May 12, 2022
Insurance companies provided medical coverage for 5.2 million people in Wisconsin, as of December 31, 2021, based on enrollment reported in Mark Farrah Associates’ (MFA’s) County Health CoverageTM. With a mix of national, regional, and local insurance carriers, Wisconsin, a mid-sized state with a population dispersed across 72 counties, is an ideal location to use MFA’s County Health CoverageTM. The focus of this brief, Dane County, is home to the state capital, Madison, the fastest growing and second-most populated city in the state. *
|Wisconsin Total Enrollment and Market Share, December 31, 2021|
|Company||Wisconsin||State Share||Dane County||County Share|
|ANTHEM INC GRP||1,118,782||22%||44,009||7%|
|UNIVERSITY HC & GUNDERSEN LUTHERAN GRP||338,917||7%||161,924||25%|
Source: County Health Coverage, Mark Farrah Associates
Competition and Market Share
In Wisconsin (WI), large national insurance carriers, UnitedHealthcare and Anthem, combined cover 44% of the state’s health insurance market. Much of the national carriers’ enrollment is focused in the Milwaukee area, the largest metropolitan area in the state. Less than 80 miles away from Milwaukee, a very different competitive landscape emerges, with regional carriers such as Medica Group and University Health Care/Gundersen Lutheran Group leading the Dane County market.
* "Census: Madison, suburbs top list of fastest-growing cities in Wisconsin". Wisconsin State Journal, July 25, 2020.
About County Health CoverageTM
County Health CoverageTM provides reliable estimates of health insurance enrollment and market share at the state, county, and Metropolitan Statistical Area (MSA) level. Product features include company market share by county, company, and state for the Private Risk, Private ASO, Managed Medicaid, Medicare Advantage, and PDP segments. Breakdowns by product type (HMO, PPO, etc.) are also presented, as well as population demographics and interactive, visual mapping tools. To learn more, visit the product page - County Health CoverageTM.
About Mark Farrah Associates (MFA)
Mark Farrah Associates (MFA) is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Our product portfolio includes Health Coverage PortalTM, County Health CoverageTM, Medicare Business OnlineTM, Medicare Benefits AnalyzerTM, Health Plans USATM and 5500 Employer Health plus. For more information about these products, refer to the informational videos and brochures available under the Our Products section of the website or call 724-338-4100.
Healthcare Business Strategy is a FREE monthly brief that presents analysis of important issues and developments affecting healthcare business today. If you would like to be added to our email distribution list, please submit your email to the "Subscribe to MFA Briefs" section at the bottom of this page.