Minnesota

Minnesota is currently involved in both state and federal health reform efforts, nearly all of which are built upon a strong foundation of patient-centered medical home. The development of health care homes in Minnesota is part of the ground-breaking health reform legislation passed in May 2008. The legislation includes payment to primary care providers for partnering with patients and families to provide coordination of care in certified health care homes. In addition, the 2010 Legislature mandated that the Minnesota Department of Human Services (DHS) develop and implement a demonstration testing alternative and innovative health care delivery systems, including accountable care organizations, in the state's Medicaid program. The Integrated Health Partnerships (IHP) demonstration, formerly the Health Care Delivery Systems (HCDS) demonstration, aims to deliver higher quality and lower costs through innovative approaches to care and payment. 

In 2010 Minnesota also established state certification criteria for health care homes and evaluating outcomes. The Health Care Homes program became a multi-payer program with 10 participating commercial payers in addition to Medicaid. Led by the Minnesota Department of Health, all health reform activities and programs are connected to the Health Care Homes program including their Multi-payer Advanced Primary Care Practice (MAPCP) program, the Minnesota eHealth Initiative, and their State Innovation Model grant. The state of Minnesota was also awarded a CMS planning grant for the development of a 2703 health home program. The MAPCP demonstration in Minnesota concluded in December 2014, but was extended through 2016 in six other states. 

Primary Care Innovations and PCMH Activity

Dual Eligible 2703 SPA CPC CPC+ PCMH QHP PCMH Legislation Private Payer

Multi-Payer Programs

Program Name Payer Type Coverage Area Parent Program Outcomes
Minnesota Health Care Homes (HCH) Multi-Payer Statewide

Private Payer Programs

Program Name Payer Type Coverage Area Parent Program Outcomes
Blue Cross Blue Shield of Minnesota Commercial Statewide Blue Cross Blue Shield Value-Based Care Program
HealthPartners Commercial Minnesota and western Wisconsin

State Legislation

Legislation Status Year
2008 Health Care Reform

This legislation establishes standards for state certification of Health Care Homes and evaluating outcomes. It also requires that Health Care Homes receive care coordination payments from public and private health care purchasers.

Active 2008

State Facts:

Population:
5,404,600
Uninsured Population:
7%
Total Medicaid Spending FY 2013: 
$8.9 Billion 
Overweight/Obese Adults:
61%
Poor Mental Health among Adults: 
30.1%
Medicaid Expansion: 
Yes 

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