Along with the recent Advocate-Aurora merger, healthcare in Milwaukee is facing a number of changes to the status quo. Along with new care sites in Milwaukee, large local health systems are building outward in every direction to reach more patients, and are hiring more and more physicians to build out their networks. Recent legislation has mandated health insurance coverage and reimbursement parity for Medicaid services delivered via telehealth, which will expand access to care in the state’s rural areas. Quartz Health, Gundersen Health System, and Meriter, have amassed a significant amount of commercial enrollment. Efforts at driving payment reform have slowed after the missteps of the state’s two multihealth system clinically integrated networks, which led to the closure of Integrated Health Network and health system exits from AboutHealth, and has spurred regional health systems to focus on their own operations instead.

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