1. Key Facts About Minnesota Health Care Markets For more information: www.health.state.mn.us/healtheconomics/

2. Health Care Cost Trends in Minnesota

3. Minnesota Health Care Spending by Source of Funds, 2005 Source: MDH Health Economics Program Total Spending $29.4 Billion

4. Shares of Minnesota Health Spending by Source of Funds, 2001-2005 20012002200320042005 Public Spending 39.7%40.4%39.6%39.8%39.4% Medicare 14.6%14.3%13.8%14.2%14.6% Medicaid 18.2%18.9%18.7%18.6%17.8% Other Public Spending 7.0%7.2%7.1% 7.0% Private Spending 60.3%59.6%60.4%60.2%60.6% Private Health Insurance 41.0%41.2%42.6%42.7%43.5% Out of Pocket 15.2%14.7%14.5%14.4%14.0% Other Private 4.0%3.7%3.3%3.1%3.0% Total 100.0% Source: MDH Health Economics Program Note: Detail may not sum to 100% due to rounding.

5. Public Spending for Health Care in Minnesota: Federal, State, and Local Shares, 2005 Source: MDH Health Economics Program Total Public Spending in 2005: $11.6 Billion

6. Minnesota Health Care Spending by Type of Service, 2005 Source: MDH Health Economics Program Total Spending $29.4 Billion

7. Shares of Minnesota Health Care Spending by Type of Service, 2001 to 2005 Type of Service20012002200320042005 Inpatient Hospital20.1%19.9%19.8%19.6%19.7% Outpatient Hospital7.5%8.0%8.4%8.8%9.6% Physician Services22.6%22.7%22.5%21.2%21.7% Long Term Care (including Home Care) 16.8% 16.0%15.9%15.4% Prescription Drugs10.7%11.4%12.1%12.5%11.9% Dental3.4% 3.6%3.5% Other Professional Services2.7% 2.8%3.0%3.1% Other Spending16.2%15.1%14.9%15.4%15.2% Total 100.0% Source: MDH Health Economics Program

8. Health Care Spending Per Capita and as a Share of the Economy, Minnesota and U.S. 20012002200320042005 Per Capita Health Care Spending: Minnesota $4,232$4,662$5,128$5,372$5,742 U.S. $4,825$5,202$5,577$5,922$6,276 Health Care Spending as a Share of the Economy: Minnesota 11.1%11.8%12.5%12.3%12.7% U.S. 13.6%14.3%14.8% 15.0% Sources: MDH Health Economics Program, Centers for Medicare and Medicaid Services (spending for health services and supplies)

9. Private Health Insurance Premium and Spending Trends, 1995 to 2005 Source: MDH Health Economics Program. Fully-insured market only.

10. Key Minnesota Health Care Cost and Economic Indicators, 1995 to 2005 Notes: health care cost is MN privately insured spending on health care services per person, and does not include enrollee out of pocket spending for deductibles, copayments/coinsurance, and services not covered by insurance.. Sources: Health care cost data from Minnesota Department of Health, Health Economics Program; per capita personal income from U.S. Department of Commerce, Bureau of Economic Analysis; inflation data from U.S. Bureau of Labor Statistics (consumer price index); workers’ wages from MN Department of Employment and Economic Development

11. Total Cost Per Person and Health Plan/Enrollee Shares, 1997 to 2005 Source: MDH Health Economics Program.

12. Health Care Cost Drivers: Spending Growth and Shares of Total Growth by Service, 2003 to 2005 Note: growth rates calculated as annual growth per enrollee over the 2-year period. “Other medical” includes skilled nursing facilities, home health care, emergency services, services of health professionals other than physicians and dentists, durable medical goods, and chemical dependency/mental health. Source: MDH Health Economics Program. Growth RateShare of Spending Growth

13. Sources: Minnesota Department of Health and Minnesota Health Coverage Reinsurance Association Premium Increases in Minnesota’s Small Group Market, 1999 to 2006

14. Premium Increases in Minnesota's Individual Market, 1999 to 2006 Source: Minnesota Health Coverage Reinsurance Association and Minnesota Department of Health

15. Health Insurance Coverage in Minnesota

16. Distribution of Minnesota Population by Primary Source of Insurance Coverage, 2005 Source: MDH Health Economics Program Total Population 5.1 Million Private Health Insurance: 67.5% Fully insured 27.3% Self-insured 40.2%

17. Private Health Insurance: Enrollment in Fully Insured and Self-Insured Plans, 1997 to 2005 Source: MDH Health Economics Program

18. Private Health Insurance: Enrollment in Large Group, Small Group, and Individual Coverage, 2004 Source: MDH Health Economics Program

19. Percent of Minnesota Businesses Offering Health Insurance, by Firm Size, 2006 *Indicates a statistically significant difference (95% level) from the rate for all firm sizes Source: preliminary results from 2006 Minnesota Employer Health Insurance Survey

20. Percent of Minnesota Businesses Offering Health Insurance, by Region, 2006 *Indicates a statistically significant difference (95% level) from the statewide rate Source: preliminary results from 2006 Minnesota Employer Health Insurance Survey

21. Percent of Employees Working for a Firm That Offers Health Insurance, by Firm Size, 2006 *Indicates a statistically significant difference (95% level) from the rate for all firm sizes Source: preliminary results from 2006 Minnesota Employer Health Insurance Survey

22. Percent of Employees Working for a Firm That Offers Health Insurance, by Region, 2006 *Indicates a statistically significant difference (95% level) from the statewide rate Source: preliminary results from 2006 Minnesota Employer Health Insurance Survey

23. Eligibility and Take-up Rates of Employer Coverage by Firm Size, 2006 *Indicates a statistically significant difference (95% level) from the rate for all firm sizes Source: preliminary results from 2006 Minnesota Employer Health Insurance Survey

24. Eligibility and Take-up Rates of Employer Coverage by Region, 2006 *Differences across regions are not statistically significant. Source: preliminary results from 2006 Minnesota Employer Health Insurance Survey

25. Average Employer Contribution to Premium for Single Coverage, by Firm Size, 2002 Differences in the employer contribution across firm sizes are not statistically significant. Source: Minnesota Employer Health Insurance Survey, 2002

26. Average Employer Contribution to Premium for Family Coverage, by Firm Size, 2002 Differences in the employer contribution across firm sizes are not statistically significant. Source: Minnesota Employer Health Insurance Survey, 2002

27. Note: Fully Insured market only. Source: MDH, Health Economics Program; estimates based on data from various sources. Trends in Minnesota Small Group Health Insurance Enrollment, 1994 to 2006

28. Per Person Annual Deductibles in the Small Group Market, 2002 to 2005 (by share of total enrollment) Source: MDH, Health Economics Program *Median calculation excludes enrollees with no deductible 20022005 Range: $100 to $2,500Range $100 to $5,000 Median: $500 No Deductible65.6%52.1% Less than $50016.1%16.5% $500 to $99911.9%16.9% $1,000 to $1,9996.2%10.3% $2,000 or More0.2%4.2% 100.0%

29. Family Level Annual Deductibles in the Small Group Market, 2002 to 2005 (by share of total enrollment) 20022005 Range: $200 to $5,000Range: $200 to $10,000 Median: $1,000 No Deductible65.6%52.1% Less than $5000.9%2.0% $500 to $99914.8%14.4% $1,000 to $1,99912.0%16.9% $2,000 or More6.8%14.6% 100.0% Source: MDH, Health Economics Program *Median calculation excludes enrollees with no deductible

30. Trends in Minnesota Individual Market Enrollment, 1994 to 2006 Source: MDH, Health Economics Program; estimates based on data from various sources.

31. Per Person Annual Deductibles in the Individual Market, 2002 to 2005 (by share of total enrollment) Source: MDH, Health Economics Program *Median calculation excludes enrollees with no deductible 20022005 Range $50 to $10,000 Median $1,000Median $1,500 None2.4% Less than $5004.7%2.9% $500 to $99923.9%13.6% $1,000 to $1,99937.4%40.4% $2,000 to $2,99919.4%25.9% $3,000 to $3,9991.0%3.5% $4,000 to $5,9996.6%8.8% $6,000 or More1.2%2.2% Per Illness3.4%0.4% 100.0%

32. Family Level Annual Deductibles in the Individual Market, 2002 to 2005 (by share of total enrollment) Source: MDH, Health Economics Program *Median calculation excludes enrollees with no deductible 20022005 Range: $100 to $20,000Range: $100 to $30,000 Median: $2,000Median: $4,000 None2.4%2% Less than $1,0001.4%3% $1,000 to $2,99921.9%20% $3,000 to $4,9997.1%38% $5,000 to $6,9992.7%21% $7,000 to $10,9990.7%4% $12,000 or more0.4%10% Dependent on Family Size59.9%0% Per Illness3.4%0% 100%

33. Uninsurance in Minnesota

34. Uninsurance Rate Trends in Minnesota *Indicates statistically significant difference (95% level) from prior survey year. Source: 1995, 1999, 2001, 2004 Minnesota Health Access Surveys

35. Sources of Insurance Coverage in Minnesota, 2001 and 2004 * Indicates statistically different at 95% level from 2001. Source: Minnesota Health Access Surveys, 2001 and 2004 (preliminary). Estimates that rely solely on household survey data differ slightly from annual estimates that include both survey and administrative data.

36. Sources of Health Insurance Coverage in Minnesota by Age, 2004 * Indicates statistically significant difference from rate for all ages. Source: 2004 Minnesota Health Access Survey

37. Sources of Health Insurance Coverage in Minnesota by Income, 2004 * Indicates statistically significant difference from rate for all incomes. Source: 2004 Minnesota Health Access Survey Income as % of Federal Poverty Guidelines

38. Sources of Health Insurance Coverage in Minnesota by Race/Ethnicity, 2004 * Indicates statistically significant difference from rate for all race/ethnicities. Source: 2004 Minnesota Health Access Survey

39. Uninsurance Rates by Economic Development Region, 2001 and 2004 *Indicates statistically significant difference (95% level) from 2001. ^Indicates statistically different at 95% level from state rate within year. Source: Minnesota Health Access Surveys, 2001 and 2004

40. Income Distribution of Minnesota’s Uninsured Population, 2001 and 2004 Family Income as % of Federal Poverty Guidelines Distribution of Uninsured Comparison: State Population 2001200420012004 0-100%17.1%26.3%*6.9%^9.5%*^ 101-200%35.4%31.5%15.3%^16.6%*^ 201-300%22.9%20.6%19.6%^17.7%* 301-400%11.1%11.9%17.2%^18.9%*^ 401%+13.5%9.8%*40.9%^37.3%*^ 100.0% *Indicates statistically different at 95% level from 2001. ^ Indicates statistically significant difference between uninsured and total population at 95% level within year. Source: 2001 and 2004 Minnesota Health Access Surveys

41. Employment Characteristics of Minnesota’s Uninsured Population, 2001 and 2004 Distribution of Uninsured Comparison: State Population 2001200420012004 Employed72.6%69.9%75.0%72.3%* Of Those Who Are Employed: Temporary/Seasonal Job 20.9%22.6%4.9%^8.4%*^ Number of Hours Worked Per Week 0 to 10 hours1.3%1.2%1.4% 11 to 20 hours7.9%7.2%5.0%^5.6% 21 to 30 hours15.0%16.7%6.7%^7.0%^ 31 to 40 hours47.7%45.9%48.4%50.0% More than 40 hours28.1%29.0%38.4%^36.0%*^ 100.0% For uninsured children, refers to parent * Indicates statistically different at 95% level from 2001. ^ Indicates statistically significant difference between uninsured and total population at 95% level within year. Source: 2001 and 2004 Minnesota Health Access Surveys

42. Employment Characteristics of Minnesota’s Uninsured Population, 2001 and 2004: Size of Employer Distribution of Uninsured Comparison: State Population 2001200420012004 Size of Employer Self employed13.4%9.3%*6.5%^5.2%*^ Fewer than 10 employees26.8% 13.1%^13.4%^ 11 to 50 employees16.5%19.6%14.4%13.4%^ 51 to 100 employees10.1%15.0%8.0%10.6%*^ 101 to 500 employees14.0%12.8%16.6%17.6%^ More than 500 employees19.2%16.7%41.4%^39.7%^ 100.0% For uninsured children, refers to parent * Indicates statistically different at 95% level from 2001. ^ Indicates statistically significant difference between uninsured and total population at 95% level within year. Source: 2001 and 2004 Minnesota Health Access Surveys

43. Distribution adds to more than 100% since individuals were allowed to choose more than one race/ethnicity. * Indicates statistically different at 95% level from 2001. ^ Indicates statistically significant difference between uninsured and total population at 95% level within year. Source: 2001 and 2004 Minnesota Health Access Surveys Racial/Ethnic Distribution of Minnesota’s Uninsured Population, 2001 and 2004 Distribution of UninsuredComparison: State Population 2001200420012004 White75.7%70.1%*90.7%^88.7%*^ Black12.0%7.6%*4.2%^4.4%^ American Indian5.1%5.6%1.7%^2.0%^ Asian3.9%4.8%3.2%3.6% Other1.0%0.2%*0.4%0.1%* Hispanic9.0%15.1%*2.9%^3.3%^ See note

44. Access to Employer Coverage: Offer, Eligibility, and Take-up Rates, 2001 and 2004 1: Person works for or has a family member who works for an employer that offers health insurance. 2: Percent of those with a connection to an employer that offers coverage who are eligible for health insurance coverage offered by that employer. 3: Percent of those eligible for employer coverage who enroll. *Indicates statistically different at 95% level from 2001. Source: 2001 and 2004 Minnesota Health Access Surveys 123

45. Minnesota’s Uninsured: Potential Access to Coverage, 2001 and 2004 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 either employer or public coverage. * Indicates statistically different from 2001 at 95% level. Source: 2001 and 2004 Minnesota Health Access Surveys 1 23

46. Public Insurance Programs

47. Medicare Enrollment and Spending, Minnesota and U.S. Enrollment Expenditures ($ millions) Estimated spending per enrollee Fiscal yrMinnesotaU.S.MinnesotaU.S.MinnesotaU.S. 1994623,73336,935,366$2,116$162,481$3,392$4,399 1995630,52137,535,024$2,381$180,088$3,776$4,798 1996635,74838,064,130$2,265$194,393$3,563$5,107 1997639,29338,444,739$2,415$207,156$3,778$5,388 1998643,87738,824,855$2,442$209,509$3,792$5,396 1999648,27239,140,386$2,430$208,648$3,748$5,331 2000654,40539,619,986$2,509$215,689$3,834$5,444 2001660,39940,025,724$2,760$237,269$4,179$5,928 2002667,40740,488,878$2,937$251,117$4,400$6,202 2003676,15641,086,981$3,184$274,054$4,709$6,670 2004686,15541,728,804$3,486$300,089$5,080$7,191 Sources: Enrollment data from Centers for Medicare and Medicaid Services as of July 1 each year. Spending estimates by federal fiscal year from the U.S. Census Bureau, Consolidated Federal Funds Report; specific estimates for MN developed by MDH using an adjustment for border crossing.

48. Minnesota’s Medicare Enrollment as Percent of Population, by Region Sources: Centers for Medicare and Medicaid Services, enrollment by county as of July 1, 2004; U.S. Census Bureau, population by county as of July 1, 2004

49. Medicare Managed Care Enrollment Trends, Minnesota and U.S. Source: Centers for Medicare and Medicaid Services, Medicare Managed Care Contract Reports for December of each year and total enrollment as of July 1 each year.

50. Medical Assistance Enrollment and Spending History Growth in: State FY Avg. Monthly Enrollment Spending ($ millions) Avg. Monthly Spending per EnrolleeEnrollment Total Spending Spending per Enrollee 1996428,467$2,805$546-1.1%8.2%9.5% 1997414,585$2,797$562-3.2%-0.3%3.1% 1998387,891$2,917$627-6.4%4.3%11.5% 1999370,054$2,997$675-4.6%2.7%7.7% 2000367,737$3,233$733-0.6%7.9%8.5% 2001378,884$3,582$7883.0%10.8%7.5% 2002403,668$4,136$8546.5%15.5%8.4% 2003442,595$4,761$8969.6%15.1%5.0% 2004463,650$4,991$8974.9%4.8%-0.1% 2005482,861$5,193$8964.0% 0.0% 2006498,406$5,435$9093.2%4.7%1.4% Source: Minnesota Department of Human Services

51. Medical Assistance Enrollment and Spending Growth Source: Minnesota Department of Human Services.

52. Medical Assistance Enrollment and Spending by Eligibility Category, 2005 Source: Minnesota Department of Human Services, data for state fiscal year 2005

53. MinnesotaCare Enrollment and Spending History Growth in: State FY Avg. Monthly Enrollment Spending ($ millions) Avg. Monthly Spending per EnrolleeEnrollment Total Spending Spending per Enrollee 199688,277$80$7514.0%41.7%24.3% 199793,136$98$885.5%23.2%16.8% 199897,854$108$925.1%10.5%5.2% 1999106,552$164$1298.9%51.7%39.3% 2000108,999$187$1432.3%13.8%11.2% 2001122,247$240$16412.2%28.3%14.4% 2002138,022$351$21212.9%46.3%29.6% 2003151,205$435$2409.6%23.8%13.0% 2004148,505$487$273-1.8%11.9%14.0% 2005141,822$409$240-4.5%-16.1%-12.1% 2006128,733$438$284-9.2%7.3%18.2% Source: Minnesota Department of Human Services

54. MinnesotaCare Enrollment and Spending Growth Source: Minnesota Department of Human Services.

55. MinnesotaCare Enrollment by Eligibility Category, 2006 Source: Minnesota Department of Human Services, data for July 2006.

56. General Assistance Medical Care (GAMC) Enrollment and Spending History Growth in: State FY Avg. Monthly Enrollment Spending ($ millions) Avg. Monthly Spending per EnrolleeEnrollment Total Spending Spending per Enrollee 199643,533$153$292-18.1%1.4%23.9% 199738,428$145$314-11.7%-5.1%7.5% 199831,113$121$324-19.0%-16.7%2.9% 199926,794$132$411-13.9%9.5%27.2% 200023,347$128$456-12.9%-3.4%10.8% 200124,592$135$4575.3%5.5%0.1% 200229,886$182$50821.5%35.3%11.3% 200337,340$248$55324.9%36.1%8.9% 200434,957$246$586-6.4%-1.0%5.8% 200536,797$237$5365.3%-3.7%-8.5% 200639,201$289$6146.5%22.1%14.6% Source: Minnesota Department of Human Services

57. GAMC Enrollment and Spending Growth Source: Minnesota Department of Human Services.

58. MCHA Enrollment and Spending History Growth in: Calendar Year Enrollment as of 12/31 Claims ($ millions) Avg. Monthly Claims per EnrolleeEnrollment Total Claims Claims per Enrollee 199433,477$93$224-5.2%6.4%6.9% 199530,470$95$247-9.0%2.3%10.0% 199627,552$88$252-9.6%-7.3%2.2% 199726,314$91$281-4.5%3.6%11.6% 199824,954$90$294-5.2%-0.5%4.6% 199925,433$102$3361.9%12.3%14.3% 200025,938$112$3642.0%10.3%8.2% 200127,428$125$3895.7%11.2%7.0% 200231,088$141$40213.3% 3.4% 200333,705$175$4508.4%23.9%11.9% 200433,063$205$512-1.9%17.1%13.6% Source: Minnesota Comprehensive Health Association. Claims per enrollee estimated by MDH using average of year-end enrollment figures.

59. MCHA Enrollment and Spending Growth Source: Minnesota Comprehensive Health Association. Claims per enrollee estimated by MDH using average of year-end enrollment figures.

60. MCHA Claims, Premiums, and Losses Calendar Year Claims ($ millions) Premiums ($ millions) Losses ($ millions) Premiums as % of Claims 1994$93$54$4458.6% 1995$95$52$4955.3% 1996$88$49$4355.8% 1997$91$47$4852.2% 1998$90$48$4752.8% 1999$102$52$5751.1% 2000$112$59 52.4% 2001$125$65$6652.2% 2002$141$77$7254.7% 2003$175$93$9053.4% 2004$205$107$11052.3% Source: Minnesota Comprehensive Health Association.

61. Key Statistics on Minnesota Health Plans

62. Health Plan Market Shares: Total Fully- Insured Private Market, 2005 (Premium Volume: $5.24 billion) Note: Companies with common ownership were treated as one entity. For example, Blue Cross Blue Shield of Minnesota includes BCBSM and Blue Plus. Fully insured market only, market share based on premium volume. Source: MDH Health Economics Program, analysis of MCHA Premium Database for 2005.

63. Health Plan Market Shares: Small Group Market, 2006 Note: Companies with common ownership were treated as one entity. For example, Blue Cross Blue Shield of Minnesota includes BCBSM and Blue Plus. Market shares based on premium volume; fully insured market only. Source: Minnesota Department of Commerce, "Report of 2006 Loss Ratio Experience in the Individual and Small Employer Health Plan Markets for: Insurance Companies Nonprofit Health Service Plan Corporations and Health Maintenance Organizations," June 2007. Total Premium Volume in 2006: $1.5 Billion

64. Loss Ratio Experience in the Small Group Market, 1997 to 2006 Companies with common ownership have been combined for purposes of this analysis. Source: Minnesota Department of Commerce loss ratio reports.

65. Health Plan Market Shares: Individual Market, 2006 Note: Companies with common ownership were treated as one entity. For example, Time Ins. Co. includes Time Ins. Co. and John Alden Life Ins. Co.. Market shares based on premium volume; fully insured market only. Source: Minnesota Department of Commerce, "Report of 2006 Loss Ratio Experience in the Individual and Small Employer Health Plan Markets for: Insurance Companies Nonprofit Health Service Plan Corporations and Health Maintenance Organizations," June 2007. Total Premium Volume in 2006: $520 Million

66. Loss Ratio Experience in the Individual Market, 1997 to 2006 Companies with common ownership have been combined for purposes of this analysis. Source: Minnesota Department of Commerce loss ratio reports.

67. Summary of HMO Financial Trends, 2002 to 2006 20022003200420052006 Net Income$65.4$128.9$133.3$63.5$33.2 Total Revenue$4,213.8$4,514.6$4,506.8$4,643.9$5,028.5 Net Income as % of Revenue1.6%2.9%3.0%1.4%0.7% Minnesota products only. Definition of “total revenue” varies across years. Source: MDH Health Economics Program analysis of HMO annual reports In Millions of Dollars

68. Minnesota HMO Profitability by Product Line, 2002 to 2006 Source: MDH Health Economics Program analysis of HMO annual reports

69. Minnesota Hospitals

70. *Available beds is defined as “the number of acute care beds that are immediately available for use or could be brought online within a short period of time.” **Licensed beds is defined as “the number of beds licensed by the Department of Health, pursuant to Minnesota Statutes, sections 144.50 to 144.58.” Source: MDH, Health Care Cost Information System Number of Hospitals Available Beds* Occupancy Rate Based on Available Beds Licensed Beds** Occupancy Rate Based on Licensed Beds Available Beds Per 1,000 Population 13611,65060.5%16,39243.0%2.3 Hospital Capacity in Minnesota, 2005

71. Region Number of Hospitals Available Beds* Occupancy Rate Based on Available Beds Licensed Beds** Occupancy Rate Based on Licensed Beds Available Beds Per 1,000 Population Central201,11952.2%1,39042.0%1.6 Metropolitan265,70072.4%8,32849.6%2.1 Northeast171,18851.8%1,46542.0%3.7 Northwest1344738.7%57630.0%2.3 South Central1555342.8%78430.2%1.9 Southeast121,65860.4%2,61338.3%3.5 Southwest2462726.8%77321.7%2.8 West Central935840.5%46331.3%1.9 Total13611,65060.5%16,39243.0%2.3 *Available beds is defined as “the number of acute care beds that are immediately available for use or could be brought online within a short period of time.” **Licensed beds is defined as “the number of beds licensed by the Department of Health, pursuant to Minnesota Statutes, sections 144.50 to 144.58.” Source: MDH, Health Care Cost Information System Regional Hospital Capacity in Minnesota, 2005

72. Source: MDH, Health Care Cost Information System Minnesota Hospital Visits and Admissions, 1995 - 2005 Admissions Outpatient visits

73. Source: MDH, Health Care Cost Information System Average Length of Stay (ALOS) in Minnesota Hospitals, 1995 – 2005 Average length of stay (days)

74. Source: MDH, Health Care Cost Information System Trend in Outpatient Surgeries at Minnesota Hospitals, 1995 - 2005

75. Source: MDH, Health Care Cost Information System Trend in Emergency Room Visits at Minnesota Hospitals, 1995 - 2005

76. Source: MDH, Health Care Cost Information System Net Income of Minnesota Hospitals, 1995 to 2005 Millions of dollars

77. Minnesota Hospitals' Net Income as a Percent of Revenue, 1995-2005 Source: MDH, Health Care Cost Information System

78. Payer Percent of Total Patient Revenue Medicare 30.4% State Programs (MA/GAMC/MNCare) 11.0% Private Insurance 49.9% Self-Pay 4.7% Other 3.9% Total 100.0% Sources of Patient Revenue for Minnesota Hospitals, 2005

79. Uncompensated Care Costs in Minnesota Hospitals, 1996 to 2005 *Uncompensated care figures are adjusted by a cost to charge ratio. Source: MDH, Health Care Cost Information System.

80. Uncompensated Care Trends in Minnesota and the U.S., 1996 to 2005 *Uncompensated care figures are adjusted by a cost to charge ratio. Source: MDH, Health Care Cost Information System; American Hospital Association

81. Uncompensated Care Trends for Rural and Urban Minnesota Hospitals, 1996 to 2005 *Uncompensated care figures are adjusted by a cost to charge ratio. Source: MDH, Health Care Cost Information System.

82. Minnesota’s Largest Providers of Hospital Uncompensated Care, 2005 *Uncompensated care figures are adjusted by a cost to charge ratio. Source: MDH, Health Care Cost Information System. 2.0%, statewide average

83. Source: MDH, Health Care Cost Information System Services AvailableServices Not available Surgery Inpatient Surgery1288 Outpatient Surgery1342 Open-Heart Surgery Services18118 Organ Transplant Services6130 Mental Health/Chemical Dependency Services Outpatient Psychiatric Services5680 Detoxification Services25111 Diagnostic Radiology Computer Tomography (CT) Scanning Services1315 Magnetic Resonance Imaging (MRI) Services1288 Positron Emission Tomography (PET) Services13123 Single Photon Emission Computerized Tomography (SPECT) Services 29107 Other Services Renal Dialysis Services4195 Cardiac Catheterization Services23113 Number of Hospitals Services Available in Minnesota Hospitals, 2005

84. Physician Services

85. Source: MDH, Office of Rural Health & Primary Care Number of Physicians:12,799 Primary Care Physicians6,125 Specialty Physicians6,674 Physicians per 100,000 Population:249 Primary Care Physicians119 Specialty Physicians130 Estimated Number of Physicians Practicing in Minnesota, 2005

86. Metropolitan counties include the 21 Minnesota counties that are classified as part of a metropolitan statistical area. Source: MDH, Office of Rural Health & Primary Care MetroNon-MetroTotal Number of Physicians:10,8941,90512,799 Primary Care Physicians4,8951,2306,125 Specialty Physicians5,9996756,674 Physicians per 100,000 Population:293135249 Primary Care Physicians13287119 Specialty Physicians16148130 Estimated Number of Physicians Practicing in Metro and Non-Metro Counties, 2005