Minnesota Medicaid Patient Outcomes: Quality Gaps

Name: Minnesota Medicaid Patient Outcomes: Quality Gaps
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 15, 2026

Does Minnesota Medicaid work for patients? Preventable hospitalizations 3x higher, behavioral health gaps of 24 points, and outcome analysis.

Outcome Scorecard Summary

Measuring whether Minnesota Medicaid delivers results for 1180000 enrollees across 5 domains.

Minnesota Medicaid outcome grades by domain
Domain	Grade	Gap Summary
Preventable Hospitalizations	D+	3x higher preventable hospitalizations
Chronic Disease Management	C-	20-point gaps across all conditions
Maternal & Child Health	C	Social determinants drive persistent gaps
Behavioral Health	D	Widest gaps, lowest provider participation
Access & Utilization	C-	Coverage ≠ access when providers opt out

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

Related Investigations: MCO Performance

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Key Topics

Minnesota Medicaid Fraud — Medicaid fraud in Minnesota — $400M+ prosecuted since 2005, 14 high-risk programs, 87 county oversight gaps, and zero centralized fraud dete...
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...
Which States Have Most Medicaid Fraud — How Minnesota compares on Medicaid fraud risk — per-enrollee spending rankings, oversight gaps, and systemic vulnerability factors by state.