Minnesota Council of Health Plans Releases 2013 Spending Report on Health Plans in Minnesota
Proquest LLC |
Health plans in
In all, spending for care was up nearly
In a release, the
The change between 2012 and 2013 in medical care by category was:
-Spending on care provided at home under the direction of a physician up 37.5 percent.
-Spending on care for chemical dependency and mental health services provided in both inpatient and outpatient settings, excluding prescription medications and supplies, up 13 percent.
-Spending on care for people who were hospitalized up 7.7 percent.
-Spending on care provided at a skilled nursing facility up 5 percent.
-Spending for care provided by chiropractors, therapists, social workers, nurse practitioners (health professionals other than physicians and dentists) up 3 percent.
-Spending for care provided by hospitals in outpatient settings up 2 percent.
-Spending for care provided in emergency centers up 1 percent.
-Spending on durable medical goods such as wheelchairs, eyewear, hearing aids, oxygen, equipment rental, etc., down 4 percent.
-Spending on prescription drugs and non-reusable medical supplies spending down 3.5 percent.
-Spending for physician services, including costs for all services provided by or under the supervision of licensed medical doctors and doctors of osteopathy, down 1.6 percent.
Overall, medical care spending per person increased 2 percent over 2012.
In work related to the implementation of the federal Affordable Care Act,
"This IT investment represents a sliver of the work that took place last year and will continue in 2014 as the ACA is implemented," said
Average industry operating margin below 1 percent
The uptick in spending on care brought the overall industry-wide operating margin to 0.67 percent (
National and state standards exist to ensure that health plans have sufficient reserves for continuous payment of members' medical bills and for investing in technology and other improvements - even when there are unexpected catastrophic claims, natural disasters or market instability.
Revenue from state public programs serving 641,414 Minnesotans was
Premium taxes paid by smaller employers and individual policyholders increased 24 percent to
Taxes and assessments account for about 12 percent of the premium paid by these policyholders.
In all, enrollment in MCHP's seven member health plans topped 4.5 million, up 2 percent from 2012. Data reported also show the following for 2013:
-Enrollment in coverage sponsored by large employers that self- fund their claims expenses increased nearly 3 percent to 2.3 million people.
-Enrollment in insurance company products remained steady at 1.5 million people and HMO product enrollment increased 2 percent to just more than 902,000 people. Group coverage for companies with 50 or fewer employees declined 1 percent to 344,599.
-Enrollment in
-Enrollment in Special Needs BasicCare, coverage for people ages 18 through 64 who have a disability and qualify for
-More than 60,000 Minnesotans were enrolled in health care coverage under the federal expansion of
-Overall, enrollment in all public programs combined (MinnesotaCare,
State statute requires
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