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 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.

STATEWIDE MEASURES OF UNINSURANCE

Uninsurance Rate Trends in Minnesota (Past 5 survey years) 10%

9.0%* 9,0% 7,7%

8%

7,2% 3 8,2%

6% 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 Summary of graph 2011 2013

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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 Adults 2009 Children 2011 Source: Minnesota Health Access Surveys, 2004 to 2013; population estimates from U.S. Bureau of the Census Summary of graph 2013

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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 Group Individual 2011 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, 2009, 2011 and 2013. Summary of graph 2013

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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: 2009, 2011 and 2013 Minnesota Health Access Surveys.

Summary of graph 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 2011 35 to 54 2013 ^ Indicates statistically significant difference (95% level) from all ages within year.

Source: Minnesota Health Access Surveys, 2011 and 2013 Summary of graph 55 to 64

0.7%^ 0.5%^

65+ All Ages

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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 Group 26 to 34 Individual 35 to 54 Public 55 to 64 Uninsured ^ Indicates statistically significant difference (95% level) from all ages.

Source: Minnesota Health Access Surveys, 2013 Summary of graph

1.1%^ 2.0%^

65+ All Ages

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

0 to 17 2011 Group 2013

65.4%^ 65.3%^

2011 Individual 2013

5.5% 5.4%

2011 Public 2013

23.7%^ 23.2%^

2011 Uninsured 2013

5.4%^ 6.2%^

18 to 25 26 to 34

59.9% 58.1% 60.4%^ 56.9%

35 to 54

68.9%^ 65.2%^

55 to 64

60.4%^ 62.9%^

65 & older

3.0%^

All ages 56.6%

2.0%^

55.2%

7.1% 3.5%^ 5.6% 7.7%^ 1.6%^

5.2%

6.3% 3.7%^ 6.8% 8.1%^ 1.1%^

5.4%

16.7%^ 19.9%^ 19.4%^ 22.1%^ 15.3%^ 19.3%*^ 24.5% 94.7%^

29.2%

22.8%^ 96.4%^

31.1%*

16.3%^ 18.4%^ 10.1% 7.5% 0.7%^

9.0%

13.9%^ 17.3%^ 8.8% 6.2%^ 0.5%^

8.2%

*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

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Sources of Children’s Health Insurance  Coverage in Minnesota by Age, 2013 100%

7,4% 5,6% 6,2% 20.0%^ 23,2%

80%

29.8%^ 5,4% 5,4% 5,2%

60% 40% 20%

57.6%^ 69.0%^ 65,3%

0% 0 to 5 Group Individual 6 to 17 Public Uninsured ^ Indicates statistically significant difference (95% level) from rate for all children (0 to 17).

Source: Minnesota Health Access Surveys 2013 Summary of graph All Children (0 to 17)

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

Age in years 0 to 5 6 to 17 2011 Group 2013

60.9% 57.6%^ 67.6% 69.0%^

2011

4.1% 6.2%

All Children (0 to 17) 65.4% 65.3% 5.5% Individual 2013

5.2% 5.4% 20.7%^ 20.0%^ 5.5%

5.4% 2011 Public

29.9%^ 29.8%^

23.7% 2013 23.2% 2011 Uninsured 2013

5.2%

5.4%

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.

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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 Summary of graph All Incomes

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Sources of Health Insurance Coverage in Minnesota by Income, 2013

2.6%^

100%

5.4%^ 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%

4.0%^ 74.3%^ 63.2%^ 54,8%

20%

4,2% 33.2%^ 20.6%^

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

Household Income as Percent of Federal Poverty Guidelines

Uninsured Group Individual Public ^Indicates statistically significant difference from rate for all incomes (95% level). Source: 2013 Minnesota Health Access Survey Summary of graph

55,2%

All Incomes

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

Household Income as Percent of Federal Poverty Guidelines (FPG) 0 to 100% 2011 Group

20.7%^

2013

20.6%^

101 to 200%

32.1%^ 33.2%^

2011 Individual 2013

4.4% 4.2% 4.0%^

2011 Public 2013

58.2%^ 57.4%^

2011 Uninsured

16.8%^

2013

17.7%^ 4.0%^ 47.9%^ 48.2%^ 16.0%^ 14.5%^

201 to 300%

52.4%^ 54.8%

301 to 400%

66.9%^ 63.2%^ 6.1% 5.7% 5.3% 6.4% 29.0% 20.4%^ 30.1% 12.4%^ 25%*^ 6.9%^ 9.7% 5.4%^

401%+ All Incomes

77.3%^ 74.3%*^ 5.5%

56.6% 55.2% 5.2%

6.2%

5.4%

14.5%^ 16.9%*^ 2.6%^

29.2% 31.1% 9.0%

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

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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% 9,0% 8,2%

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 Summary of graph Hispanic/Latino All Races/Ethnicities

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Sources of Health Insurance Coverage in Minnesota by Race/Ethnicity, 2013 100%

6.0%^ 13,2% 14.7%^ 18.0%^ 34.8%^ 8,2%

80%

30.2%^ 31,1% 26,9% 40,4%

60%

5.8%^ 50.8%^ 5,4% 6,7% 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 Group American Indian Individual Public Asian Uninsured Hispanic/Latino All Races/Ethnicities ^Indicates statistically significant difference rate from statewide rate (95% level).

Source: Minnesota Health Access Survey 2013 Summary of graph

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

White Black 2011 Group 2013

59.3%^ 57.9%^ 31.4%^ 32.7%^

American Indian

29.5%^

Asian

59.7% 39.1%^ 53.2%

Hispanic/Latino

37.7%^

All Residents 56.6%

33.9%^

55.2% 2011 Individual 2013

5.4% 5.8%^ 1.6%^ 1.8%^ 1.5%^ 5.1% 3.5%

5.2%

2.5%^ 6.7% 1.4%^

5.4% 2011 Public 2013

27.8%^ 30.2%*^ 49.2%^ 50.8%^

2011 Uninsured

7.5%^

2011

6.0%*^ 17.7%^ 14.7%^ 54.6%^ 23.9% 32.6%

29.2%

40.4% 26.9% 29.8%

31.1%*

14.3% 11.3% 26.2%^

9.0%

18.0%^ 13.2% 34.8%^

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

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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 Summary of graph

9,0% 8,2%

All Minnesotans

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Minnesota Uninsurance Rates by Education, 2011 and 2013 25%

21.5%^ 20.0%^

20% 15%

11.7%^ 11.0%^

10%

9,1% 8,1% 5.4%^ 5.0%^

5%

2.0%^ 2.6%^

0% Less than high school High school graduate Some college/tech school College graduate 2011 2013 Postgraduate ^ 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

9,0% 8,2%

All Education Levels

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Sources of Health Insurance Coverage in Minnesota by Education, 2013

2.6%^

100%

5.0%^ 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 Group Some college/tech school Individual College graduate Public Uninsured Postgraduate All Education Levels ^ 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

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

2011 Group 2013 Less than high school High school graduate Some college/ tech school College graduate Postgraduate All Education Levels

21.2%^ 20.5%^ 42.0%^ 41.4%^ 55.5% 55.4% 75.1%^ 70.0%^ 78.0%^ 74.0%^

56.6% 56.6% 2011 Individual 2013

4.0% 2.2%^

2011 Public 2013 2011 Uninsured 2013

53.3%^ 57.4%^ 21.5%^ 20.0%^ 4.7% 6.0% 5.0% 5.3%

5.2%

4.5% 6.8%^ 6.0% 4.5%

5.4%

41.5%^ 43.2%^ 11.7%^ 11.0%^ 29.4% 29.7%

29.2% 31.1%*

9.1% 14.5%^ 19.0%*^ 5.4%^ 14.6%^ 18.9%*^ 2.0%^

9.0%

8.1% 5.0%^ 2.6%^

8.2%

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

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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 Summary of graph Twin Cities 2011 2013 Statewide

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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%

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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 Group 2013

44.0%^ 33.7%^ 49.3%^ 41.4%^ 43.8%^ 49.4% 41.7%^ 51.5% 63.5%^ 38.9%^ 51.3% 60.3% 60.6%^

56.6%

50.0% 37.5%^ 52.0% 54.4%* 44.8%^ 47.2%^ 46.4% 52.5% 59.5% 42.3%^ 47.0%^ 54.0% 58.9%^

56.6% 2011 Individual 2013

4.1% 4.9% 3.9% 7.1% 6.1% 8.3% 13.2%^ 6.4% 5.3% 9.2%^ 7.0% 5.5% 4.6%^

5.2%

9.0% 6.4% 3.9% 6.7% 10.3% 8.7% 5.4%* 5.1% 5.7% 5.2% 5.0% 6.4% 4.7%^

5.4% 2011 Public 2013

42.0%^ 47.4%^ 34.3% 45.5%^ 37.6%^ 35.4% 38.5% 33.8% 25.6% 42.4%^ 31.0% 27.7% 25.4%^

29.2%

34.6% 43.7%^ 35.8% 33.8%* 37.7% 37.3% 41.4%^ 33.3% 27.4% 39.0% 35.9% 33.9% 28.0%*^

31.1%* 2011 Uninsured 2013

9.9% 14.0% 12.5% 6.0% 12.5% 6.9% 6.6% 8.3% 5.6%^ 9.5% 10.7% 6.5%^ 9.5%

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%

*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

CHARACTERISTICS OF THE UNINSURED IN MINNESOTA

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

Uninsured Total Population Household Income as % of Federal Poverty Guidelines (FPG) 2011 2013 2011 2013 0 to 100% 101 to 200% 201 to 300% 301 to 400% 401%+ Total

23.6%^ 30.3%^ 23.5%^ 11.5%^ 11.2%^

100%

28.4%^ 31.1%^ 18.20% 10.4%^ 11.8%^

100%

12.8% 17.1% 17.1% 14.9% 38.1%

100%

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

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

Employed Of Those Who Are Employed: 2011 Uninsured

67.7%

Temporary/Seasonal Job

21.6%^

Number of Hours Worked Per Week: 2013

73.5% 21.8%^

0 to 10 hours 11 to 20 hours 21 to 30 hours 31 to 40 hours More than 40 hours Total

3.6% 6.5% 20.1%^ 44.1%^ 25.8%

100%

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

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

All Uninsured 2011 2013 Total Population 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 Total

20.4%^

100.0%

20.0%^

100.0%

43.0%

100.0%

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

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

White Black American Indian Asian Hispanic/Latino 2011 All Uninsured 2013

72.0%^ 60.9%*^ 11.5%^ 11.1%^ 3.3% 3.6%^ 5.5% 13.6%^ See note 7.6% 20.2%*^ See note

2011 Total Population 2013

86.6% 83.4%* 5.9% 6.2% 2.1% 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

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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 Summary of graph 1 Take-Up Rate 2

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Potential Access to Coverage for the Uninsured, 2011 to 2013 80%

64,8% 67,4%

60%

37,1% 36,7%

40% 20%

17,5% 19,6% 21,4% 17,7%

0% Connection to employer that offers coverage Eligible for employer coverage 2011 Potentially eligible for public coverage Not eligible for employer or public coverage 2013 * 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 Summary of graph

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HEALTH CARE SAFETY NET: UNCOMPENSATED CARE AT MINNESOTA COMMUNITY HOSPITALS

35

Trends in Uncompensated Care Costs in Minnesota Hospitals $350

26.5% $311 $308 $317

$300

$278 $268 $244

$250

17.1% $208 17,6%

$200

$191 $322

30% 25% 20% 15%

$151

$150

11,8% $129 9,9% 8,7%

$100

3.2% 3,6%

$50

-0,9%

$0 2003 2004 2005 2006 Total 2007 2008 *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 2009 2010 Percent change from previous year 2011

2,8%

2012 10% 5%

1,7%

0% 2013 -5%

36

Uncompensated Care Trends in Minnesota and the U.S.

7%

6,1% 6,0% 5,9%

6%

5,7% 5,8% 5,8% 5,8% 5,5% 5,6% 5,6%

5%

5,9%

4% 3% 2%

1,6% 1,8% 2,0% 2,0% 2,2% 2,2% 2,2% 2,4% 2,2% 2,2% 2,2%

1% 0% 2003 2004 2005 2006 2007 2008 Minnesota U.S.

2009 2010 *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 2011 2012 2013

37

Uncompensated Care Trends for Rural and Urban Minnesota Hospitals 3% 2% 1% 0% 2003 2004 2005 2006 2007 Rural 2008 Urban 2009 *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 2010 2011 2012 2013

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Largest Minnesota Providers of Hospital Uncompensated Care, 2013 Hennepin County Medical Center Saint Marys Hospital Regions Hospital North Memorial Medical Center SMDC Medical Center Abbott Northwestern Hospital St. Cloud Hospital St. Luke's Hospital United Hospital University of Minnesota Medical Center - Fairview Other Hospitals (123 Hospitals)

All Minnesota Community Hospitals 2013 Uncompensated Care ($ millions)

$37.4

$19.6

$19.3

$16.1

$13.3

$11.5

$10.3

$9.0

$8.6

$8.5

$168.5

$322.1

Percent Change from 2012

0.9% 8.3% -3.7% 16.0% 10.8% 19.7% 9.3% 115.0% 5.0% -34.8% -1.6%

1.7% UC as % of Operating Expenses

5.1% 2.4% 3.2% 3.8% 3.7% 1.2% 1.7% 3.7% 1.8% 0.7% 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, 2013 6%

5,1%

4%

3,8% 3,7% 3,7% Statewide Average 2.2% 3,2% 2,4%

2%

2,0% 1,7% 1,8% 1,2% 0,7%

0% Hennepin County Medical Center Saint Mary's Hospital Regions Hospital North Memorial Medical Center SMDC Medical Center Abbott Northwestern Hospital St. Cloud Hospital St. Luke's Hospital United Hospital University of Minnesota Medical Center Fairview 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.

Summary of graph

40

Distribution of Uncompensated Care by Hospital, 2013

2013 Total Uncompensated Care: $322.1 Million Hennepin County Medical Center; $37,4 Saint Mary’s Hospital, $19.6

Regions Hospital; $19,3 Other Hospitals (123 Hospitals); $168,5 North Memorial Medical Center; $16,1 University of Minnesota Medical Center - Fairview; $8,5 SMDC Medical Center; $13,3 Abbott Northwestern Hospital; $11,5 St. Cloud Hospital; $10,3 St. Luke's Hospital; $9,0 United Hospital; $8,6

*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

41

Components of Minnesota Hospital Uncompensated Care: Charity Care and Bad Debt $350

$311 $308

$300

$278 $268 $244

$250

$153 $208 $156 $145

$200

$151 $146

$150

$117

$100 $50

$158 $91 $98 $117 $133

$0 2006 2007 2008 2009 2010 Charity Care Bad Debt *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

$152

2011

$317 $172 $145

2012

$322 $165 $157

2013

42

Hospital Uncompensated Care and Components by Insurance Status, 2013 100% 80% 60%

59,7% 67,6%

40% 20%

40,3% 32,4%

0% Total Uncompensated Care Insured Patients Charity Care Uninsured Patients Source: MDH analysis of data from the Health Care Cost Information System.

Summary of graph

52,1% 47,9%

Bad Debt

43

Hospital Uncompensated Care and Components by Insurance Status, 2008-2013 100% 80% 60%

58,7% 59,7% 66,7% 67,6% 52,5% 52,1%

40% 20%

47,5% 47,9% 41,3% 40,3% 33,3% 32,4%

0% 2008 2013 2008 2013 Total Uncompensated Care Insured Patients Charity Care Uninsured Patients 2008 Bad Debt 2013 Source: MDH analysis of data from the Health Care Cost Information System.

Summary of graph

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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.