Now in its 33rd year, Minnesota Health Market Review 2022 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, an examination of impact of the COVID-19 pandemic and economic downturn and a look at 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. Both the Part One report and the Part Two report are now available. The Part Two report analyzes 2021 financial and inpatient utilization data for the hospital systems serving Minnesota communities, and examines how they have been affected by the ACA, the impact of the COVID-19 pandemic and their strategies going forward.