Tag Archives: MN

Market Overview PDF

Download NowMinnesota_110723.pdf

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MN DHS EQR Annual Technical Reports, 2016-21

1. Minnesota Department of Human Services External Quality Review (EQR) Annual Technical Report, 2021, Issued April 2023
2. Minnesota Department of Human Services External Quality Review (EQR) Annual Technical Report, 2020, Issued April 2022
3. MN EQR Annual Technical Report, 2019, Issued April 29, 2021
4. MN EQR Annual Technical Report, 2018, Issued July 2020
5. MN EQR Annual Technical Report, 2017, Issued April 29, 2019
6. MN EQR Annual Technical Report, 2016, Issued April 13, 2018

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MN Medicaid Managed Care Plan Financials, 2017-21

Minnesota Medicaid Financials by Plan, 2017-21

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Minnesota Medicare Market Overview

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MN Medicaid Fee for Service vs. Managed Care Penetration, 2014-19

Total Medicaid enrollment in Minnesota was a little above 1 million in 2019. About 90% of Medicaid beneficiaries were enrolled in a managed care plan. The remainder are in fee-for-service Medicaid. Total Medicaid expenditures in Minnesota was $12.7 billion in 2019, with about 47.7% through managed care and the rest through fee-for-service.

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MN SNP Membership at 45,944, Mar-20 Data

Minnesota had 45,944 SNP members as of March 2020.

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MLRs Average 93.2% at MN Medicaid MCOs, 2019 Data

Average medical loss ratio among five Minnesota Medicaid plans was 93.2% in 2019. Per member per month premiums among the five plans was $655.

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MN Medicaid Managed Care Enrollment is Up 3.6%, Apr-20 Data

Medicaid managed care enrollment in Minnesota increased by 3.6% in April 2020 compared to year-end 2019, after decreasing 2.8% in 2019 and 1.4% in 2018 and increasing 6.2% in 2017 and 0.5% in 2016.

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MN Eligibility System Has Cost State $76 Million in Federal Medicaid Funds, Audit Says

StateScoop reported on April 15, 2020, that Minnesota has been unable to collect nearly $76 million in federal Medicaid funds over the last four years because of problems with the state’s automated eligibility technology system, according to an audit from the state Office of the Legislative Auditor. Over the past 15 months alone, the audit said, inadequate data and controls led to more than 232,000 eligibility cases being flagged as having discrepancies. Read More

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MN Medicaid Eligibility Technology System Compliance Audit, Apr-20

Minnesota Eligibility Technology System Compliance Audit, April 2020.

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