Section 7: Health Plan Companies 

Page 4 – Background

• This bar chart, for illustrative purposes only, shows that in 2022, total private and public health care spending was $66.8 billion. Of that, approximately $25.3 billion were for health insurance premiums. The other $41.5 billion was for out-of-pocket spending, self-insured spending, other private spending, and other public spending.

Page 5 – Minnesota Health Plan Company Market Share in the Private and Public Health Insurance Market, by Premium Revenue, 2022

• This graph shows the percent distribution of total Minnesota health plan market share by premium revenue.
  • BCBS of MN: 30.5%
  • UCare: 24.2%
  • HealthPartners: 15.8%
  • Medica: 11.0%
  • UHC: 5.8%
  • Humana: 3.7%
  • CBPs: 3.1%
  • Hennepin Health: 1.8%
  • Allina Health and Aetna: 1.6%
  • Other: 1.4%

Page 7 – Minnesota Fully-Insured Commercial Market Share in Health Insurance Market by Premium Revenue, 2022

• This graph shows the fully-insured market share, by premium revenue, by health plan companies. It demonstrates that although BCBS of MN was the largest commercial fully-insured payer by premium revenue, the market share it holds across the three commercial market segments (individual market, small group market, and large group market) varies. The total premium revenue in 2022 was $6.0 billion.
  • Individual Market: BCBS of MN=24.8%, UCare=26.9%, HealthPartners=26.0%, Medica=20.3%, PreferredOne=1.2%, Other=0.7%
  • Small Group Market: BCBS of MN=36.4%, UCare=0.0%, HealthPartners=30.5%, Medica=19.2%, PreferredOne=11.6%, Other=2.3%
  • Large Group Market: BCBS of MN=47.3%, UCare=0.0%, HealthPartners=22.2%, Medica=22.6%, PreferredOne=1.7%, Other=6.2%
  • Commercial Fully-insured: BCBS of MN=41.1%, UCare=4.2%, HealthPartners=24.9%, Medica=21.4%, PreferredOne=4.1%, Other=4.4%

Page 8 – Minnesota Fully-Insured Commercial Market Share by Enrollment, 2022

• This graph shows the fully-insured market share, by enrollment, by health plan companies. It demonstrates that although BCBS of MN was the largest commercial fully-insured payer by enrollment, the market share it holds across the three commercial market segments (individual market, small group market, and large group market) varies. The total covered lives (as of December 31, 2022) was 908,600.
  • Individual Market: BCBS of MN=21.8%, UCare=30.1%, HealthPartners=30.5%, Medica=14.3%, PreferredOne=2.3%, Other=0.9%
  • Small Group Market: BCBS of MN=35.1%, UCare=0.0%, HealthPartners=33.8%, Medica=17.6%, PreferredOne=9.5%, Other=4.1%
  • Large Group Market: BCBS of MN=45.0%, UCare=0.0%, HealthPartners=21.7%, Medica=22.9%, PreferredOne=1.9%, Other=7.1%
  • Commercial Fully-insured: BCBS of MN=38.6%, UCare=5.2%, HealthPartners=27.0%, Medica=20.1%, PreferredOne=3.9%, Other=5.3%

Page 9 – Medical Assistance and MinnesotaCare Market Share by Premium Revenue, 2022

• This graph shows the percent distribution of Medical Assistance and MinnesotaCare market share by premium revenue. Total premium revenue in 2022 was $11.2 billion.
  • UCare MN: 39.3%
  • Blue Plus: 23.8%
  • HealthPartners, Inc.: 16.3%
  • Medica Health Plans: 7.8%
  • CBPs: 7.0%
  • Hennepin Health: 3.9%
  • UHC of IL: 1.9%

Page 10 – Medical Assistance and MinnesotaCare Market Share by Enrollment, 2022

• This graph shows the percent distribution of Medical Assistance and MinnesotaCare market share by enrollment. Nearly 1.3 million Minnesotans were enrolled in Medical Assistance and MinnesotaCare in 2022.
  • UCare MN: 37.5%
  • Blue Plus: 28.9%
  • HealthPartners, Inc.: 18.0%
  • CBPs: 7.5%
  • UHC of IL: 2.9%
  • Hennepin Health: 2.9%
  • Medica Health Plans: 2.3%

Page 11 – Medicare Advantage/Medicare Cost Market Share by Premium Revenue, 2022

• This graph shows the percent distribution of Medicare Advantage/Medicare Cost market share by premium revenue. Total premium revenue in 2022 was $6.0 billion.
  • BCBS of MN: 28.5%
  • UCare: 24.6%
  • Humana: 15.1%
  • UHC: 13.0%
  • Medica: 7.9%
  • HealthPartners: 7.2%
  • Allina Health and Aetna: 3.3%
  • Other: 0.5%

Page 12 – Medicare Advantage/ Cost Market Share by Enrollment, 2022

• This graph shows the percent distribution of Medicare Advantage/Medicare Cost market share enrollment. Total enrollment in 2022 was 611,250.
  • BCBS of MN: 34.2%
  • UCare: 22.8%
  • Humana: 11.4%
  • UHC: 10.6%
  • Medica: 9.3%
  • HealthPartners: 6.8%
  • Allina Health and Aetna: 3.6%
  • CBPS: 0.7%
  • Other: 0.6%

Page 13 – Standalone Medicare Part D Market Share by Enrollment, 2022

• This graph shows the percent distribution of Standalone Medicare Part D market share enrollment. Total enrollment in 2022 was 346,707.
  • Wellcare: 23.4%
  • Aetna (SilverScript): 22.8%
  • Humana: 19.7%
  • BCBS of MN: 18.8%
  • UHC: 8.4%
  • Cigna: 3.1%
  • Other: 2.1%
  • Clear Spring: 1.7%

Page 15 – Ratios of TAC/ACL by Minnesota-Domiciled Type of Insurance Company

• This line graph shows the ratios of Total Adjusted Capital over the Authorized Control level by Minnesota-domiciled type of insurance company (total, insurance companies only, HMOs only, CBPs only). For all lines shown for years 2018 through 2022, the ratio of TAC/ACL was over the Company Action Level of 200%. 

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