Now in its 30th year, Minnesota Health Market Review 2019 is an objective annual report analyzing key trends in Minnesota’s health care payer and provider markets. The Part One report is 26 pages of data tables, trend graphics and narrative presenting key metrics for Minnesota health plans, including their financial performance, enrollment and market share, and an examination of their competitive strategies. The report includes an extended analysis of implementation of key elements of the Affordable Care Act, including Medicaid expansion and subsidized individual plans. The Part Two report focuses on the provider systems serving Minnesota communities, how they have been affected by the ACA and their strategies going forward. The report contains data for the major hospitals and systems on their financial performance, inpatient occupancy and payer mix and their results on Medicare evaluation programs.