Minneapolis, MN Market Overview
HealthLeaders Interstudy, November 2011, Pages: 54
Long at the forefront of healthcare innovation, the Minneapolis healthcare community is embracing both state and federal reform efforts—even as the state’s outgoing governor turned downed funding for and restricted participation in federal initiatives. Minnesota’s 2008 healthcare reform package is delivering cost and quality transparency, payment reform and medical homes, while the market’s providers and payors are also working together to test value-based insurance design and medication therapy management.
Just as the Minneapolis economy and employment rate are rebounding, so are health systems’ bottom lines. Hospitals will continue to balance expansion with cost control, however, as the state cuts programs and reimbursements. Health plans and employers will continue their successful focus on value and cost shifting, while the state will face the challenge of how to maintain its coverage for low-income childless adults and retain Minnesota’s comparatively low uninsured rate.
Questions Answered in This Report
Rebounding investments improved bottom lines at Twin Cities hospitals in 2009, but health systems are proceeding with caution as the state wields the ax on healthcare reimbursements. Which state-funded insurance program was drastically restructured and which hospitals are still providing care to the state’s poorest adults? Which hospitals are expanding and which are putting construction plans on hold? Which health systems jointly opened the market’s first new hospital in a decade? In what new ways are health systems expanding their markets? Why are hospitals keeping their eyes on the Mayo Clinic?
Practicing in an innovative healthcare market, physicians in Minneapolis are also proving to be early adapters to healthcare reform. How does the structure of the local physician market make it well-positioned for reform efforts? Which physicians will be most affected by the legislature’s cuts to reimbursements? Which physician practices are the first in the market to be state-certified as medical homes? Which physician groups are expanding their telehealth capabilities to include video consultations?
Local health plans have maintained stable, if shifting, enrollment through the recession. Why are the top five health plans in the market all regional nonprofits? Which health plan employs a large group of physicians? Which insurers are offering medication therapy management to employers? Which health plans are launching sophisticated telehealth services? What are the generic-drug dispensing rates of local health plans?
Metrics
- Key market indicators and leading organizations among health systems, physicians and health plans
- Health systems’ market share
- Income, revenue, enrollment and pharmacy spend for leading health plans
- Demographics
Scope: Minneapolis, which includes the counties of Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Ramsey, Scott, Sherburne, Washington and Wright in Minnesota; and Pierce and St. Croix in Wisconsin
Primary Research: Analysis of HealthLeaders-InterStudy data, Billian’s HealthDATA, local and state news and industry reports and interviews with local healthcare executives
Market
Management Summary
Health Systems & Hospital
Physicians
Health Plans
Medicaid/Medicare/Uninsured
Pharmacy
Legislation
Employers
Demographics & Statistics
- Allina Clinics Division
- Allina Hospitals & Clinics
- Blue Cross and Blue Shield of Minnesota
- Buyers Healthcare Action Group
- Children’s Physician Network
- Fairview Health Services
- Fairview Physician Associates
- HealthEast Care System
- HealthPartners
- HealthPartners Medical Group
- Medica Health Plans
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