Minnesota Health Market Review 2020 is the 31st annual edition of our report analyzing key trends in Minnesota’s health care payer and provider markets. The Part One report, now available, 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, an examination of their competitive strategies and early indications of the impact of the COVID-19 pandemic and economic downturn. 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, now available, focuses on the provider systems serving Minnesota communities, how they have been affected the COVID-19 pandemic and their competitive strategies going forward. The report includes data for the major hospitals and systems on their financial performance, inpatient occupancy and payer mix and their results on Medicare evaluation programs. The Part Two report also presents data on the health plans through the 3d quarter of 2020, including their claims and profits and the growth of Medicaid enrollment.