Physician Patient


Minnesota Physician-Patient Alliance, Inc. ("MPPA") is a not-for-profit organization committed to improving our health care system. We do this by communicating information to the public and within the industry about important health care issues.

MPPA believes that efficient, quality health care depends on strong doctor-patient relationships. Interference in the doctor-patient relationship by third parties such as health plans and the government, is widespread in today's health care system and often limits what doctors or patients are allowed to do, altering market-based reimbursement, and undermining the traditional ethics of the medical professions. While the intentions of the third parties in interfering with the relationship may be honorable (for example, to control costs or improve quality), ironically the cumulative effect of this interference is unnecessarily high costs and reduced quality. Efforts to reform health care, therefore, must first and foremost address the issue of strong doctor-patient relationships.

The MPPA board consists of physicians, health care consumers, and others who share these concerns and values. We seek to communicate our message by collaborating on research and publication, sharing information about market developments, and individually being active in a variety of health care and community organizations.

To see who belongs to MPPA, please visit our Who We Are page by clicking on the link to the right. To see some of our communications, click on one of the Publications links to the right. If you would like to learn more about MPPA or our positions, click on the Contact Us link to the right.

MPPA was established in 1997 as a Minnesota 501(c)3 charitable nonprofit organization. If you would like to be added to the MPPA listserv, the respected MPPA online discussion group, send us your contact information and we will add you.

Dec 17

Today 20% of Minnesotans are on taxpayer subsidized health insurance. This is many more since the dramatic ACA-related Minnesota Medical expansion in 2010. Government-supported insurance coverage for pre-existing conditions was provided in the successful Minnesota Comprehensive Health Association (MCHA) high risk pool which was phased out in 2013 because of Obamacare.
Assuring real fiscal accountability to Minnesota taxpayers, voters and government program recipients requires that we know how much taxpayer money (state and federal) is going to pay for consumers’ (patients and families) actual health care services (including medications) versus the “administrative costs” of the private corporations who contract with the government for Medicaid and MinnesotaCare.¬†Minnesota policymakers and we voters need to peruse audits which specify money for care versus the costs of corporate administration for Medicaid and MinnesotaCare care.
Employers now provide (by far) most private insurance in Minnesota. So, how can they be encouraged to expand their employee’s health care insurance options (choices) while also managing these costs? What is the offset of the costs to the employer for health care insurance and employee wages?
MPPA believes that we need to empower consumers (patients and families) on all Minnesota health care programs (public and private) with accurate price information and also private and public financial incentives which permit consumers to benefit financially from comparative shopping for health care with (online) price transparency for their care, medications, and private or public insurance. 

Nov 9

Minnesotans are in Jeff Johnson’s debt for a gubernatorial campaign which on health care was positive, instructive, and respectful of the the intelligence and heartfelt concerns of all Minnesotans. In discussing realistic approaches to reigning in our mounting health care costs, Jeff showed depth of understanding, integrity, respect, and skill in the debates with Governor-elect Tim Walz. Walz was similarly respectful, but Jeff exposed Tim’s biggest vulnerability and challenge to health care policy development by asking the the vital question: “Tim, how are you going to pay for this?”

During this election cycle, in their ads Democrats claimed falsely that Republicans (who oppose the ACA) would take away their health care insurance protections for pre-existing, chronic/expensive, medical conditions. This of course is simply not true. But such scaremongering has only temporarily overshadowed a reasoned examination of how to reign in health care costs by promoting competition in a consumer (patient and family)-controlled health care market in Minnesota. Patients and families must have the tools and power to make choices of care and insurance suited to their needs and preferences — while also providing taxpayer support for the poor and disabled among us. We also need a high risk pool (either internal or external) to a patients insurance policy. Considerable work has already been done on this. As Jeff Johnson correctly pointed out during the campaign, we can learn valuable lessons from Minnesota’s pioneering and successful (1976-2013) Minnesota Comprehensive Health association (MCHA) high risk pool program and experience for covering pre-existing conditions.