New Report Shows 2020 Decline in Quality Measures for Minnesota Public Health Insurance Programs

April 14, 2022

Disparities with other payers shrinking in several places, however

Despite the COVID-19 pandemic, there were some bright spots in health care for people who received health care through state programs in 2020, according to a new report from MN Community Measurement (MNCM). The report was prepared for the Minnesota Department of Human Services and compares health care quality and health outcomes for people who received coverage through Minnesota Health Care Programs managed care organizations (MHCP MCO) to the same measures for people with private health insurance coverage or Medicare Advantage plans. The report includes 21 measures of health care quality for preventive care, chronic disease management, and mental health.

Though performance on most quality measures declined for the entire Minnesota population and for people with coverage through MHCP MCOs in 2020 due to the pandemic, the performance gap between MHCP MCOs and other purchasers has narrowed over time for seven out of ten measures where comparisons can be made. Childhood immunization rates for the MHCP MCO population increased from 42.7 percent in 2018 to 46.6 percent in 2020 (data for 2019 are unavailable due to disruptions in data collection caused by the pandemic). For breast cancer screening rates, however, the gap has widened over time.

The report also examines variation in quality within the MHCP MCO population, by race, ethnicity, language, and country of origin. Key findings related to variation within MHCP programs include significantly lower quality performance rates for Black and Indigenous/Native people, compared to other racial and ethnic groups. Of the 21 measures included in the report, rates were significantly lower for Black patients on 13 of the measures, and significantly lower for Indigenous/Native patients on 7 of the measures.

“These indefensible racial health disparities cannot continue,” said DHS Commissioner Jodi Harpstead. “Our new report, ‘Building Racial Equity into the Walls of Minnesota Medicaid: A Focus on U.S.-born Black Minnesotans,’ lays out concrete actions we can take to build equity into Minnesota’s public health care programs. While continuing our engagement with the Black community on these policies, we also will be engaging with other communities that experience health disparities to develop real and actionable steps to rebuild trust and ensure that Minnesota lives up to its commitment to equity.”

“We know that people who are served by Minnesota Health Care Programs are more likely to experience barriers or challenges to receiving optimal health care and were also disproportionately likely to be impacted by the pandemic,” said Julie Sonier, MNCM President and CEO. “Understanding how results differ between MHCP and other payers, and how they vary for different groups of people within MHCP, is critical to making progress to eliminate these gaps. Minnesota policy makers and others can then take this information and turn it into action.”

An appendix to the report includes results by medical group.

Importance of Measurement

Measuring and reporting health care quality helps consumers understand how care varies across providers, allows providers to identify improvement opportunities and how their measures compare to others, and helps health plans and other purchasers better understand and improve value for money that is spent on health care.

“Minnesota is quite unique in the capabilities that we’ve built to measure and report on health care outcomes,” said Sonier. “Having a common set of priorities and common set of data have been huge assets to our state in focusing efforts to drive improvement.”

About MN Community Measurement

MN Community Measurement is a nonprofit organization dedicated to empowering health care decision makers with meaningful data to drive improvement. A trusted source of health care data since 2005, MNCM works with doctors, hospitals, clinics, insurance companies, and state agencies to collect, analyze, and report health care data related to quality, cost, and equity of health care. Learn more at www.mncm.org.

About Minnesota Health Care Programs Minnesota Health Care Programs include Medical Assistance, Minnesota’s Medicaid program, and MinnesotaCare. These public health care programs provide coverage to Minnesotans with low incomes who cannot afford private insurance. They currently collectively serve more than one million Minnesotans.


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October 20, 2026
MINNEAPOLIS, Minn. — October 20, 2026 — MN Community Measurement (MNCM) today announced that it has completed its acquisition of Koble-MN's health information exchange (HIE) business line and the MNSHINE brand from The Koble Group. On November 1, MNCM will officially change its legal name to Minnesota Statewide Health Information Network and Exchange, known as MNSHINE. The transition follows a special joint meeting of MNCM's Board of Directors and members on October 12, at which the Board unanimously approved resolutions authorizing the acquisition, changing the organization's legal name, and establishing a new HIE Advisory Committee. Members unanimously adopted the name change and related amendments to the organization's Articles of Incorporation and Bylaws. An intentional decision to collaborate The transition is the result of an intentional decision by Minnesota health care leaders to collaborate on a health data landscape that makes sense: one that reduces redundancy, increases efficiency, and delivers needed information to those with legal authorization to receive it, where and when it is needed, without unnecessary administrative barriers. "This is not simply a merger of services. It is a deliberate choice to build the kind of health data infrastructure Minnesota deserves," said Liz Cinqueonce, President and CEO of MNCM. "For too long, organizations across our state have had to navigate duplicative systems and disconnected data. By bringing measurement and exchange together, we can reduce that burden and make sure the right information reaches the right people at the right time, with patient privacy protections firmly in place, so they can focus on improving care." The effort builds on months of work by the Executive Leadership Council, convened earlier this year by MNCM, the Minnesota Electronic Health Records Consortium, and Koble to explore how a sustainable, statewide health data utility could serve the public interest. "Minnesota is at its best when we take on difficult challenges together and align on solutions," said Mark Steffen, MD, Chair of the MNCM Board of Directors. "The Board's unanimous support reflects a shared conviction that our future depends on organizations keeping their unique strengths and missions while participating in shared infrastructure and governance. That balance is what enables greater coordination, transparency, efficiency, and impact." A trusted backbone for Minnesota's health data Minnesota's future health data ecosystem is one in which organizations retain their unique strengths and missions while participating in shared infrastructure and governance. The vision for MNSHINE is to become the health data utility, governed in the public interest with strong privacy protections and transparency, that serves as the trusted backbone connecting these efforts, ensuring data can be used more effectively to improve health, wellbeing, and outcomes for all Minnesotans. By bringing the measurement of health care quality, cost, and utilization together with the infrastructure that moves clinical data between organizations, MNSHINE will be positioned to support providers, payers, public health, researchers, policymakers, and communities alike, each within the limits of applicable law and participant agreements. The goal is healthier people, stronger communities, greater equity, better public decisions, smarter investments, and a health system that learns continuously. Continuity for HIE participants HIE services will continue without interruption. To ensure continuity of leadership and relationships, Chad Peterson, CEO of The Koble Group, has joined MNCM as Senior Vice President of HIE Services. “For HIE participants, this transition opens new possibilities,” said Peterson. “When exchange and measurement are guided by one mission, we can reduce duplication for providers and better support care coordination, while holding firm to the privacy protections patients expect. I’m proud to help lead that work, and I’m committed to making sure every participant feels supported as we grow.” MNCM has also established the HIE Advisory Committee as a standing committee of its Board of Directors. The committee continues the work of the Koble-MN Advisory Committee and will advise the Board on interoperability, participant relationships, privacy, security, data governance, and health equity. Jennifer Lamprecht of Sanford Health and Dr. Justine Mrosak of Hennepin Healthcare have been appointed to co-chair the committee, which will include consumer representatives alongside members representing a cross-section of Minnesota's health care community. Protecting patient privacy This transition changes who operates Minnesota's health information exchange. It does not change how patient information is protected or who may access it. MNSHINE will continue to operate in compliance with HIPAA and the Minnesota Health Records Act, which is among the strongest patient-consent laws in the nation, and in compliance with the participant agreements that govern how information is exchanged. Health information exchange and measurement will each remain governed by their own legal and contractual requirements, and bringing them into one organization does not change the purposes for which patient information may be used.
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