Hennepin Health

What Hennepin Health does

Hennepin Health is a county-owned, state-certified health maintenance organization (HMO) that operates as a department of Hennepin County, Minnesota, making it the only county-owned, state-certified HMO in the state. The organization delivers managed care coverage to Hennepin County residents enrolled in three Minnesota Healthcare Programs: PMAP (Prepaid Medical Assistance Program), MinnesotaCare, and SNBC (Special Needs BasicCare), serving adults, families, children, pregnant women, and adults with disabilities who qualify for public coverage. The organization operates a "Whole Person Care" model that integrates traditional medical services, behavioral health, and county/community services to address social determinants of health, with flagship assets including the Hennepin Health Access Clinic inside Hennepin Healthcare (350 active patients) and Population Health Management programs serving complex-needs members.

Hennepin Health's technology stack is anchored on Epic electronic medical records shared with Hennepin Healthcare for real-time care coordination, Change Healthcare's ConnectCenter for provider portal/eligibility/claim status, and multiple clearinghouse integrations (Availity, HealthEC, Office Ally, Smart Data Solutions) for HIPAA-compliant electronic claims. The organization partners with Delta Dental for dental benefits, Navitus Health Solutions as its pharmacy benefit manager, Healthwise for member-facing health education, and YMCA of the North for fitness benefits. In 2024, Hennepin Health introduced $1.15 million in eight reinvestment initiatives funding innovative programs including mobile post-partum care, culturally responsive psychiatric care for Muslim patients (in partnership with Open Path Resources), pharmacist transitions of care, and the SAVE BRAIN cerebrovascular ultrasound initiative — producing documented outcomes such as reducing hospital readmissions from over 24% to 12.5% and SUD 30-day readmissions from 16% to 12%.

The organization is funded entirely through capitation payments received from the Minnesota Department of Human Services (DHS) on a per-member-per-month basis for Medical Assistance and MinnesotaCare enrollees; PMAP members pay no premium while MinnesotaCare members pay income-based premiums to the state. Enrollment is driven by Medicaid eligibility rather than commercial sales motion, with distribution through the MNsure marketplace, Hennepin County Human Service Centers, and a 15,000-provider network across 2,800 locations. As a county-owned public entity, Hennepin Health does not have venture capital or private equity ownership; it is governed by the Hennepin County Board of Commissioners. The leadership team is led by CEO Michael Herzing, CFO Max Billings, and CMO Dr. Krishnan Subrahmanian.

Name

Hennepin Health

Legal name

Hennepin Health

Website

https://hennepinhealth.org

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

51–100 employees

Short description

Hennepin Health is Minnesota's only county-owned, state-certified HMO, providing Medicaid managed care (PMAP, MinnesotaCare, SNBC) to Hennepin County residents through a network of 15,000 providers and integrated medical, behavioral, and social services. The organization is funded via capitation payments from the Minnesota Department of Human Services.

Ownership category

akta.pro rank

Product category

Medicaid Managed Care

NAICS

HMO Medical Centers (621491)

SIC

Services-Health Services (8000)

akta.pro primary industry

Medicaid Managed Care HMOs (HLAEAMAI)

akta.pro secondary industries

Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ), Local Public Health & Human Services Administration (BPAIACAK)

Keywords

• Managed care plans
• Medicaid health coverage
• County-owned HMO
• Medical assistance programs
• Health plan services

Headquarters

HQ city

Minneapolis

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Government Health Plan Premiums: Hennepin Health receives capitation payments from the Minnesota Department of Human Services (DHS) to provide healthcare coverage for Medical Assistance (MA) and MinnesotaCare enrollees. As a managed care organization, the organization receives fixed per-member-per-month premiums to cover all healthcare services for enrolled members. No monthly fee is charged to PMAP members, and MinnesotaCare members pay income-based premiums to the state.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Hennepin Health is Minnesota's only county-owned, state-certified health maintenance organization (HMO) that delivers managed health care coverage to Hennepin County residents eligible for Minnesota Healthcare Programs. It operates three core plan products — PMAP (Prepaid Medical Assistance Program), MinnesotaCare, and SNBC (Special Needs BasicCare) — and integrates traditional medical services, behavioral health services, and county/community services to address social determinants of health through an accountable care model.

Product overview

Hennepin Health is Minnesota's only county-owned, state-certified health maintenance organization offering three integrated health plan products: Hennepin Health-PMAP (Prepaid Medical Assistance Program), Hennepin Health-MNCare (MinnesotaCare), and Hennepin Health-SNBC (Special Needs BasicCare). These plans serve Hennepin County adults, families, and children enrolled in Minnesota Healthcare Programs. The organization operates an integrated model combining traditional medical services, behavioral health services, and county/community services addressing social determinants of health. Key support services include care coordination, the Healthwise Knowledgebase online health resource, YMCA membership benefits, a Member Service Center, community outreach, and a podcast series. The network includes approximately 15,000 providers at 2,800 locations with multidisciplinary care teams.

Differentiator

Problem solved

Functional benefit

Products and services

• Hennepin Health-PMAP (Prepaid Medical Assistance Program)

Quantifiable outcome

• Reduced 30-day hospital readmissions for SUD from 16% (2021) to 12% (2024), below targeted goal of 13.8%
• +4 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration10 records

Feature4 records

Partnerships

16 partnerships are on record, tiered core and supporting.

• NorthPoint Health & Wellness CentercoreStrategic or Co-development Partner · 1 January 2025NorthPoint Health & Wellness Center partners with Hennepin Health on the Flavors of Health program, providing healthy cooking classes and groceries to eligible members with congestive heart failure, diabetes, or who are pregnant.
• Hennepin Healthcare Redleaf Center for Family HealingcoreStrategic or Co-development Partner · 1 January 2025The Redleaf Center for Family Healing hosts Flavors of Health cooking classes as part of the program providing 8 weeks of free groceries to eligible Hennepin Health members.
• Open Path Resources (OPR)coreStrategic or Co-development Partner · 1 January 2021OPR is a Minnesota-based nonprofit that works to improve relationships between mainstream public systems and Minnesota's Muslim communities. Through the partnership, Muslim Spiritual Care providers were added to Hennepin Healthcare's Spiritual Care Department to provide culturally responsive psychiatric care for Muslim patients and families.
• Hennepin HealthcarecoreStrategic or Co-development Partner · 1 January 2014Hennepin Healthcare is the primary healthcare provider partner, operating the shared Hennepin Health Access Clinic inside Hennepin Healthcare facilities. The organizations share electronic medical records (Epic) for coordinated care. Hennepin Healthcare provides hospital and specialty services for Hennepin Health members.
• Delta DentalcoreStrategic or Co-development PartnerDelta Dental provides dental coverage for Hennepin Health members through a partnership arrangement. Members can find dentists and schedule appointments through Delta Dental's network. The partnership provides comprehensive dental services including check-ups, cleanings, fillings, and restorative work for all members age 1 and older.
• Navitus Health SolutionscoreStrategic or Co-development PartnerNavitus Health Solutions serves as Hennepin Health's pharmacy benefit manager for pharmacy services for all plan members. Members can contact Navitus for prescription drug coverage questions.
• YMCA of the NorthsupportingStrategic or Co-development PartnerHennepin Health offers MinnesotaCare and PMAP members a health club membership credit through YMCA of the North. Members can save up to 40% off monthly membership fees, with a $30 credit applied after 6 visits per month.
• HealthwisesupportingTechnology or IntegrationHennepin Health provides members access to the Healthwise Knowledgebase online resource to check symptoms or learn about health conditions.
• Change HealthcaresupportingTechnology or IntegrationChange Healthcare's ConnectCenter platform serves as Hennepin Health's provider portal for member eligibility verification and claim status checking.
• Payer Connectivity Services (PCS)supportingTechnology or IntegrationPCS receives, tests, and sends HIPAA-compliant mandated transactions on behalf of Hennepin Health.
• AvailitysupportingTechnology or IntegrationAvaility serves as a clearinghouse partner for electronic claims submission to Hennepin Health (835 transactions only).
• HealthEC (MN e-Connect)supportingTechnology or IntegrationHealthEC (also known as MN e-Connect) provides free web-based services for provider data entry of ANSI X12 837 v5010 compliant claims for providers unable to send electronic claims.
• Office AllysupportingTechnology or IntegrationOffice Ally serves as a clearinghouse partner for electronic claims submission to Hennepin Health.
• Smart Data SolutionssupportingTechnology or IntegrationSmart Data Solutions provides clearinghouse services for electronic claims submission to Hennepin Health.
• RisesupportingStrategic or Co-development PartnerRise employment support agency partners with the Hennepin Health Access Clinic to provide employment support services to clinic patients.
• Children's Dental ServicesupportingStrategic or Co-development PartnerChildren's Dental Service provides dental care at Hennepin Health's Dental Days events at the Member Service Center in downtown Minneapolis, serving both adults and children.

Scale indicators7 records

Recent moves6 records

Broad incumbents

• UnitedHealthcare Community & State: National Medicaid managed care division of UnitedHealth Group with significant Minnesota presence; competes with Hennepin Health for PMAP and MinnesotaCare contracts statewide.
• Blue Cross and Blue Shield of Minnesota: Large incumbent Minnesota health insurer that offers PMAP and MinnesotaCare products, competing with Hennepin Health for the same public program enrollees but with a much broader commercial portfolio.
• Medica: Minnesota-headquartered health plan offering Medicaid (PMAP), MinnesotaCare, and Medicare products; directly competes with Hennepin Health for public program enrollees in the Twin Cities.
• HealthPartners: Minnesota-based integrated health system and health plan offering PMAP, MinnesotaCare, and other Medicaid products; competes with Hennepin Health in the Twin Cities Medicaid market.
• Centene Corporation: Largest Medicaid managed care company in the United States with significant Minnesota footprint; competes with Hennepin Health as a broad, multi-state incumbent in the Medicaid HMO space.

Direct peers

• South Country Health Alliance: Joint powers entity owned by 11 Minnesota counties offering Medicaid managed care products. Highly comparable to Hennepin Health in county-owned HMO structure, public program focus, and member base.
• Itasca Medical Care (IMCare): County-based HMO serving Medical Assistance and MinnesotaCare members in Itasca County, Minnesota. Operates with a similar county-government, single-county model as Hennepin Health.
• PrimeWest Health: County-owned Minnesota Medicaid managed care organization serving 11 rural counties. Closest structural analog to Hennepin Health with the same county-government ownership and Medicaid HMO focus.
• UCare: Minnesota-based nonprofit health plan that offers Medicaid, MinnesotaCare, and Medicare products, directly competing with Hennepin Health for the same public program enrollees in Hennepin County and statewide.

Emerging players

• Humana Healthy Horizons: Growing national Medicaid managed care plan with state-contract experience; relevant comparable for how a national MCO competes in individual state Medicaid markets.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/hennepinhealth
• LinkedInlinkedin.com/company/hennepin-health

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Hennepin Health