Medica Health Plans

Organization Overview

Medica Health Plans is located in Minnetonka, MN. The organization was established in 1975. According to its NTEE Classification (E80) the organization is classified as: Health (General & Financing), under the broad grouping of Health Care and related organizations. As of 12/2022, Medica Health Plans employed 22 individuals. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Medica Health Plans is a 501(c)(4) and as such, is described as a "Civic League, Social Welfare Organization, and Local Association of Employees" by the IRS.

For the year ending 12/2022, Medica Health Plans generated $1.3b in total revenue. This represents a relatively dramatic decline in revenue. Over the past 8 years, the organization has seen revenues fall by an average of (4.8%) each year. All expenses for the organization totaled $1.2b during the year ending 12/2022. As we would expect to see with falling revenues, expenses have declined by (5.2%) per year over the past 8 years. You can explore the organizations financials more deeply in the financial statements section below.

Since 2015, Medica Health Plans has awarded 29 individual grants totaling $32,040,260. If you would like to learn more about the grant giving history of this organization, scroll down to the grant profile section of this page.

Mission & Program ActivityExcerpts From the 990 Filing

TAX YEAR

2022

Describe the Organization's Mission:

Part 3 - Line 1

TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES.

Describe the Organization's Program Activity:

Part 3 - Line 4a

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CONTRIBUTIONS BY MEDICA ON BEHALF OF MEMBERS BEYOND CONTRACTED SERVICES IN 2022 MHP SPENT APPROXIMATELY $3.3 MILLION TO PROVIDE ADDITIONAL, NON-STATE PLAN SERVICES ON BEHALF OF THE FOLLOWING CATEGORIES OF MINNESOTA HEALTH CARE PROGRAMS: MSC+; MSHO; AND SNBC.NON-STATE PLAN SERVICES INCLUDED: VALUE OF WAIVED FAMILY DEDUCTIBLES; MSC+/MSHO ELDERLY WAIVER FOR NON-ELIGIBLE MEMBERS; NON-MEDICARE PART D PHARMACY COPAYMENTS; DRUGS NOT ELIGIBLE FOR REBATES; AND NON-MEDICARE VALUE OF COST-SHARING WAIVED COPAYS.MHP PROVIDED OTHER COMMUNITY BENEFITS WITH A WIDE RANGE OF PROGRAMS AND INITIATIVES TO PROMOTE PUBLIC AND INDIVIDUAL HEALTH, REDUCE DISPARITIES IN ACCESS TO CARE, IMPROVE HEALTH CARE SYSTEM PERFORMANCE, AND HELP PROVIDE FINANCIAL ASSISTANCE TO ACCESS CARE.MHP DONATES FUNDING, EMPLOYEE TIME AND OTHER RESOURCES IN SUPPORT OF MORE THAN TWO DOZEN COLLABORATIVE EFFORTS WITH LOCAL, STATE, REGIONAL AND NATIONAL ORGANIZATIONS. EXAMPLES INCLUDE: MINNESOTA COMMUNITY MEASUREMENT, WHICH PROMOTES COMMUNITY-BASED, EVIDENCE-BASED CARE, AND QUALITY COMPARISONS OF PROVIDER GROUPS AND CLINICS; INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT, WHICH PROVIDES EVIDENCE-GRADED GUIDELINES AND ASSESSMENTS.MEDICA UNDERTAKES A VARIETY OF INITIATIVES TO MAKE HEALTH CARE MORE AFFORDABLE, AVAILABLE AND EFFECTIVE. EXAMPLES INCLUDE:-IMPROVEMENTS IN RATES OF ANNUAL SCREENINGS AMONG MEMBERS FOR DISEASES SUCH AS CANCERS, HEART DISEASE AND DIABETES, PRE AND POST-BIRTH MATERNITY CARE, IMMUNIZATIONS, AND ANNUAL DENTAL VISITS.-REDUCTIONS IN MEDICALLY UNNECESSARY ER VISITS AND IN-PATIENT HOSPITAL ADMISSIONS-TYING PROVIDER REIMBURSEMENT TO IMPROVEMENTS IN CARE OUTCOMES, QUALITY AND EFFICIENCY-INCREASED PARTICIPATION IN EXERCISE.MEDICA'S OPTUM ONEPASS FITNESS PROGRAM OFFERED A LARGE, NATIONWIDE NETWORK OF GYMS AND FITNESS LOCATIONS. ADDITIONALLY, MEMBERS RECEIVED ONLINE ACCESS TO THOUSANDS OF ON-DEMAND WORKOUT VIDEOS AND CUSTOMIZABLE WORKOUT PROGRAMS ACCESSIBLE VIA A MOBILE APP CALLED MY HEALTH REWARDS WHICH ALSO OFFERS OPPORTUNITIES FOR PERSON-TO-PERSON DIRECT GUIDANCE IN CREATING A PERSONALIZED NUTRITION AND FITNESS PLAN. IN 2022, MEDICA OFFERED THE OPTUM ONEPASS PROGRAM TO MEMBERS IN MEDICARE ADVANTAGE PRODUCTS THAT INCLUDED THE MSHO AND SNBC SNP MINNESOTA STATE PROGRAMS.MEDICA'S TOBACCO CESSATION COACHING PROGRAM IS A SELF-DIRECTED PROGRAM OFFERING A WIDE VARIETY OF TOOLS AND RESOURCES TO HELP MEMBERS QUIT TOBACCO USE. COACHING SUPPORT INCLUDES PRIVATE, CONFIDENTIAL ACCESS TO TRAINED HEALTH COACHES. THERE WAS NO COST TO MEDICA MEMBERS TO PARTICIPATE IN THE TOBACCO CESSATION COACHING PROGRAM.IN 2022 OFFERED A PORTFOLIO OF DISEASE MANAGEMENT PROGRAMS FOR PHYSICAL AND MENTAL HEALTH, TOBACCO CESSATION, HEALTHY PREGNANCY, COMMON CHRONIC MEDICAL DISEASES, AND RARE AND COMPLEX DISEASES.THESE PROGRAMS PROVIDE EDUCATION AND RESOURCES THAT HELP SUPPORT THE MEMBERS' ABILITY TO MANAGE CHRONIC CONDITIONS. THE GOALS ARE TO IMPROVE HEALTH AND QUALITY OF LIFE, REDUCE COMPLICATIONS THROUGH EARLYINTERVENTION AND MONITORING, PROMOTE MEDICAL CARE AND COMPLIANCE WITH THE PATIENT'S PHYSICIAN-RECOMMENDED MEDICAL TREATMENT REGIMEN, AND TO IMPROVE SATISFACTION WITH HEALTH CARE SERVICES.MEDICA'S DISEASE MANAGEMENT PROGRAMS WERE PROVIDED AT NO ADDITIONAL CHARGE TO FULLY INSURED GROUPS, AND TO MINNESOTA STATE HEALTH CARE PROGRAM ENROLLEES SERVED BY MEDICA. THERE IS NO COST TO ELIGIBLE MEDICA MEMBERS.


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Board, Officers & Key Employees

Name (title)Compensation
John W Naylor
President & CEO
$0
John Buck
Director & Chair
$0
Peter Kelly
Director
$0
John Stanoch
Director & Vice Chair
$0
Mary Twinem
Director
$0
Mary P Quist
SVP Fin & Corp Controller
$0

Outside Vendors & Contractors

Vendor Name (Service)Compensation
United Health Care Services Inc
Claims Processing
$57,191,572
John Hancock Life Insurance Company
Retirement Plan
$31,387,512
Medica Services Company
Leased Employees
$21,994,764
Optuminsight Inc
Consulting Services
$16,712,596
Doherty Consulting Inc
Temp Services
$21,785,413
View All Vendors

Financial Statements

Statement of Revenue
Federated campaigns$0
Membership dues$0
Fundraising events$0
Related organizations$0
Government grants $0
All other contributions, gifts, grants, and similar amounts not included above$0
Noncash contributions included in lines 1a–1f $0
Total Revenue from Contributions, Gifts, Grants & Similar$0
Total Program Service Revenue$1,312,233,602
Investment income $11,829,545
Tax Exempt Bond Proceeds $0
Royalties $0
Net Rental Income -$1,890,955
Net Gain/Loss on Asset Sales -$2,094,304
Net Income from Fundraising Events $0
Net Income from Gaming Activities $0
Net Income from Sales of Inventory $0
Miscellaneous Revenue$0
Total Revenue $1,320,077,888

Grants Awarded

Over the last fiscal year, Medica Health Plans has awarded $3,293,530 in support to 18 organizations.

Grant RecipientAmount

CHI HEALTH FOUNDATION

PURPOSE: TO SUPPORT BEST PRACTICES OF ORGANIZATION.

$108,530

CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION

PURPOSE: TO SUPPORT BEST PRACTICES OF ORGANIZATION.

$75,000

CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION

PURPOSE: TO SUPPORT BEST PRACTICES OF ORGANIZATION.

$50,000

YOUTH EMERGENCY SERVICES INC

PURPOSE: TO SUPPORT BEST PRACTICES OF ORGANIZATION.

$25,000

SANTEE HEALTH & WELLNESS CENTER

PURPOSE: TO SUPPORT BEST PRACTICES OF ORGANIZATION.

$25,000

PONCA TRIBE OF NEBRASKA

PURPOSE: TO SUPPORT BEST PRACTICES OF ORGANIZATION.

$25,000
View Grant Profile

Peer Organizations

Organization NameAssets
Chorus Community Health Plans Inc
Milwaukee, WI
$462,603,968
Delta Dental Of Minnesota
Minneapolis, MN
$406,410,675
Avera Health Plans Inc
Sioux Falls, SD
$342,342,227
Delta Dental Of Iowa
Johnston, IA
$230,106,446
Delta Dental Of South Dakota
Pierre, SD
$97,785,832
Quartz Health Plan Mn Corporation
Fitchburg, WI
$38,902,465
Caringbridge
Bloomington, MN
$12,845,325
Iowa Prescription Drug Corporation
Grimes, IA
$21,000,324
Wisconsin Statewide Health Information Network Inc
Fitchburg, WI
$4,851,152
Ridgeview Insurance Company
Waconia, MN
$6,005,320
City of St Paul Health Reimbursement Arrangement
Saint Paul, MN
$3,228,641
World Gastroenterology Organisation
Milwaukee, WI
$317,587
Iowa Life And Health Insurance Guaranty Association
Des Moines, IA
$5,104,875
Hero Healthcare Equipment Recycling Organization
Fargo, ND
$1,042,908
Citizens Council For Health Freedom
St Paul, MN
$791,297
Advocates For Better Health
Roseville, MN
$459,149
Childrens Hospital Assn Tr 7066-1120114400
Des Moines, IA
$2,859,035
South Dakota Life And Health Insurance Guaranty Association
Sioux Falls, SD
$2,821,369
Milwaukee Consortium For Hmong Health Inc
Milwaukee, WI
$515,642
Beaming Incorporated
Neenah, WI
$440,256
Minnesota Life And Health Insurance Guaranty Association
Minneapolis, MN
$618,123
Oelwein Community Healthcare Foundation
Oelwein, IA
$292,964
Honoring Choices
St Cloud, MN
$142,905
South Dakota Dental Foundation
Pierre, SD
$192,664
D A Hoff Charitable Foundation
Cottonwood, MN
$22,654

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