Minnesota Medicaid MCO Profits: $1.3B Admin & Margins

Name: Minnesota Medicaid MCO Profits: $1.3B Admin & Margins
Creator: Minnesota Medicaid Transparency Project
Published: 2026-03-14
License: https://creativecommons.org/licenses/by/4.0/

Author: Minnesota Medicaid Transparency Project | Last updated: March 11, 2026

How much do Minnesota's 8 Medicaid MCOs spend on care vs profit? Medical Loss Ratios, revenue breakdowns, and $1.3B in admin and profit.

MCO Financial Summary

Total MCO revenue: $9.2B. Total medical spending: $7.9B. Admin and overhead: $0.92B. Average medical loss ratio: 85.9%. Federal MLR floor: 85%.

Minnesota Medicaid MCO financial performance
MCO	Enrollment	Revenue	MLR
UCare	410,000	$3200M	86%
Blue Plus (BCBS MN)	320,000	$2500M	87%
Hennepin Health	85,000	$680M	89%
South Country Health Alliance	48,000	$390M	88%
PrimeWest Health	42,000	$340M	87.1%
Itasca Medical Care	12,000	$95M	88.4%
Medica	250,000	$1200M	84%
HealthPartners	93,000	$795M	85%

Part of the Minnesota Medicaid Transparency Project — an independent, data-driven investigation of $23 billion in annual Medicaid spending across 87 counties.

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Key Topics

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Medicaid Spending Minnesota — How Minnesota spends $23B on Medicaid — per-enrollee costs, disability spending (#1 nationally), program growth, and managed care payments.
Medicaid Oversight Minnesota — How Minnesota oversees $23B in Medicaid — DHS oversight structure, audit failures, workforce gaps, and the 37:1 expansion-to-oversight ratio...
Medicaid Fraud Cases Minnesota — Prosecuted Medicaid fraud cases in Minnesota — Feeding Our Future, PCA fraud, EIDBI billing schemes, 245D provider abuse, and settlement out...
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