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Medicare glitch, UCare collapse push Mille Lacs hospital toward closure

Mille Lacs Health System in Onamia says it is staring at a $4 million shortfall and "running out of savings" after Medicare and defunct insurer UCare failed to pay millions in legitimate claims, putting yet another Minnesota hospital on the brink. CEO Andy Knutson told FOX 9 that a Medicare "technical glitch" inexplicably deactivated several providers in the federal system, causing every visit tied to them to be rejected and leaving nearly $3 million in services unpaid; UCare, seized by the state last year, still owes the hospital about $1 million more. With about 60% of its revenue coming from Medicare, the system is now seeking bank lines of credit just to keep the doors open and openly doubts federal assurances that the backlog has been fixed, saying, "We’ll believe it when we see it." The story also notes that Hennepin Health’s HCMC in downtown Minneapolis is simultaneously warning it may have to close without legislative help, underlining that both rural and core‑metro hospitals are being squeezed by the same mix of federal failures and insurer collapse. For Twin Cities residents, the message is that the safety‑net hospital crisis at HCMC isn’t happening in isolation — the broader payment system feeding into Minneapolis care is cracking at multiple points, and if Mille Lacs folds it will push more patients back into already strained metro facilities.

Health Business & Economy

📌 Key Facts

  • Mille Lacs Health System faces a $4 million deficit, including nearly $3 million in unpaid Medicare claims and about $1 million owed by collapsed insurer UCare.
  • A Medicare "technical glitch" deactivated several Mille Lacs providers in Medicare’s system, causing all associated claims to be rejected despite being legitimate.
  • Hennepin Health’s HCMC in downtown Minneapolis is also warning it may have to close soon and is waiting on lawmakers to reroute Target Field sales‑tax dollars to stay afloat.

📊 Relevant Data

Since 2010, over 130 rural hospitals have closed in the United States, with common causes including low reimbursement rates from Medicare and Medicaid, declining inpatient volumes, and uncompensated care.

Causes & Consequences of Rural Hospital Closures — PMC - NIH

In Minnesota, hospitals invested $2.6 billion in 2024 to cover losses from Medicare underpayments and other uncompensated care.

Patient Care at Minnesota Hospitals is at Risk — Minnesota Hospital Association

The uninsured rate in Minnesota increased from 3.8% in 2023 to 5.8% in 2025, with Hispanic Minnesotans having the highest rate at 20.7%, more than triple the statewide average.

Findings from the 2025 Minnesota Health Access Survey (MNHA) — Minnesota Department of Health

In Mille Lacs County, Minnesota, 19.2% of the population is 65 years and over, contributing to high dependency on Medicare for hospital revenue.

Mille Lacs County, Minnesota - U.S. Census Bureau QuickFacts — U.S. Census Bureau

Hennepin County Medical Center provided 20% of all uncompensated care in Minnesota in 2024.

HCMC's financial health is on life support largely due to the massive burden of uncompensated care — KSTP-TV (Facebook post)

In Hennepin County, Minnesota, the population is 72.1% White, 15.1% Black, 1.2% American Indian, and 7.5% Asian as of recent census data, reflecting increasing diversity that may impact healthcare demand.

U.S. Census Bureau QuickFacts: Hennepin County, Minnesota — U.S. Census Bureau

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March 31, 2026