BCBS of Minnesota is a nonprofit, and it’s a big one: For 2018, the health plan provider had revenue of $13.1 billion. Dr. Craig Samitt arrived at its Eagan headquarters in mid-2018 from Indianapolis-based Anthem, one of the largest for-profit insurers. He wants to “disrupt” the industry but has already run into challenges. In July the Minnesota Hospital Association filed a complaint with state regulators about BCBS’ new prior authorization policies, which the MHA argues are prompting denials for basic care. The controversy is a black eye for the state’s largest insurer; how Samitt manages the issue will provide a strong signal for whether he’s up to the challenge.