
- State fiscal year 2018: Monthly Average Payments: $390, Enrollment: 714,083
- State fiscal year 2019: Monthly Average Payments: $351, Enrollment: 710,062
- State fiscal year 2020: Monthly Average Payments: $391, Enrollment: 703,038
- State fiscal year 2021: Monthly Average Payments: $353, Enrollment: 772,776
- State fiscal year 2022: Monthly Average Payments: $425, Enrollment: 883,554
- Adults with No Kids Basic Care
- State fiscal year 2013: Monthly Average Payments: $772, Enrollment: 85,466
- State fiscal year 2014: Monthly Average Payments: $730, Enrollment: 121,353
- State fiscal year 2015: Monthly Average Payments: $731, Enrollment: 193,302
- State fiscal year 2016: Monthly Average Payments: $677, Enrollment: 204,138
- State fiscal year 2017: Monthly Average Payments: $732, Enrollment: 199,951
- State fiscal year 2018: Monthly Average Payments: $778, Enrollment: 211,009
- State fiscal year 2019: Monthly Average Payments: $755, Enrollment: 201,203
- State fiscal year 2020: Monthly Average Payments: $881, Enrollment: 194,849
- State fiscal year 2021: Monthly Average Payments: $785, Enrollment: 235,844
- State fiscal year 2022: Monthly Average Payments: $1,015, Enrollment: 272,761
- LTC Facilities
- State fiscal year 2013: Monthly Average Payments: $4,266, Enrollment: 17,981
- State fiscal year 2014: Monthly Average Payments: $4,472, Enrollment: 17,300
- State fiscal year 2015: Monthly Average Payments: $4,594, Enrollment: 16,761
- State fiscal year 2016: Monthly Average Payments: $4,986, Enrollment: 16,289
- State fiscal year 2017: Monthly Average Payments: $5,596, Enrollment: 16,067
- State fiscal year 2018: Monthly Average Payments: $5,770, Enrollment: 15,714
- State fiscal year 2019: Monthly Average Payments: $6,241, Enrollment: 15,412
- State fiscal year 2020: Monthly Average Payments: $6,647, Enrollment: 14,926
- State fiscal year 2021: Monthly Average Payments: $7,027, Enrollment: 13,165
- State fiscal year 2022: Monthly Average Payments: $7,307, Enrollment: 12,994
- LTC Waivers Home Care
- State fiscal year 2013: Monthly Average Payments: $3,466, Enrollment: 54,337
- State fiscal year 2014: Monthly Average Payments: $3,641, Enrollment: 56,010
- State fiscal year 2015: Monthly Average Payments: $4,047, Enrollment: 57,602
- State fiscal year 2016: Monthly Average Payments: $4,093, Enrollment: 58,598
- State fiscal year 2017: Monthly Average Payments: $4,166, Enrollment: 60,827
- State fiscal year 2018: Monthly Average Payments: $4,309, Enrollment: 63,254
- State fiscal year 2019: Monthly Average Payments: $4,358, Enrollment: 68,046
- State fiscal year 2020: Monthly Average Payments: $4,542, Enrollment: 73,570
- State fiscal year 2021: Monthly Average Payments: $4,890, Enrollment: 77,003
- State fiscal year 2022: Monthly Average Payments: $5,118, Enrollment: 82,506
- Elderly Waiver Managed Care
- State fiscal year 2013: Monthly Average Payments: $1,013, Enrollment: 20,548
- State fiscal year 2014: Monthly Average Payments: $1,266, Enrollment: 20,899
- State fiscal year 2015: Monthly Average Payments: $1,208, Enrollment: 20,960
- State fiscal year 2016: Monthly Average Payments: $1,419, Enrollment: 20,935
- State fiscal year 2017: Monthly Average Payments: $1,262, Enrollment: 21,794
- State fiscal year 2018: Monthly Average Payments: $1,472, Enrollment: 22,763
- State fiscal year 2019: Monthly Average Payments: $1,260, Enrollment: 23,564
- State fiscal year 2020: Monthly Average Payments: $1,448, Enrollment: 24,419
- State fiscal year 2021: Monthly Average Payments: $1,278, Enrollment: 24,514
- State fiscal year 2022: Monthly Average Payments: $1,558, Enrollment: 25,397
- Source: Minnesota Department of Human Services, February 2023 Expenditure Forecast – State Fiscal Years. This excludes several categories of service that do not have “monthly average spending” data within the forecast; these include categories such as: breast and cervical cancer coverage, family planning services, pharmacy rebates, adjustments, and special funding items.
1The “Aged and Disabled Basic Care” has had the “Elderly Waiver Managed Care” expenditures removed; instead “Elderly Waiver Managed Care” expenditures are included in its own category and based on taking the total annual payments by the average monthly service recipients by 12 months.
Page 31 - Medical Assistance Spending, by Eligibility Category
This line graph shows the state fiscal year Medical Assistance spending by eligibility category, in addition to the total state fiscal year spending for Medical Assistance over the past 10 years.
- Total
- State fiscal year 2013: $8.0B
- State fiscal year 2014: $9.3B
- State fiscal year 2015: $10.6B
- State fiscal year 2016: $11.2B
- State fiscal year 2017: $10.9B
- State fiscal year 2018: $12.5B
- State fiscal year 2019: $12.3B
- State fiscal year 2020: $13.4B
- State fiscal year 2021: $13.8B
- State fiscal year 2022: $17.0B
- Long-term care (LTC)
- State fiscal year 2013: $3.4B
- State fiscal year 2014: $3.7B
- State fiscal year 2015: $4.0B
- State fiscal year 2016: $4.2B
- State fiscal year 2017: $4.4B
- State fiscal year 2018: $4.8B
- State fiscal year 2019: $5.1B
- State fiscal year 2020: $5.6B
- State fiscal year 2021: $6.0B
- State fiscal year 2022: $6.7B
- Families Basic Care
- State fiscal year 2013: $1.9B
- State fiscal year 2014: $2.5B
- State fiscal year 2015: $2.9B
- State fiscal year 2016: $3.1B
- State fiscal year 2017: $2.6B
- State fiscal year 2018: $3.3B
- State fiscal year 2019: $3.0B
- State fiscal year 2020: $3.3B
- State fiscal year 2021: $3.3B
- State fiscal year 2022: $4.2B
- Aged and Disabled Basic Care1
- State fiscal year 2013: $1.8B
- State fiscal year 2014: $2.2B
- State fiscal year 2015: $2.0B
- State fiscal year 2016: $2.2B
- State fiscal year 2017: $2.2B
- State fiscal year 2018: $2.5B
- State fiscal year 2019: $2.4B
- State fiscal year 2020: $2.6B
- State fiscal year 2021: $2.5B
- State fiscal year 2022: $3.0B
- Adults with No Kids Basic Care
- State fiscal year 2013: $0.8B
- State fiscal year 2014: $1.1B
- State fiscal year 2015: $1.7B
- State fiscal year 2016: $1.7B
- State fiscal year 2017: $1.8B
- State fiscal year 2018: $2.0B
- State fiscal year 2019: $1.8B
- State fiscal year 2020: $2.1B
- State fiscal year 2021: $2.2B
- State fiscal year 2022: $3.3B
- Other2
- State fiscal year 2013: $0.1B
- State fiscal year 2014: -$0.1B
- State fiscal year 2015: $0.0B
- State fiscal year 2016: $0.1B
- State fiscal year 2017: -$0.1B
- State fiscal year 2018: $0.0B
- State fiscal year 2019: $0.0B
- State fiscal year 2020: -$0.2B
- State fiscal year 2021: -$0.3B
- State fiscal year 2022: -$0.2B
- Source: Minnesota Department of Human Services, February 2023 Expenditure Forecast. Data source is different than prior slide, which data is based on calendar years.
1The “Aged and Disabled Basic Care” has had the “Elderly Waiver Managed Care” expenditures removed; instead “Elderly Waiver Managed Care” expenditures are included in the LTC category.
2Other includes categories of service that include pharmacy rebates and adjustments, resulting in some years having negative values.
Page 32 - Actual and Projected Cumulative Changes in Medical Assistance Spending and Enrollment
This line graph shows the actual and projected cumulative changes in Medical Assistance spending enrollment.
- 2013 is the starting point, both enrollment and spending have no growth.1
- 2014: Enrollment=13.4%, Spending=15.2%
- 2015: Enrollment=42.0%, Spending=31.6%
- 2016: Enrollment=46.0%, Spending=39.5%
- 2017: Enrollment=46.5%, Spending=35.3%
- 2018: Enrollment=49.1%, Spending=56.0%
- 2019: Enrollment=47.3%, Spending=52.6%
- 2020: Enrollment=45.4%, Spending=66.2%
- 2021: Enrollment=60.8%, Spending=71.1%
- 2022: Enrollment=75.4%, Spending=104.9%
- 2023: Enrollment=88.3%, Spending=125.0%
- 2024: Enrollment=79.2%, Spending=129.7%
- 2025: Enrollment=69.2%, Spending=133.1%
- 2026: Enrollment=68.2%, Spending=147.2%
- 2027: Enrollment=68.4%, Spending=154.5%
- Sources: Minnesota Department of Human Services, February 2023 Expenditure Forecast, data for state fiscal years. Actual spending for fiscal years 2013 through 2022. Projected spending for 2023 through 2027.
- In 2014, Medical Assistance was expanded to include childless adults, parents and caretakers, and children (aged 19 to 20) with incomes up to 133% of the Federal Poverty Guidelines (FPG), and children (aged 2 to 18) up to 275% of the FPG, in accordance with the Medicaid Expansion in the Affordable Care Act.
1The Public Health Emergency related to the COVID-19 pandemic began on January 27, 2020 (ASPE: https://aspr.hhs.gov/legal/PHE/Pages/2019-nCoV.aspx) and allowed for continuous enrollment for anyone enrolled on or after March 31, 2020. The continuous enrollment provision ended on March 31, 2023.
Page 33 - Medical Assistance Funding by Source of Funds
This line graph shows Medical Assistance funding by source of funds. Funding sources are federal, state, and county. Under the Affordable Care Act, the Federal Government will cover 100% of the costs of newly eligible enrollees from the Medicaid Expansion for calendar years 2014-2016, and 90% after 2016.1-3
- 2013: Federal=50.2%, State=48.2%, County=1.6%
- 2014: Federal=52.9%, State=45.4%, County=1.7%
- 2015: Federal=57.3%, State=41.2%, County=1.5%
- 2016: Federal=57.7% State=40.4%, County=2.0%
- 2017: Federal=58.2%, State=40.4%, County=1.5%
- 2018: Federal=57.4%, State=40.9%, County=1.6%
- 2019: Federal=56.6%, State=41.9%, County=1.5%
- 2020: Federal=59.1%, State=39.7%, County=1.3%
- 2021: Federal=61.5%, State=37.5 %, County=1.1%
- 2022: Federal=66.2%, State=32.9%, County=0.9%
- Sources: Minnesota Department of Human Services, February 2023 Expenditure Forecast, data for state fiscal years. Includes state Chemical Dependency (CD) fund share, state medical education share, state chemical dependency fund, state medical education share, and CHIP enhanced.
1Some MinnesotaCare enrollees qualified for Medical Assistance (MA) following the March 2011 MA eligibility expansion to include childless adults with incomes at or below 75% of the Federal Poverty Guidelines (FPG).
2In 2014, under the ACA, eligibility was increased to all childless adults, parents and caretakers, and children (aged 19 to 20) with incomes at or below 133% FPG, and children (aged 2 to 18) with incomes at or below 275% FPG. Under the Affordable Care Act, the Federal Government will cover 100% of the costs of newly eligible enrollees from the Medicaid Expansion for calendar years 2014-2016, and 90% after 2016.
3The Public Health Emergency related to the COVID-19 pandemic began on January 27, 2020 (ASPE: https://aspr.hhs.gov/legal/PHE/Pages/2019-nCoV.aspx) and allowed for continuous enrollment for anyone enrolled on or after March 31, 2020. The continuous enrollment provision ended on March 31, 2023.
Page 36- Change in MinnesotaCare From Previous Year, Enrollment and Spending1-3
This line graph shows the annual changes in enrollment, total spending and spending per enrollee, for MinnesotaCare.1-3
- 2013: Enrollment=-3.1%, Total Spending=3.4%, Spending per Enrollee=6.8%
- 20142: Enrollment=-18.5%, Total Spending=-8.8%, Spending per Enrollee=11.9%
- 2015: Enrollment=-10.4%, Total Spending=-2.0%, Spending per Enrollee=9.4%
- 2016: Enrollment=27.1%, Total Spending=-5.8%, Spending per Enrollee=-25.9%
- 2017: Enrollment=-23.0%, Total Spending=-17.2%, Spending per Enrollee=7.6%
- 2018: Enrollment=-6.4%, Total Spending=7.4%, Spending per Enrollee=14.8%
- 2019: Enrollment=-3.1%, Total Spending=2.8%, Spending per Enrollee=6.0%
- 2020: Enrollment=-3.9%, Total Spending=3.3%, Spending per Enrollee=7.5%
- 2021: Enrollment=19.7%, Total Spending=18.4%, Spending per Enrollee=-1.1%
- 2022: Enrollment=13.9%, Total Spending=18.7%, Spending per Enrollee=4.2%
- Source: Minnesota Department of Human Services, February 2023 Expenditure Forecast, data for state fiscal years. Lower enrollment in SFY 2020 is a result of lower enrollment for the first three quarters of 2020, making the average monthly enrollment in SFY2020 lower than the average in SFY2019.
1Enrollment and spending declines after 2010 reflect that some MinnesotaCare enrollees qualified for Medical Assistance (MA) following the March 2011 MA eligibility expansion to include childless adults with incomes at or below 75% of the Federal Poverty Guidelines (FPG).
2In 2014, under the ACA, Medical Assistance (MA) eligibility expanded and as a result some MinnesotaCare enrollees qualified for MA.
3The Public Health Emergency related to the COVID-19 pandemic began on January 27, 2020 (ASPE: https://aspr.hhs.gov/legal/PHE/Pages/2019-nCoV.aspx) and allowed for continuous enrollment for anyone enrolled on or after March 31, 2020. The continuous enrollment provision ended on March 31, 2023.
Page 37- MinnesotaCare’s Enrollment as a Percent of Population, by County, Calendar Year 2022
This map shows Minnesota’s enrollment in MinnesotaCare as percent of the population for each county by five quintiles, for 2022. The quintiles are 0.0%-1.40%, 1.41%-1.58%, 1.59%-1.71%, 1.72%-1.98%, 1.99% and greater. Minnesota’s MinnesotaCare gross enrollment as a percent of population is 1.8%. The following counties have enrollment in each quintile (by alphabetical order):
- 0.0%-1.40%=Carlton, Carver, Clay, Dodge, Goodhue, Houston, Le Sueur, Lyon, McLeod, Nicollet, Nobles, Pipestone, Red Lake, Rice, Rock, Steele, Wilkin, Winona
- 1.41%-1.58%= Blue Earth, Brown, Jackson, Murray, Pennington, Polk, Pope, Roseau, Sherburne, Sibley, Stevens, Swift, Traverse, Wabasha, Washington, Wright
- 1.59%-1.71%=Beltrami, Benton, Chisago, Clearwater, Cottonwood, Douglas, Fillmore, Isanti, Lac qui Parle, Marshall, Meeker, Mower, Olmsted, Otter Tail, Redwood, St. Louis, Stearns, Waseca
- 1.72%-1.98%=Becker, Dakota, Faribault, Freeborn, Itasca, Kandiyohi, Kittson, Lake, Lincoln, Martin, Morrison, Norman, Pine, Renville, Scott, Todd, Watonwan
- 1.99% and greater=Aitkin, Anoka, Big Stone, Cass, Chippewa, Cook, Crow Wing, Grant, Hennepin, Hubbard, Kanabec, Koochiching, Lake of the Woods, Mahnomen, Mille Lacs, Ramsey, Wadena, Yellow Medicine
- Source: Minnesota Department of Human Services, enrollment data for calendar year 2022; County estimates from U.S. Census Bureau, Annual Estimates of the Resident Population for Counties: April 1, 2021 to July 1, 2022 (CO-EST2022-POP); map shapefile from 2022 Mapbox: OpenStreetMap. Enrollment excludes “other” with no known category. Includes all enrollees, even those with dual-coverage (Medicare or private coverage) during the year. Ranges are based on quintiles.
Page 38- Distribution of MinnesotaCare Enrollees and State Population, by Region, Calendar Year 2022
This bar chart shows the distribution of MinnesotaCare enrollees and the state population, by region, for 2022.
- Twin Cities Metro=60.2%; State Population 55.1%
- Central=13.0%; State Population 14.0%
- Southeast=7.3%; State Population 9.1%
- Northeast=5.4%; State Population 5.7%
- South Central=4.2%; State Population 5.2%
- Southwest=3.5%; State Population 3.8%
- Northwest=3.4%; State Population 3.6%
- West Central=3.0%; State Population 3.5%
- For the regional boundaries, see slide 43 at the end of this chartbook.
- Sources: Minnesota Department of Human Services, enrollment data for calendar year 2022; County estimates from U.S. Census Bureau, Annual Estimates of the Resident Population for Counties: April 1, 2021 to July 1, 2022 (CO-EST2022-POP). Enrollment excludes “other” with no known category. Distribution percentages are based on calculating the share of the total Minnesota population in each region and based on the share of the total MinnesotaCare population in each region.
Page 40 - Distribution of MinnesotaCare Enrollment, by Eligibility Category
This line graph shows MinnesotaCare enrollment by Parents and Children compared to Childless Adults.1-2
- 2013: Parents and Children=69.5%, Childless Adults=30.5%
- 20141: Parents and Children=61.4%, Childless Adults=38.6%
- 2015: Parents and Children=42.9%, Childless Adults=57.1%
- 2016: Parents and Children=46.7%, Childless Adults=53.3%
- 2017: Parents and Children=48.9%, Childless Adults=51.1%
- 2018: Parents and Children=50.4%, Childless Adults=49.6%
- 2019: Parents and Children=46.7%, Childless Adults=53.3%
- 2020: Parents and Children=46.3%, Childless Adults=53.7%
- 2021: Parents and Children=47.5%, Childless Adults=52.5%
- 2022: Parents and Children=39.6%, Childless Adults=60.4%
- Source: Minnesota Department of Human Services, February 2023 Expenditure Forecast, data for state fiscal years. Adults No Kids and Parents and Children include older adults and Deferred Action for Childhood Arrivals.
1In 2014, under the ACA, Medical Assistance (MA) eligibility expanded and as a result some MinnesotaCare enrollees qualified for MA.
2The Public Health Emergency related to the COVID-19 pandemic began on January 27, 2020 (ASPE: https://aspr.hhs.gov/legal/PHE/Pages/2019-nCoV.aspx) and allowed for continuous enrollment for anyone enrolled on or after March 31, 2020. The continuous enrollment provision ended on March 31, 2023.
Page 41 - MinnesotaCare Funding by Source
This line graph shows the funding of MinnesotaCare, by source. Funding sources are state appropriations, federal appropriations, and premiums.1-2
- 2013: State Appropriations=48.7%, Federal Appropriations=44.4%, Premiums=7.0%
- 2014: State Appropriations=47.5%, Federal Appropriations=46.6%, Premiums=5.9%
- 2015: State Appropriations=54.0%, Federal Appropriations=43.0%, Premiums=3.1%
- 2016: State Appropriations=23.9%, Federal Appropriations=69.8%, Premiums=6.2%
- 2017: State Appropriations=2.9%, Federal Appropriations=88.0%, Premiums=9.1%
- 2018: State Appropriations=4.9%, Federal Appropriations=86.5%, Premiums=8.6%
- 2019: State Appropriations=5.0%, Federal Appropriations=86.9%, Premiums=8.1%
- 2020: State Appropriations=5.8%, Federal Appropriations=87.4%, Premiums=6.8%
- 2021: State Appropriations=6.1%, Federal Appropriations=87.7%, Premiums=6.2%
- 2022: State Appropriations=8.7%, Federal Appropriations=90.4%, Premiums=1.0%
- Source: Minnesota Department of Human Services, February 2023 Expenditure Forecast, data for state fiscal years. Federal Appropriations includes Federal Basic Health Program (BHP) Funding.
1In 2014, under the ACA, Medical Assistance (MA) eligibility expanded and as a result some MinnesotaCare enrollees qualified for MA.
2The Public Health Emergency related to the COVID-19 pandemic began on January 27, 2020 (ASPE: https://aspr.hhs.gov/legal/PHE/Pages/2019-nCoV.aspx) and allowed for continuous enrollment for anyone enrolled on or after March 31, 2020. The continuous enrollment provision ended on March 31, 2023.
Appendix - Minnesota Counties and Regions Used in the Geographic Analysis
The map shows the regions used within geographic analysis of this chartbook. Regions are based on State Community Health Services Advisory Committee (SCHSAC) regions.
- Northeast: Aitkin, Carlton, Cook, Itasca, Koochiching, Lake, St. Louis
- Northwest: Beltrami, Clearwater, Hubbard, Kittson, Lake of the Woods, Mahnomen, Marshall, Norman, Pennington, Polk, Red Lake, Roseau
- West Central: Becker, Clay, Douglas, Grant, Otter Tail, Pope, Stevens, Traverse, Wilkin
- Central: Benton, Cass, Chisago, Crow Wing, Isanti, Kanabec, Mille Lacs, Morrison, Pine, Sherburne, Stearns, Todd, Wadena, Wright
- Southwest: Big Stone, Chippewa, Cottonwood, Jackson, Kandiyohi, Lac qui Parle, Lincoln, Lyon, Murray, Nobles, Pipestone, Redwood, Renville, Rock, Swift, Yellow Medicine
- South Central: Blue Earth, Brown, Faribault, Le Sueur, Martin, McLeod, Meeker, Nicollet, Sibley, Waseca, Watonwan
- Southeast: Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Rice, Steele, Wabasha, Winona
- Metro: Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, Washington