Section 6: Uninsurance and the Safety Net

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1

Section 6: Uninsurance and the

Safety Net

• Statewide measures of uninsurance

• Specific population groups

• Age, income, race/ethnicity, country of birth, region

• Characteristics of the uninsured in Minnesota

• Potential access to coverage for the uninsured

• Health Care safety net: uncompensated care

STATEWIDE MEASURES OF

UNINSURANCE

Uninsurance Rate Trends in Minnesota

(Past 5 survey years)

10%

9.0%* 9,0%

7,7% 8%

7,2%

3

6%

8,2%

4%

2%

0%

2004 2007 2009

*Indicates statistically significant difference (95% level) from prior year shown.

Source: 2004, 2007, 2009, 2011 and 2013 Minnesota Health Access Surveys

2011 2013

4

Estimated Number of Uninsured in Minnesota,

2004 to 2013

(past 5 survey years)

483,000

500 000

472,000

71 000

82 000

447,000

392,000

374,000 400 000

81 000

68 000

75 000

300 000

412 000 200 000

390 000

336 000

324 000

299 000

100 000

0

2004 2007 2009

Adults Children

2011

Source: Minnesota Health Access Surveys, 2004 to 2013; population estimates from U.S. Bureau of the Census

2013

5

Sources of Insurance Coverage in Minnesota,

2009 to 2013

100%

8,2% 9,0% 9,0%

80%

28,3% 29,2% 31.1%*

60% 5,1%

5,2%

5,4%

40%

57,6% 56,6% 55,2%

20%

0%

2009 2011

Group Individual Public Uninsured

Estimates that rely solely on household survey data differ slightly from annual estimates that include both survey and administrative data.

Source: Minnesota Health Access Surveys, 2011 and 2013.

2013

6

Measures of Uninsurance in Minnesota,

2009 to 2013

13,7%

14%

12,8%

12,3%

12%

10%

8%

6%

9,0% 9,0%

8,2%

6,1%

6,6%

6,1%

4%

2%

0%

Uninsured Point in Time Uninsured All Year

2009 2011 2013

*Indicates statistically significant difference (95% level) from prior year shown.

Source: 2007, 2009 and 2011 Minnesota Health Access Surveys.

Uninsured at Some Point in Year

SPECIFIC POPULATION GROUPS

Minnesota Uninsurance Rates by Age,

2011 and 2013

20%

18.4%^

17.3%^

16.3%^

15%

13.9%^

8

10%

5%

5.2%^

7,4%

5.5%^ 5.6%^

10,1%

8,8%

7,5%

6.2%^

9,0%

8,2%

0%

0 to 5 6 to 17 18 to 25 26 to 34 35 to 54

2011 2013

^ Indicates statistically significant difference (95% level) from all ages within year.

Source: Minnesota Health Access Surveys, 2011 and 2013

55 to 64

0.7%^ 0.5%^

65+ All Ages

9

Sources of Health Insurance Coverage in

Minnesota by Age, 2013

100%

5.6%^ 6.2%^ 7,4% 8,8% 0.5%^

13.9%^

17.3%^

20.0%^

19.3%^

22.8%^

80%

29,8%

19.4%^

5,4% 22.1%^

6,8%

8.1%^

6,3%

60% 5,2%

3.7%^

96.4%^

8,2%

31,1%

5,4%

40%

69.0%^

65.2%^

62.9%^

57,6%

60.4%^

56,9%

55,2%

20%

0%

0 to 5 6 to 17 18 to 25 26 to 34 35 to 54 55 to 64

Group Individual Public Uninsured

^ Indicates statistically significant difference (95% level) from all ages.

Source: Minnesota Health Access Surveys, 2013

1.1%^

2.0%^

65+ All Ages

10

Trends in Health Insurance Coverage in

Minnesota by Age, 2011 to 2013

0 to 17

Group

2011

65.4%^

2013

65.3%^

Individual

2011 2013

5.5% 5.4%

18 to 25

26 to 34

35 to 54

55 to 64

59.9%

58.1%

68.9%^

60.4%^

60.4%^

56.9%

65.2%^

62.9%^

7.1%

3.5%^

5.6%

7.7%^

65 & older 3.0%^ 2.0%^ 1.6%^ 1.1%^

All ages 56.6% 55.2% 5.2%

*Indicates statistically significant difference from 2011 (95% level).

^Indicates statistically significant difference rate for all ages (95% level).

Source: Minnesota Health Access Surveys, 2011 and 2013

5.4%

6.3%

3.7%^

6.8%

8.1%^

2011

23.7%^

Public

2013

23.2%^

16.7%^

19.9%^

15.3%^

24.5%

94.7%^

29.2%

19.4%^

22.1%^

19.3%*^

22.8%^

96.4%^

31.1%*

Uninsured

2011 2013

5.4%^ 6.2%^

16.3%^

18.4%^

10.1%

7.5%

0.7%^

9.0%

13.9%^

17.3%^

8.8%

6.2%^

0.5%^

8.2%

11

Sources of Children’s Health Insurance 

Coverage in Minnesota by Age, 2013

100%

5,6% 6,2% 7,4%

20.0%^

23,2%

80%

29.8%^

5,4%

5,4%

60% 5,2%

40%

20%

57.6%^

69.0%^

65,3%

0%

0 to 5 6 to 17

Group Individual Public Uninsured

^ Indicates statistically significant difference (95% level) from rate for all children (0 to 17).

Source: Minnesota Health Access Surveys, 2011

All Children (0 to 17)

12

Trends in Children’s Health Insurance 

Coverage in Minnesota by Age, 2011 to 2013

2011

Group

2013

Individual

2011 2013 Age in years

0 to 5 60.9% 57.6%^ 4.1%

6 to 17 67.6% 69.0%^ 6.2%

All Children (0 to 17) 65.4% 65.3% 5.5%

2011

Public

2013

Uninsured

2011

5.2% 29.9%^ 29.8%^ 5.2%

5.4% 20.7%^ 20.0%^ 5.5%

5.4% 23.7% 23.2% 5.4%

2013

7.4%

5.6%

6.2%

^ Indicates statistically significant difference (95% level) from rate for all children (0 to 17).

Source: Minnesota Health Access Surveys, 2011 and 2013.

13

Minnesota Uninsurance Rates by Income,

2011 and 2013

20%

16.8%^

17.7%^

16.0%^

14.5%^

15%

12.4%^

9,7%

10% 9,0%

8,2%

6.9%^

5.4%^

5%

2.6%^ 2.6%^

0%

0 to 100% 101 to 200% 201 to 300% 301 to 400% 401%+

Household Income as Percent of Federal Poverty Guidelines

2011 2013

^ Indicates statistically significant difference (95% level) from all incomes within year.

Source: Minnesota Health Access Surveys, 2011 and 2013

All Incomes

14

Sources of Health Insurance Coverage in

Minnesota by Income, 2013

100%

5.4%^

2.6%^

9,7%

17.7%^

14.5%^

16.9%^

25,0%

80%

6,2%

30,1%

8,2%

31,1%

6,4%

48.2%^

60%

5,3% 5,4%

57.4%^

40%

74.3%^

4.0%^

63.2%^

55,2% 54,8%

20%

4,2%

20.6%^

33.2%^

0%

0 to 100% 101 to 200% 201 to 300% 301 to 400% 401%+

Household Income as Percent of Federal Poverty Guidelines

Group Individual Public Uninsured

All Incomes

^Indicates statistically significant difference from rate for all incomes (95% level).

Source: 2013 Minnesota Health Access Survey

15

Trends in Health Insurance Coverage in

Minnesota by Income, 2011 to 2013

Household Income as Percent of Federal Poverty Guidelines (FPG)

2011

Group

2013

Individual

2011 2013

0 to 100% 20.7%^ 20.6%^ 4.4%

101 to 200% 32.1%^ 33.2%^ 4.0%^

6.1%

4.2%

4.0%^

5.3% 201 to 300% 52.4%^ 54.8%

301 to 400% 66.9%^ 63.2%^

401%+ 77.3%^ 74.3%*^

All Incomes 56.6% 55.2%

5.7%

5.5%

5.2%

6.4%

6.2%

5.4%

2011

Public

2013

Uninsured

2011 2013

58.2%^ 57.4%^ 16.8%^ 17.7%^

47.9%^ 48.2%^ 16.0%^ 14.5%^

29.0% 30.1% 12.4%^ 9.7%

20.4%^

14.5%^

29.2%

25%*^

16.9%*^

31.1%

6.9%^

2.6%^

9.0%

5.4%^

2.6%^

8.2%

*Indicates statistically significant difference from 2011 (95% level).

^Indicates statistically significant difference from rate for all incomes (95% level).

Source: Minnesota Health Access Surveys, 2011 and 2013

16

Minnesota Uninsurance Rates by Race/Ethnicity,

2011 and 2013

40%

34.8%^

30%

26.2%^

20%

10%

7.5%^

6.0%*^

17.7%^

14.7%^

14,3%

18.0%^

11,3%

13,2%

0%

White Black American Indian Asian

2011 2013

^ Indicates statistically significant difference (95% level) from all race/ethnicities within year.

Source: Minnesota Health Access Surveys, 2011 and 2013

9,0%

8,2%

Hispanic/Latino All

Races/Ethnicities

17

Sources of Health Insurance Coverage in

Minnesota by Race/Ethnicity, 2013

100%

6.0%^

13,2% 14.7%^

18.0%^

34.8%^

9,0%

80%

30.2%^

31,1%

26,9%

40,4%

60% 5.8%^

50.8%^

6,7%

5,4%

29,8%

2.5%^

40%

1.4%^ 1.8%^

57.9%^

53,2% 55,2%

20%

32.7%^

39.1%^

33.9%^

0%

White Black American Indian Asian

Group Individual Public Uninsured

Hispanic/Latino All

Races/Ethnicities

^Indicates statistically significant difference rate from statewide rate (95% level).

Source: Minnesota Health Access Survey 2013

18

Trends in Health Insurance Coverage in

Minnesota by Race/Ethnicity, 2011 to 2013

2011

59.3%^ White

Black 31.4%^

American Indian 29.5%^

Group

2013

57.9%^

32.7%^

39.1%^

Asian

Hispanic/Latino

59.7%

37.7%^

53.2%

33.9%^

All Residents 56.6% 55.2%

Individual

2011 2013

5.4%

1.6%^

5.8%^

1.8%^

1.5%^

5.1%

3.5%

2.5%^

6.7%

1.4%^

5.2% 5.4%

Public

2011

27.8%^

2013

30.2%*^

49.2%^

54.6%^

23.9%

32.6%

50.8%^

40.4%

26.9%

29.8%

29.2% 31.1%*

Uninsured

2011 2011

7.5%^

17.7%^

6.0%*^

14.7%^

14.3%

11.3%

26.2%^

18.0%^

13.2%

34.8%^

9.0% 9.0%

*Indicates statistically significant difference from 2011 (95% level).

^Indicates statistically significant difference rate for all residents (95% level).

Source: Minnesota Health Access Surveys, 2011 and 2013

19

Uninsurance Rates in Minnesota by Country of

Birth, 2011 and 2013

30%

27.8%^

26.4%^

25%

20%

15%

10%

5%

7.6%^

6.6%^

0%

US Born Not US Born

2011 2013

^ Indicates statistically significant difference (95% level) from all Minnesotans within year.

Source: Minnesota Health Access Surveys, 2011 and 2013

9,0%

8,2%

All Minnesotans

20

Minnesota Uninsurance Rates by Education,

2011 and 2013

25%

21.5%^

20.0%^

20%

15%

11.7%^

11.0%^

10% 9,1%

8,1%

9,0%

8,2%

5.4%^

5.0%^

5%

2.0%^

2.6%^

0%

Less than high school

High school graduate

Some college/tech school

College graduate Postgraduate

2011 2013

All Education

Levels

^ Indicates statistically significant difference (95% level) from all education levels within year.

Source: Minnesota Health Access Surveys, 2011 and 2013

21

Sources of Health Insurance Coverage in

Minnesota by Education, 2013

100%

5.0%^ 2.6%^

11.0%^

8,1%

20.0%^

18.9%^

19.0%^

80%

29,7% 4,5%

6,0%

43.2%^

60%

6.8%^

57.4%^

4,5%

8.2%^

31,1%

5,4%

40%

74.0%^

70.0%^

56.6% 55,4%

2.2%^

20% 41.4%^

20.5%^

0%

Less than high school

High school graduate

Some college/tech school

College graduate

Group Individual Public Uninsured

Postgraduate All Education

Levels

^ Indicates statistically significant difference (95% level) from all education levels within year.

Source: Minnesota Health Access Survey, 2013

22

Trends in Health Insurance Coverage in

Minnesota by Education, 2011 to 2013

Group Individual Public Uninsured

2011 2013

Less than high school

High school graduate

Some college/ tech school

21.2%^

42.0%^

55.5%

20.5%^

41.4%^

55.4%

College graduate 75.1%^ 70.0%^

2011

4.0%

4.7%

6.0%

5.0%

2013

2.2%^

4.5%

6.8%^

6.0%

Postgraduate

All Education

Levels

78.0%^

56.6%

74.0%^

56.6%

5.3%

5.2%

*Indicates statistically significant difference from 2011 (95% level).

^ Indicates statistically significant difference (95% level) from all education levels.

Source: Minnesota Health Access Surveys, 2011 and 2013

4.5%

5.4%

2011

53.3%^ 57.4%^ 21.5%^ 20.0%^

41.5%^

29.4%

14.5%^

14.6%^

29.2%

2013

43.2%^

29.7%

19.0%*^

18.9%*^

31.1%*

2011

11.7%^

9.1%

5.4%^

2.0%^

9.0%

2013

11.0%^

8.1%

5.0%^

2.6%^

8.2%

23

Uninsurance Rates in Twin Cities and Greater

Minnesota, 2011 and 2013

10%

9,5%

9,0%

8,6%

8,4%

8,2%

8,1%

8%

6%

4%

2%

0%

Greater Minnesota

Source: Minnesota Health Access Surveys, 2011 and 2013

Twin Cities

2011 2013

Statewide

24

Uninsurance Rates by Economic Development

Region ,2011 and 2013

2011 Uninsurance Rate by EDR 2013 Uninsurance Rate by EDR

10.0% or greater 7.0% to 9.9%

^ Indicates statistically significant difference (95% level) from statewide.

Source: Minnesota Health Access Survey, 2011 and 2013

Less than 7.0%

25

Sources of Health Insurance Coverage by

Region in Minnesota, 2011 and 2013

Northwest

Headwaters

Arrowhead

West Central

North Central

Mid-Minnesota

Upper MN Valley

East Central

Central

Southwest

South Central

Southeast

Twin Cities

All Regions

2011

41.7%^

51.5%

Group

46.4%

63.5%^ 59.5%

13.2%^

38.9%^ 42.3%^ 9.2%^

56.6%

2013

44.0%^ 50.0%

33.7%^ 37.5%^

49.3%^ 52.0%

41.4%^ 54.4%*

43.8%^ 44.8%^

49.4% 47.2%^

52.5%

51.3% 47.0%^

60.3% 54.0%

56.6%

Individual

2011 2013

4.1%

4.9%

3.9%

7.1%

6.1%

8.3%

6.4%

5.3%

7.0%

5.5%

60.6%^ 58.9%^ 4.6%^

5.2%

*Indicates statistically significant difference from 2011 (95% level).

^Indicates statistically significant difference from rate for all regions (95% level).

Source: Minnesota Health Access Surveys, 2011 and 2013

9.0%

6.4%

3.9%

6.7%

10.3% 37.6%^ 37.7%

8.7%

5.4%*

5.1%

5.7%

5.2%

5.0%

6.4%

2011

42.0%^ 34.6% 9.9%

47.4%^ 43.7%^ 14.0%

34.3% 35.8%

45.5%^ 33.8%*

12.5%

6.0%

35.4%

38.5%

33.8%

25.6%

31.0%

27.7%

Public

42.4%^

2013

37.3%

41.4%^

33.3%

27.4%

39.0%

35.9%

33.9%

Uninsured

2011 2013

12.5%

6.9%

6.6%

8.3%

5.6%^

9.5%

10.7%

6.5%^

4.7%^ 25.4%^ 28.0%*^ 9.5%

5.4% 29.2% 31.1%* 9.0%

6.4%

12.4%

8.2%

5.2%^

7.2%

6.7%

6.8%

9.0%

7.4%

13.6%

12.1%

5.7%

8.4%

8.2%

CHARACTERISTICS OF THE UNINSURED

IN MINNESOTA

27

Income Distribution of Minnesota’s Uninsured 

Population, 2011 and 2013

Household Income as

% of Federal Poverty

Guidelines (FPG)

Uninsured Total Population

0 to 100%

101 to 200%

201 to 300%

301 to 400%

401%+

Total

2011

23.6%^

30.3%^

23.5%^

11.5%^

11.2%^

100%

2013

28.4%^

31.1%^

18.20%

10.4%^

11.8%^

100%

2011

12.8%

17.1%

17.1%

14.9%

38.1%

100%

2013

13.2%

17.6%

15.4%*

16.0%

37.8%

100%

* Indicates statistically different at 95% level from 2011.

^ Indicates statistically significant difference between uninsured and total population at 95% level within year.

Source: Minnesota Health Access Surveys, 2011 and 2013

28

Employment Characteristics of Minnesota’s 

Uninsured Population, 2011 and 2013

Uninsured

2011

67.7%

2013

73.5% Employed

Of Those Who Are Employed:

Temporary/Seasonal Job 21.6%^

Number of Hours Worked Per Week:

0 to 10 hours 3.6%

6.5% 11 to 20 hours

21 to 30 hours

31 to 40 hours

20.1%^

44.1%^

More than 40 hours

Total

25.8%

100%

21.8%^

3.0%

10.8%^

9.1%*

54.5%*

22.6%^

100%

Total Population

2011

72.1%

2013

72.9%

8.8%

2.5%

6.2%

8.4%

52.5%

30.4%

100%

9.3%

2.4%

6.4%

8.3%

53.8%

29.1%

100%

* Indicates statistically different at 95% level from 2011.

^ Indicates statistically significant difference between uninsured and total population at 95% level within year.

Source: Minnesota Health Access Surveys, 2011 and 2013

29

Employment Characteristics of Minnesota’s 

Uninsured Population, 2011 and 2013: Size of

Employer

Total Population

2011 2013

All Uninsured

2011 2013

Self Employed, no employees 11.2%^

2 to 10 employees 23.2%^

11 to 50 employees 23.1%^

51 to 100 employees 10.4%

101 to 500 employees 11.7%^

More than 500 employees

Total

20.4%^

100.0%

11.8%^

22.4%^

19.4%^

15.1%^

11.2%^

20.0%^

100.0%

5.3%

11.9%

12.5%

10.3%

17.1%

43.0%

100.0%

5.5%

11.9%

11.5%

9.6%

18.1%

43.4%

100.0%

^ Indicates statistically significant difference between uninsured and total population at 95% level within year.

Source: Minnesota Health Access Surveys, 2011 and 2013

30

Racial/Ethnic Distribution of Minnesota’s 

Uninsured Population, 2011 and 2013

White

Black

American Indian

Asian

Hispanic/Latino

All Uninsured

2009 2011

72.0%^

11.5%^

3.3%

60.9%*^

11.1%^

3.6%^

5.5%

13.6%^

See note

7.6%

20.2%*^

See note

Total Population

2009 2011

86.6%

5.9%

2.1%

83.4%*

6.2%

1.6%

4.4%

4.7%

See note

4.7%

4.8%

See note

Note: Distribution adds to more than 100% since individuals could choose more than one race/ethnicity.

* Indicates statistically different at 95% level from 2011.

^ Indicates statistically significant difference between uninsured and total population at 95% level within year.

Source: Minnesota Health Access Surveys, 2011 and 2013

POTENTIAL ACCESS TO COVERAGE FOR

THE UNINSURED

32

Access to Employer Coverage, 2011 to 2013

(Non-elderly population)

100%

94,8% 95,0%

90,1%

87.7%*

78,2%

80% 76.3%*

60%

40%

20%

0%

Connection to employer that offers coverage

Eligible for employer coverage

2011 2013

*Indicates statistically significant difference from previous year shown (95% confidence level).

Source: Minnesota Health Access Surveys, 2011 to 2013

1 Among people with a connection to an employer offering coverage.

2 Among people eligible to enroll in employer coverage

1

Take-Up Rate

2

33

Potential Access to Coverage for the Uninsured,

2011 to 2013

80%

64,8%

67,4%

60%

37,1% 36,7% 40%

21,4%

17,7%

20%

17,5%

19,6%

0%

Connection to employer that offers coverage

Eligible for employer coverage

Potentially eligible for public

2011 2013 coverage

Not eligible for employer or public coverage

* Indicates statistically different from 2011 at 95% level.

1 Employer offer: percent of uninsured who work for or have a family member who works for an employer offering coverage.

2 Employer eligible: percent of uninsured who are eligible for coverage through an employer.

3 Potentially public eligible: based on family structure, income, and eligibility for employer coverage.

Note: The employer eligible, potentially public eligible, and not eligible for employer or public coverage categories add to more than 100 percent because some of the uninsured are potentially eligible for both employer or public coverage.

Source: Minnesota Health Access Surveys, 2011 and 2013

HEALTH CARE SAFETY NET:

UNCOMPENSATED CARE AT MINNESOTA

COMMUNITY HOSPITALS

35

Trends in Uncompensated Care Costs in

Minnesota Hospitals

$350

26.5%

$311

$308

$300

$278

$268

$244

$250

17.1% $208

$191

$200

11,8%

17,6%

$151

$150

$125

$129

9,9%

8,7%

$100

$317

3,6%

3,2%

2,8%

$50

0,8%

-0,9%

$0

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Total Percent change from previous year

30%

25%

20%

15%

10%

5%

0%

-5%

*Uncompensated care figures are adjusted to reflect costs of providing services.

Source: MDH analysis of data from the Health Care Cost Information System.

36

Uncompensated Care Trends in Minnesota and the U.S.

7%

6,0%

6%

5,8% 5,8% 5,8%

5,9%

5,5%

5,6% 5,6%

5,7%

5,4%

5%

6,1%

4%

3%

2% 1,7%

1,6%

1,8%

2,0%

1%

2,0%

2,2% 2,2% 2,2%

2,4%

2,2% 2,2%

0%

2002 2003 2004 2005 2006 2007

Minnesota U.S.

2008 2009 2010 2011 2012

*Uncompensated care figures are adjusted to reflect costs of providing services.

Source: MDH analysis of data from the Health Care Cost Information System; American Hospital Association.

37

Uncompensated Care Trends for Rural and

Urban Minnesota Hospitals

3%

2%

1%

0%

2002 2003 2004 2005 2006 2007

Rural Urban

2008

*Uncompensated care figures are adjusted to reflect costs of providing services.

Source: MDH analysis of data from the Health Care Cost Information System.

2009 2010 2011 2012

38

Largest Minnesota Providers of Hospital

Uncompensated Care, 2012

Hennepin County Medical Center

2012

Uncompensated

Care

($ millions)

$37.1

Percent Change to

2011

29.4%

UC as % of

Operating

Expenses

5.1%

$20.0

37.0% 3.4% Regions Hospital

Saint Mary’s Hospital

North Memorial Medical Center

University of Minnesota Medical Center - Fairview

$18.1

$13.9

$13.0

-28.3%

7.1%

25.2%

2.2%

3.0%

1.1%

SMDC Medical Center

Abbott Northwestern Hospital

St. Cloud Hospital

Park Nicollet Methodist Hospital

United Hospital

Other Hospitals (123 Hospitals)

All Minnesota Community Hospitals

$12.0

$9.6

$9.4

$9.0

$8.2

$166.4

$316.7

17.1%

-5.1%

-17.8%

-10.4%

-5.9%

0.4%

2.8%

3.3%

1.1%

1.7%

2.0%

1.7%

2.0%

2.2%

*Uncompensated care figures are adjusted to reflect costs of providing services. UC is uncompensated care.

Source: MDH analysis of data from the Health Care Cost Information System.

39

Largest Minnesota Providers of Hospital

Uncompensated Care, 2012

6%

5,1%

Statewide Average,

2.2% 4%

3,4%

3,3%

3,0%

2,0% 2,0% 2,2%

2% 1,7% 1,7%

1,1% 1,1%

0%

Hennepin

County

Medical

Center

Regions

Hospital

Saint Mary's

Hospital

North

Memorial

Medical

Center

University of

Minnesota

Medical

Center -

Fairview

SMDC

Medical

Center

Abbott

Northwestern

Hospital

St. Cloud

Hospital

Park Nicollet

Methodist

Hospital

United

Hospital

Other

Hospitals

(123

Hospitals)

*Uncompensated care figures are adjusted to reflect costs of providing services.

Source: MDH analysis of data from the Health Care Cost Information System.

40

Distribution of Uncompensated Care by

Hospital, 2012

2012 Total Uncompensated Care: $316.7 Million

Hennepin County

Medical Center

11.7%

Regions Hospital

6.3%

Saint Marys

Hospital

5.7%

North Memorial

Medical Center

4.4%

Other Hospitals

(123 Hospitals)

52.5%

University of

Minnesota Medical

Center - Fairview

4.1%

United Hospital

2.6%

Park Nicollet

Methodist Hospital

2.8%

SMDC Medical

Center

3.8%

Abbott Northwestern

Hospital

3.0%

St. Cloud Hospital

3.0%

*Uncompensated care figures are adjusted to reflect costs of providing services.

Source: MDH analysis of data from the Health Care Cost Information System.

41

Components of Minnesota Hospital

Uncompensated Care: Charity Care and Bad Debt

$350

$311

$300

$268

$278

$244

$250

$153

$208

$191

$200

$151

$145

$146

$150 $117

$111

$100

$158

$133

$50

$117

$80

$91 $98

$0

2005 2006 2007 2008 2009 2010

Charity Care Bad Debt

$308

$156

$152

2011

*Charity care and bad debt figures are adjusted to reflect costs of providing services.

Source: MDH analysis of data from the Health Care Cost Information System.

$317

$172

$145

2012

42

Hospital Uncompensated Care and

Components by Insurance Status, 2012

100%

80%

60%

40%

60,3%

72,1%

20% 39,7%

27,9%

0%

Total Uncompensated Care

Insured Patients

Charity Care

Uninsured Patients

Source: MDH analysis of data from the Health Care Cost Information System.

50,3%

49,7%

Bad Debt

Additional Information from the Health

Economics Program Available Online

43

43

• Health Economics Program Home Page

• http://www.health.state.mn.us/healtheconomics

• Publications

• http://www.health.state.mn.us/divs/hpsc/hep/publications/index.html

• Health Care Market Statistics (Chartbook Updates)

• http://www.health.state.mn.us/divs/hpsc/hep/chartbook/index.html

• Interactive Health Insurance Statistics

• https://pqc.health.state.mn.us/mnha/Welcome.action

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