Medica is a non-profit corporation that includes a family of businesses: Medica Health Plans, Medica Health Plans of Wisconsin, Medica Insurance Company, Medica Self-Insured, Medica Health Management, LLC, and the Medica Foundation. Medica has the highest accreditation status, Excellent, from the National Committee for Quality Assurance (NCQA
©) for its Minnesota Medicaid HMO plans and commercial health plans in Minnesota and North Dakota. Medica also has achieved Quality Plus Distinction for Physician and Hospital Quality from the NCQA.
Medica was founded by physicians in 1975 as Physicians Health Plan. It was the first open-access health plan in the state. In 1991, PHP merged with Share to become Medica. And in 1994, Medica merged with HealthSpan to form Allina Health System, an integrated organization offering both health care coverage and medical services. Medica became an independent health plan in 2001.
Medica provides health coverage to 1.3 million members. Its coverage is available to individuals, employers, third-party administrators and government programs in Minnesota and select counties in Wisconsin, North Dakota and South Dakota.
Medica's broadest regional provider network includes 27,000 providers at more than 4,000 offices, clinics and hospitals in Minnesota, Wisconsin, North Dakota and South Dakota. More than 96% of Minnesota providers participate in this network. Medica also offers a health plan with coverage that features access to a large national network of nearly 500,000 providers and 5,000 hospitals. In addition, Medica offers several plans that feature smaller, cost-efficient networks.
In 2006, Medica generated $2.4 billion in revenue. Nearly 91 percent of fully insured premium revenue was used to pay health care expenses.
In 2007, Medica employees raised a grand total of $277,345 to support local charities, social services and various health initiatives in the community. The Medica Foundation provides funding to community-based initiatives and programs that support the needs of Medica’s customers and the greater community by improving their health and removing barriers to health care services. In 2006, the Medica Foundation provided $1.5 million in grants to community-based and statewide projects that address behavioral health issues, disparities in health care, healthy living and health care literacy, prevention and preventive services and support for seniors.
View Medica Foundation Annual Reports.
Medica also partners with several community projects designed to improve the health of all Minnesotans. These include:
- Minnesota Community Measurement -– organization offering quality comparisons among provider groups and clinics
- Institute for Clinical Systems Improvement –- collaboration of health care organizations provides evidence-graded practical guidelines and technology assessment reports
- Minnesota Health Information Exchange – technology partnership that connects doctors, hospitals and clinics across health care systems so they can quickly access medical records needed for patient treatment during a medical emergency or for delivering routine care
Medica offers an integrated approach for employers and members to improve health and manage the costs of care. Health improvement programs provide personalized solutions that focus on the whole person, and include a comprehensive set of preventive, fitness, employee assistance, disease management and care coordination programs.
1,150
Headquarters:
401 Carlson Parkway
Minnetonka, MN 55305
Fulfillment Center:
141 Cheshire Lane
Plymouth, MN 55441
Regional Offices:
Duluth:
130 W. Superior St.
Duluth, MN 55802
Fargo:
1711 Gold Drive South, Suite 210
Fargo, ND 58103
Sioux Falls:
110 South Phillips Ave., Suite 200
Sioux Falls, SD, 57104
St. Cloud / Waite Park:
878 2nd Street South, Suite 160
Waite Park, MN 56387