Managed Care · WI
Wisconsin
Saturated · score 47
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
58.1%
National rank #6 · National avg 47.8%
+10.32 pp vs national
782,064
MA beneficiaries (rolled up)
1,345,576
Medicare eligibles
72
Counties indexed
323
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +56.2%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 74.1%Calumet7,405 of 9,994 eligibles
- 73.7%Oconto8,195 of 11,116 eligibles
- 73.3%Outagamie29,849 of 40,698 eligibles
- 72.6%Waupaca10,587 of 14,589 eligibles
- 71.8%Brown39,919 of 55,556 eligibles
- 71.4%Shawano7,796 of 10,925 eligibles
- 70.8%Winnebago26,969 of 38,082 eligibles
- 70.2%Kewaunee3,709 of 5,285 eligibles
- 68.8%Waushara5,287 of 7,688 eligibles
- 68.2%Fond du Lac16,831 of 24,694 eligibles
Highest opportunity counties
- 34.8%Richland4,548 eligibles · 1,581 enrolled
- 35.8%Green9,368 eligibles · 3,352 enrolled
- 37.1%Iowa6,202 eligibles · 2,301 enrolled
- 39.4%Dane103,545 eligibles · 40,790 enrolled
- 39.8%Sauk16,025 eligibles · 6,370 enrolled
- 40.5%Buffalo3,638 eligibles · 1,472 enrolled
- 41.1%Pepin2,224 eligibles · 914 enrolled
- 41.8%Monroe10,465 eligibles · 4,372 enrolled
- 43.4%Lafayette3,988 eligibles · 1,732 enrolled
- 44.0%Columbia14,452 eligibles · 6,353 enrolled
Top MA payers in Wisconsin
786,029 total MA enrolled- 1UNITEDHEALTHCARE OF WISCONSIN, INC.190,76424.3%
- 2NETWORK HEALTH INSURANCE CORPORATION130,14516.6%
- 3SECURITY HEALTH PLAN OF WISCONSIN, INC.79,31710.1%
- 4SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.61,9307.9%
- 5HUMANA INSURANCE COMPANY61,5537.8%
- 6AETNA LIFE INSURANCE COMPANY35,8724.6%
- 7HUMANA WI HEALTH ORGANIZATION INSURANCE CORP30,3903.9%
- 8COMPCARE HEALTH SERVICES INSURANCE CORPORATION28,1563.6%
- 9EMPHESYS INSURANCE COMPANY26,9833.4%
- 10MEDICA INSURANCE COMPANY26,8193.4%
- 11UNITEDHEALTHCARE INSURANCE COMPANY24,6103.1%
- 12DEAN HEALTH PLAN, INC.22,0022.8%
- 13QUARTZ HEALTH PLAN CORPORATION18,6632.4%
- 14MANAGED HEALTH SERVICES INSURANCE CORP.13,0601.7%
- 15ANTHEM INSURANCE COMPANIES, INC.9,2681.2%
Top-rated SNFs in Wisconsin
323 total- SHAWANO HEALTH SERVICESSHAWANO, WI · Shawano County · 100 beds5★
- CLEMENT MANOR HEALTH CARE CENTERGREENFIELD, WI · Milwaukee County · 50 beds5★
- COLUMBIA HEALTH CARE CENTERWYOCENA, WI · Columbia County · 85 beds5★
- Aria at Villa PinesFriendship, WI · Adams County · 50 beds5★
- EASTCASTLE PL BRADFORD TER CONV CTRMILWAUKEE, WI · Milwaukee County · 40 beds5★
- KEWAUNEE HEALTH SERVICESKEWAUNEE, WI · Kewaunee County · 50 beds5★
- UPLAND HILLS NURSING AND REHABDODGEVILLE, WI · Iowa County · 44 beds5★
- CARE AND REHAB - BOSCOBELBOSCOBEL, WI · Grant County · 50 beds5★
- ORCHARD MANORLANCASTER, WI · Grant County · 74 beds5★
- DEERFIELD CARE CENTER, LLCNEW RICHMOND, WI · St. Croix County · 50 beds5★
Source: CMS MA State/County Penetration (Aug 2025). Secondary metrics from CMS Medicare Advantage Geographic Variation PUF (2016–2022). Penetration is computed by rolling up county-level CMS-published MA enrolled / Medicare eligibles. Trend chart spans 2016–2022.