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Section 6: Uninsurance and the Safety Net

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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 1
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Page 1: Section 6: Uninsurance and the  Safety Net

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

A summary of the charts and graphs contained within is provided at Chartbook Summaries - Section 6. Direct links are listed on each page. Please contact the Health Economics Program at 651-201-3550 or [email protected] if additional assistance is needed for accessing this information.

1

Page 2: Section 6: Uninsurance and the  Safety Net

STATEWIDE MEASURES OF UNINSURANCE

Page 3: Section 6: Uninsurance and the  Safety Net

Uninsurance Rate Trends in Minnesota(Past 5 survey years)

2004 2007 2009 2011 20130%

2%

4%

6%

8%

10%

7.7%7.2%

9.0%* 9.0%

8.2%

3

*Indicates statistically significant difference (95% level) from prior year shown.Source: 2004, 2007, 2009, 2011 and 2013 Minnesota Health Access SurveysSummary of graph

Page 4: Section 6: Uninsurance and the  Safety Net

Estimated Number of Uninsured in Minnesota, 2004 to 2013 (past 5 survey years)

2004 2007 2009 2011 20130

100,000

200,000

300,000

400,000

500,000

324,000 299,000

390,000 412,000336,000

68,00075,000

82,00071,000

81,000

Adults Children

392,000374,000

472,000 483,000

447,000

4

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

Page 5: Section 6: Uninsurance and the  Safety Net

Sources of Insurance Coverage in Minnesota, 2009 to 2013

2009 2011 20130%

20%

40%

60%

80%

100%

57.6% 56.6% 55.2%

5.1% 5.2% 5.4%

28.3% 29.2% 31.1%*

9.0% 9.0% 8.2%

Group Individual Public Uninsured

5

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, 2009, 2011 and 2013. Summary of graph

Page 6: Section 6: Uninsurance and the  Safety Net

Measures of Uninsurance in Minnesota, 2009 to 2013

Uninsured Point in Time Uninsured All Year Uninsured at Some Point in Year

-2%

0%

2%

4%

6%

8%

10%

12%

14%

9.0%

6.1%

13.7%

9.0%

6.6%

12.8%

8.2%

6.1%

12.3%

2009 2011 2013

6

*Indicates statistically significant difference (95% level) from prior year shown.Source: 2009, 2011 and 2013 Minnesota Health Access Surveys.Summary of graph

Page 7: Section 6: Uninsurance and the  Safety Net

SPECIFIC POPULATION GROUPS

Page 8: Section 6: Uninsurance and the  Safety Net

Minnesota Uninsurance Rates by Age, 2011 and 2013

0 to 5 6 to 17 18 to 25 26 to 34 35 to 54 55 to 64 65+ All Ages0%

5%

10%

15%

20%

5.2%^ 5.5%^

16.3%^

18.4%^

10.1%

7.5%

0.7%^

9.0%

7.4%

5.6%^

13.9%^

17.3%^

8.8%

6.2%^

0.5%^

8.2%

2011 2013

8

^ Indicates statistically significant difference (95% level) from all ages within year.Source: Minnesota Health Access Surveys, 2011 and 2013Summary of graph

Page 9: Section 6: Uninsurance and the  Safety Net

Sources of Health Insurance Coverage in Minnesota by Age, 2013

0 to 5 6 to 17 18 to 25 26 to 34 35 to 54 55 to 64 65+ All Ages0%

20%

40%

60%

80%

100%

57.6%69.0%^

60.4%^ 56.9%65.2%^ 62.9%^

2.0%^

55.2%

5.2%

5.4%

6.3%3.7%^

6.8% 8.1%^

1.1%^

5.4%

29.8%20.0%^

19.4%^22.1%^

19.3%^ 22.8%^

96.4%^

31.1%

7.4% 5.6%^13.9%^ 17.3%^

8.8% 6.2%^ 0.5%^ 8.2%

Group Individual Public Uninsured

9

^ Indicates statistically significant difference (95% level) from all ages.Source: Minnesota Health Access Surveys, 2013Summary of graph

Page 10: Section 6: Uninsurance and the  Safety Net

Trends in Health Insurance Coverage in Minnesota by Age, 2011 to 2013

Group Individual Public Uninsured

2011 2013 2011 2013 2011 2013 2011 2013

0 to 17 65.4%^ 65.3%^ 5.5% 5.4% 23.7%^ 23.2%^ 5.4%^ 6.2%^

18 to 25 59.9% 60.4%^ 7.1% 6.3% 16.7%^ 19.4%^ 16.3%^ 13.9%^

26 to 34 58.1% 56.9% 3.5%^ 3.7%^ 19.9%^ 22.1%^ 18.4%^ 17.3%^

35 to 54 68.9%^ 65.2%^ 5.6% 6.8% 15.3%^ 19.3%*^ 10.1% 8.8%

55 to 64 60.4%^ 62.9%^ 7.7%^ 8.1%^ 24.5% 22.8%^ 7.5% 6.2%^

65 & older 3.0%^ 2.0%^ 1.6%^ 1.1%^ 94.7%^ 96.4%^ 0.7%^ 0.5%^

All ages 56.6% 55.2% 5.2% 5.4% 29.2% 31.1%* 9.0% 8.2%

10

*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

Page 11: Section 6: Uninsurance and the  Safety Net

Sources of Children’s Health Insurance Coverage in Minnesota by Age, 2013

0 to 5 6 to 17 All Children (0 to 17)0%

20%

40%

60%

80%

100%

57.6%^69.0%^ 65.3%

5.2%

5.4%5.4%

29.8%^20.0%^ 23.2%

7.4% 5.6% 6.2%

Group Individual Public Uninsured

11

^ Indicates statistically significant difference (95% level) from rate for all children (0 to 17).Source: Minnesota Health Access Surveys 2013Summary of graph

Page 12: Section 6: Uninsurance and the  Safety Net

Trends in Children’s Health Insurance Coverage in Minnesota by Age, 2011 to 2013

Group Individual Public Uninsured

Age in years 2011 2013 2011 2013 2011 2013 2011 2013

0 to 5 60.9% 57.6%^ 4.1% 5.2% 29.9%^ 29.8%^ 5.2% 7.4%

6 to 17 67.6% 69.0%^ 6.2% 5.4% 20.7%^ 20.0%^ 5.5% 5.6%

All Children (0 to 17) 65.4% 65.3% 5.5% 5.4% 23.7% 23.2% 5.4% 6.2%

12

^ Indicates statistically significant difference (95% level) from rate for all children (0 to 17).Source: Minnesota Health Access Surveys, 2011 and 2013.

Page 13: Section 6: Uninsurance and the  Safety Net

Minnesota Uninsurance Rates by Income, 2011 and 2013

0 to 100% 101 to 200% 201 to 300% 301 to 400% 401%+ All Incomes0%

5%

10%

15%

20%

16.8%^16.0%^

12.4%^

6.9%^

2.6%^

9.0%

17.7%^

14.5%^

9.7%

5.4%^

2.6%^

8.2%

2011 2013

Household Income as Percent of Federal Poverty Guidelines

13

^ Indicates statistically significant difference (95% level) from all incomes within year.Source: Minnesota Health Access Surveys, 2011 and 2013Summary of graph

Page 14: Section 6: Uninsurance and the  Safety Net

Sources of Health Insurance Coverage in Minnesota by Income, 2013

0 to 100% 101 to 200% 201 to 300% 301 to 400% 401%+ All Incomes0%

20%

40%

60%

80%

100%

20.6%^33.2%^

54.8%63.2%^

74.3%^

55.2%4.2%

4.0%^

5.3%

6.4%

6.2%

5.4%57.4%^

48.2%^

30.1%25.0%

16.9%^

31.1%

17.7%^ 14.5%^ 9.7% 5.4%^2.6%^

8.2%

Group Individual Public Uninsured

Household Income as Percent of Federal Poverty Guidelines

14

^Indicates statistically significant difference from rate for all incomes (95% level). Source: 2013 Minnesota Health Access SurveySummary of graph

Page 15: Section 6: Uninsurance and the  Safety Net

Trends in Health Insurance Coverage in Minnesota by Income, 2011 to 2013

Group Individual Public Uninsured

2011 2013 2011 2013 2011 2013 2011 2013

0 to 100% 20.7%^ 20.6%^ 4.4% 4.2% 58.2%^ 57.4%^ 16.8%^ 17.7%^

101 to 200% 32.1%^ 33.2%^ 4.0%^ 4.0%^ 47.9%^ 48.2%^ 16.0%^ 14.5%^

201 to 300% 52.4%^ 54.8% 6.1% 5.3% 29.0% 30.1% 12.4%^ 9.7%

301 to 400% 66.9%^ 63.2%^ 5.7% 6.4% 20.4%^ 25%*^ 6.9%^ 5.4%^

401%+ 77.3%^ 74.3%*^ 5.5% 6.2% 14.5%^ 16.9%*^ 2.6%^ 2.6%^

All Incomes 56.6% 55.2% 5.2% 5.4% 29.2% 31.1% 9.0% 8.2%

15

Household Income as Percent of Federal Poverty Guidelines (FPG)

*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

Page 16: Section 6: Uninsurance and the  Safety Net

Minnesota Uninsurance Rates by Race/Ethnicity, 2011 and 2013

White Black American Indian Asian Hispanic/LatinoAll Races/Ethnicities0%

10%

20%

30%

40%

7.5%^

17.7%^

14.3%

11.3%

26.2%^

9.0%

6.0%*^

14.7%^

18.0%^

13.2%

34.8%^

8.2%

2011 2013

16

^ Indicates statistically significant difference (95% level) from all race/ethnicities within year.Source: Minnesota Health Access Surveys, 2011 and 2013Summary of graph

Page 17: Section 6: Uninsurance and the  Safety Net

Sources of Health Insurance Coverage in Minnesota by Race/Ethnicity, 2013

Whit

eBlac

k

America

n Ind

ianAsia

n

Hispan

ic/La

tino

All Rac

es/E

thnici

ties

0%

20%

40%

60%

80%

100%

57.9%^

32.7%^ 39.1%^53.2%

33.9%^

55.2%

5.8%^

1.8%^2.5%^

6.7%

1.4%^

5.4%

30.2%^

50.8%^ 40.4%

26.9%

29.8%

31.1%

6.0%^14.7%^ 18.0%^ 13.2%

34.8%^

8.2%

Group Individual Public Uninsured

17

^Indicates statistically significant difference rate from statewide rate (95% level).Source: Minnesota Health Access Survey 2013Summary of graph

Page 18: Section 6: Uninsurance and the  Safety Net

Trends in Health Insurance Coverage in Minnesota by Race/Ethnicity, 2011 to 2013

Group Individual Public Uninsured

2011 2013 2011 2013 2011 2013 2011 2011

White 59.3%^ 57.9%^ 5.4% 5.8%^ 27.8%^ 30.2%*^ 7.5%^ 6.0%*^

Black 31.4%^ 32.7%^ 1.6%^ 1.8%^ 49.2%^ 50.8%^ 17.7%^ 14.7%^

American Indian 29.5%^ 39.1%^ 1.5%^ 2.5%^ 54.6%^ 40.4% 14.3% 18.0%^

Asian 59.7% 53.2% 5.1% 6.7% 23.9% 26.9% 11.3% 13.2%

Hispanic/Latino 37.7%^ 33.9%^ 3.5% 1.4%^ 32.6% 29.8% 26.2%^ 34.8%^

All Residents 56.6% 55.2% 5.2% 5.4% 29.2% 31.1%* 9.0% 9.0%

18

*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

Page 19: Section 6: Uninsurance and the  Safety Net

Uninsurance Rates in Minnesota by Country of Birth, 2011 and 2013

US Born Not US Born All Minnesotans0%

5%

10%

15%

20%

25%

30%

7.6%^

27.8%^

9.0%6.6%^

26.4%^

8.2%

2011 2013

19

^ Indicates statistically significant difference (95% level) from all Minnesotans within year.Source: Minnesota Health Access Surveys, 2011 and 2013Summary of graph

Page 20: Section 6: Uninsurance and the  Safety Net

Minnesota Uninsurance Rates by Education, 2011 and 2013

Less than high school

High school graduate

Some college/tech

school

College graduate Postgraduate All Education Levels

0%

5%

10%

15%

20%

25%

21.5%^

11.7%^

9.1%

5.4%^

2.0%^

9.0%

20.0%^

11.0%^

8.1%

5.0%^

2.6%^

8.2%

2011 2013

20

^ Indicates statistically significant difference (95% level) from all education levels within year.Source: Minnesota Health Access Surveys, 2011 and 2013. For children, education refers to that of the parent.Summary of graph

Page 21: Section 6: Uninsurance and the  Safety Net

Sources of Health Insurance Coverage in Minnesota by Education, 2013

Less than high school

High school graduate

Some college/tech

school

College graduate Postgraduate All Education Levels

0%

20%

40%

60%

80%

100%

20.5%^

41.4%^

55.4%70.0%^ 74.0%^

56.6%2.2%^

4.5%

6.8%^

6.0%4.5%

5.4%57.4%^

43.2%^

29.7%

19.0%^ 18.9%^

31.1%

20.0%^11.0%^ 8.1% 5.0%^

2.6%^8.2%^

Group Individual Public Uninsured

21

^ Indicates statistically significant difference (95% level) from all education levels within year.Source: Minnesota Health Access Survey, 2013 For children, education refers to that of the parent.Summary of graph

Page 22: Section 6: Uninsurance and the  Safety Net

Trends in Health Insurance Coverage in Minnesota by Education, 2011 to 2013

Group Individual Public Uninsured

2011 2013 2011 2013 2011 2013 2011 2013

Less than high school 21.2%^ 20.5%^ 4.0% 2.2%^ 53.3%^ 57.4%^ 21.5%^ 20.0%^

High school graduate 42.0%^ 41.4%^ 4.7% 4.5% 41.5%^ 43.2%^ 11.7%^ 11.0%^

Some college/ tech school 55.5% 55.4% 6.0% 6.8%^ 29.4% 29.7% 9.1% 8.1%

College graduate 75.1%^ 70.0%^ 5.0% 6.0% 14.5%^ 19.0%*^ 5.4%^ 5.0%^

Postgraduate 78.0%^ 74.0%^ 5.3% 4.5% 14.6%^ 18.9%*^ 2.0%^ 2.6%^

All Education Levels 56.6% 56.6% 5.2% 5.4% 29.2% 31.1%* 9.0% 8.2%

22

*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. For children, education refers to that of the parent.

Page 23: Section 6: Uninsurance and the  Safety Net

Uninsurance Rates in Twin Cities and Greater Minnesota, 2011 and 2013

Greater Minnesota Twin Cities Statewide0%

2%

4%

6%

8%

10%

8.6%

9.5%9.0%

8.1% 8.4% 8.2%

2011 2013

23

Source: Minnesota Health Access Surveys, 2011 and 2013Summary of graph

Page 24: Section 6: Uninsurance and the  Safety Net

Uninsurance Rates by Economic Development Region ,2011 and 2013

24

^ Indicates statistically significant difference (95% level) from statewide.Source: Minnesota Health Access Survey, 2011 and 2013

2011 Uninsurance Rate by EDR 2013 Uninsurance Rate by EDR

10.0% or greater 7.0% to 9.9% Less than 7.0%

Page 25: Section 6: Uninsurance and the  Safety Net

Sources of Health Insurance Coverage by Region in Minnesota, 2011 and 2013

Group Individual Public Uninsured2011 2013 2011 2013 2011 2013 2011 2013

Northwest 44.0%^ 50.0% 4.1% 9.0% 42.0%^ 34.6% 9.9% 6.4%Headwaters 33.7%^ 37.5%^ 4.9% 6.4% 47.4%^ 43.7%^ 14.0% 12.4%Arrowhead 49.3%^ 52.0% 3.9% 3.9% 34.3% 35.8% 12.5% 8.2%West Central 41.4%^ 54.4%* 7.1% 6.7% 45.5%^ 33.8%* 6.0% 5.2%^North Central 43.8%^ 44.8%^ 6.1% 10.3% 37.6%^ 37.7% 12.5% 7.2%Mid-Minnesota 49.4% 47.2%^ 8.3% 8.7% 35.4% 37.3% 6.9% 6.7%Upper MN Valley 41.7%^ 46.4% 13.2%^ 5.4%* 38.5% 41.4%^ 6.6% 6.8%East Central 51.5% 52.5% 6.4% 5.1% 33.8% 33.3% 8.3% 9.0%Central 63.5%^ 59.5% 5.3% 5.7% 25.6% 27.4% 5.6%^ 7.4%Southwest 38.9%^ 42.3%^ 9.2%^ 5.2% 42.4%^ 39.0% 9.5% 13.6%South Central 51.3% 47.0%^ 7.0% 5.0% 31.0% 35.9% 10.7% 12.1%Southeast 60.3% 54.0% 5.5% 6.4% 27.7% 33.9% 6.5%^ 5.7%Twin Cities 60.6%^ 58.9%^ 4.6%^ 4.7%^ 25.4%^ 28.0%*^ 9.5% 8.4%All Regions 56.6% 56.6% 5.2% 5.4% 29.2% 31.1%* 9.0% 8.2%

25

*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

Page 26: Section 6: Uninsurance and the  Safety Net

CHARACTERISTICS OF THE UNINSURED IN MINNESOTA

Page 27: Section 6: Uninsurance and the  Safety Net

Income Distribution of Minnesota’s Uninsured Population, 2011 and 2013

 Household Income as % of Federal Poverty Guidelines (FPG)

Uninsured Total Population

2011 2013 2011 2013

0 to 100% 23.6%^ 28.4%^ 12.8% 13.2%

101 to 200% 30.3%^ 31.1%^ 17.1% 17.6%

201 to 300% 23.5%^ 18.20% 17.1% 15.4%*

301 to 400% 11.5%^ 10.4%^ 14.9% 16.0%

401%+ 11.2%^ 11.8%^ 38.1% 37.8%

 Total 100% 100% 100% 100%

27

* 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

Page 28: Section 6: Uninsurance and the  Safety Net

Employment Characteristics of Minnesota’s Uninsured Population, 2011 and 2013

Uninsured Total Population

2011 2013 2011 2013Employed 67.7% 73.5% 72.1% 72.9%

Of Those Who Are Employed:

Temporary/Seasonal Job 21.6%^ 21.8%^ 8.8% 9.3%

Number of Hours Worked Per Week:

0 to 10 hours 3.6% 3.0% 2.5% 2.4%

11 to 20 hours 6.5% 10.8%^ 6.2% 6.4%

21 to 30 hours 20.1%^ 9.1%* 8.4% 8.3%

31 to 40 hours 44.1%^ 54.5%* 52.5% 53.8%

More than 40 hours 25.8% 22.6%^ 30.4% 29.1%

Total 100% 100% 100% 100%

28

* 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

Page 29: Section 6: Uninsurance and the  Safety Net

Employment Characteristics of Minnesota’s Uninsured Population, 2011 and 2013: Size of Employer

All Uninsured Total Population

2011 2013 2011 2013

Self Employed, no employees 11.2%^ 11.8%^ 5.3% 5.5%

2 to 10 employees 23.2%^ 22.4%^ 11.9% 11.9%

11 to 50 employees 23.1%^ 19.4%^ 12.5% 11.5%

51 to 100 employees 10.4% 15.1%^ 10.3% 9.6%

101 to 500 employees 11.7%^ 11.2%^ 17.1% 18.1%

More than 500 employees 20.4%^ 20.0%^ 43.0% 43.4%

Total 100.0% 100.0% 100.0% 100.0%

29

^ Indicates statistically significant difference between uninsured and total population at 95% level within year.Source: Minnesota Health Access Surveys, 2011 and 2013

Page 30: Section 6: Uninsurance and the  Safety Net

Racial/Ethnic Distribution of Minnesota’s Uninsured Population, 2011 and 2013

All Uninsured Total Population

2011 2013 2011 2013

White 72.0%^ 60.9%*^ 86.6% 83.4%*

Black 11.5%^ 11.1%^ 5.9% 6.2%

American Indian 3.3% 3.6%^ 2.1% 1.6%

Asian 5.5% 7.6% 4.4% 4.7%

Hispanic/Latino 13.6%^ 20.2%*^ 4.7% 4.8%

See note See note See note See note

30

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

Page 31: Section 6: Uninsurance and the  Safety Net

POTENTIAL ACCESS TO COVERAGE FOR THE UNINSURED

Page 32: Section 6: Uninsurance and the  Safety Net

Access to Employer Coverage, 2011 to 2013 (Non-elderly population)

Connection to employer that offers coverage

Eligible for employer coverage Take-Up Rate0%

20%

40%

60%

80%

100%

78.2%

94.8%90.1%

76.3%*

95.0%87.7%*

2011 2013

1 2

32

*Indicates statistically significant difference from previous year shown (95% confidence level). Source: Minnesota Health Access Surveys, 2011 to 20131Among people with a connection to an employer offering coverage.2Among people eligible to enroll in employer coverageSummary of graph

Page 33: Section 6: Uninsurance and the  Safety Net

Potential Access to Coverage for the Uninsured, 2011 to 2013

Conne

ction

to em

ploye

r that

offers

cove

rage

Eligibl

e for

emplo

yer

cov

erage

Potenti

ally e

ligibl

e for

publi

c

cove

rage

Not eli

gible

for em

ploye

r or

pub

lic co

verag

e0%

20%

40%

60%

80%

37.1%17.5%

64.8%

21.4%36.7%

19.6%

67.4%

17.7%

2011 2013

33

* 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 100percent because some of the uninsured are potentially eligible for both employer or public coverage.Source: Minnesota Health Access Surveys, 2011 and 2013Summary of graph

Page 34: Section 6: Uninsurance and the  Safety Net

HEALTH CARE SAFETY NET: UNCOMPENSATED CARE AT MINNESOTA COMMUNITY HOSPITALS

34

Page 35: Section 6: Uninsurance and the  Safety Net

Trends in Uncompensated Care Costs in Minnesota Hospitals

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013$0

$50

$100

$150

$200

$250

$300

$350

-5%

0%

5%

10%

15%

20%

25%

30%

$129 $151

$191 $208

$244 $268

$278

$311 $308 $317 $322

3.2%

17.1%

26.5%

8.7%

17.6%

9.9%

3.6%

11.8%

-0.9%

2.8%1.7%

Total Percent change from previous year

In M

illio

ns

35

*Uncompensated care figures are adjusted to reflect costs of providing services.Source: MDH analysis of data from the Health Care Cost Information System.Summary of graph

Page 36: Section 6: Uninsurance and the  Safety Net

Uncompensated Care Trends in Minnesota and the U.S.

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20130%

1%

2%

3%

4%

5%

6%

7%

1.6%1.8%

2.0% 2.0%2.2% 2.2% 2.2%

2.4%2.2% 2.2% 2.2%

5.5% 5.6% 5.6% 5.7% 5.8% 5.8%6.0%

5.8% 5.9%6.1%

5.9%

Minnesota U.S.

Perc

ent o

f Hos

pita

l Ope

ratin

g Ex

pens

es

36

*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.Summary of graph

Page 37: Section 6: Uninsurance and the  Safety Net

Uncompensated Care Trends for Rural and Urban Minnesota Hospitals

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20130%

1%

2%

3%

1.6% 1.

7%

1.9% 2.

0%

2.2%

2.5% 2.

6%

2.5%

2.5%

2.5%

2.4%

1.6%

1.8%

2.0%

2.0%

2.2%

2.2%

2.1%

2.3%

2.2%

2.1%

2.1%

Rural Urban

Perc

ent H

ospi

tal O

pera

ting

Expe

nses

37

*Uncompensated care figures are adjusted to reflect costs of providing services.Source: MDH analysis of data from the Health Care Cost Information System.Summary of graph

Page 38: Section 6: Uninsurance and the  Safety Net

Largest Minnesota Providers of Hospital Uncompensated Care, 2013

2013Uncompensated

Care ($ millions)

Percent Change from 2012

UC as % of Operating Expenses

Hennepin County Medical Center $37.4 0.9% 5.1%

Saint Marys Hospital $19.6 8.3% 2.4%

Regions Hospital $19.3 -3.7% 3.2%

North Memorial Medical Center $16.1 16.0% 3.8%

SMDC Medical Center $13.3 10.8% 3.7%

Abbott Northwestern Hospital $11.5 19.7% 1.2%

St. Cloud Hospital $10.3 9.3% 1.7%

St. Luke's Hospital $9.0 115.0% 3.7%

United Hospital $8.6 5.0% 1.8%

University of Minnesota Medical Center - Fairview $8.5 -34.8% 0.7%

Other Hospitals (123 Hospitals) $168.5 -1.6% 2.0%

All Minnesota Community Hospitals $322.1 1.7% 2.2%

38

*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.

Page 39: Section 6: Uninsurance and the  Safety Net

Largest Minnesota Providers of Hospital Uncompensated Care, 2013

Hennep

in Cou

nty M

edical

Center

Saint M

ary's H

ospit

al

Regions H

ospita

l

North M

emoria

l Medic

al Cen

ter

SMDC Medic

al Cen

ter

Abbott

Nor

thwestern

Hos

pital

St. Cloud

Hos

pital

St. Luk

e's H

ospita

l

United

Hos

pital

Universi

ty of M

inneso

ta Med

ical C

enter -

Fairv

iew

Other H

ospit

als (1

23 H

ospita

ls)0%

2%

4%

6%

5.1%

2.4%

3.2%3.8% 3.7%

1.2%1.7%

3.7%

1.8%

0.7%

2.0%

Statewide Average 2.2%

39

*Uncompensated care figures are adjusted to reflect costs of providing services.Source: MDH analysis of data from the Health Care Cost Information System.

Summary of graph

Page 40: Section 6: Uninsurance and the  Safety Net

Distribution of Uncompensated Care by Hospital, 2013

40

Hennepin County Medical Center; $37.4

Saint Mary’s Hospital, $19.6

Regions Hospital; $19.3

North Memorial Medical Center; $16.1

SMDC Medical Center; $13.3

Abbott Northwestern Hospital; $11.5

St. Cloud Hospital; $10.3St. Luke's Hospital; $9.0

United Hospital; $8.6University of Minnesota Medical

Center - Fairview; $8.5

Other Hospitals (123 Hospitals); $168.5

2013 Total Uncompensated Care: $322.1 Million

*Uncompensated care figures are adjusted to reflect costs of providing services.Source: MDH analysis of data from the Health Care Cost Information System.

Summary of graph

Page 41: Section 6: Uninsurance and the  Safety Net

Components of Minnesota HospitalUncompensated Care: Charity Careand Bad Debt

41

2006 2007 2008 2009 2010 2011 2012 2013$0

$50

$100

$150

$200

$250

$300

$350

$91 $98 $117 $133 $158 $152 $145 $157

$117$146

$151 $145$153 $156 $172 $165

Charity Care Bad Debt

$ M

illio

ns

$317

$244$26

8$278

$311

$308

$322

$208

*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.

Summary of graph

Page 42: Section 6: Uninsurance and the  Safety Net

Hospital Uncompensated Care and Components by Insurance Status, 2013

Total Uncompensated Care Charity Care Bad Debt0%

20%

40%

60%

80%

100%

40.3%32.4%

47.9%

59.7%67.6%

52.1%

Insured Patients Uninsured Patients

42

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

Summary of graph

Page 43: Section 6: Uninsurance and the  Safety Net

Hospital Uncompensated Care and Components by Insurance Status, 2008-2013

2008 2013 2008 2013 2008 2013Total Uncompensated Care Charity Care Bad Debt

0%

20%

40%

60%

80%

100%

41.3% 40.3%33.3% 32.4%

47.5% 47.9%

58.7% 59.7%66.7% 67.6%

52.5% 52.1%

Insured Patients Uninsured Patients

43

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

Summary of graph

Page 44: Section 6: Uninsurance and the  Safety Net

44

Additional Information from the Health Economics Program Available Online• 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)

A summary of the charts and graphs contained within is provided at Chartbook Summaries - Section 6. Direct links are listed on each page. Please contact the Health Economics Program at 651-201-3550 or [email protected] if additional assistance is needed for accessing this information.


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