HealthLeaders-InterStudy, a leading provider of managed care industry intelligence, finds that Humana Inc. is the only company offering a regional Medicare PPO in the Illinois-Wisconsin Medicare Advantage Region. According to the latest issue of Wisconsin Health Plan Analysis from HealthLeaders-InterStudy, that regional market includes more that 2.5 million Medicare eligibles, including nearly 850,000 in Wisconsin.
"The Wisconsin-Illinois region is, for the most part, an attractive region to go after," said Ric Gross, HealthLeaders-InterStudy analyst. "There are 600,000 Medicare members in upstate Wisconsin. Many of those rural counties have had only limited Medicare choices. Humana has a good provider network in those areas, and, given its advantages, should do well."
By contrast, for their prescription drug coverage seniors in the state will have to choose between 45 different stand-alone plans offered by 17 different companies. Those covered by Wisconsin's popular SeniorCare program, which provides prescription drug benefits to low-income seniors who are not Medicaid-eligible, will not have to worry about making a choice.
Other health plan news in Wisconsin: * HMO enrollment in Wisconsin continues a steady decline as employers switch to self funding, PPOs grow in popularity, and public health insurance coverage increases. * Children's Hospital and Health System is preparing to launch a Medicaid HMO; Wisconsin Medicaid HMOs have generally been profitable and well- received. * Minnesota-based HealthPartners is expanding into 17 western Wisconsin counties. * Managed Health Services, the state's largest Medicaid HMO, and Aurora Health Care have settled a contract dispute and agreed to a new five- year deal. About Health Plan Analysis
Health Plan Analysis identifies key health plan trends, allowing healthcare businesses to create comprehensive strategic plans and sales strategies at state and local levels.
HealthLeaders-InterStudy, a company of Decision Resources, Inc. (http://www.decisionresources.com/), is the authoritative source for managed care data and analysis. For more information, please visit http://www.healthleaders-interstudy.com/.
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