$286.9M in expenses

CCHP's purpose is to promote access to healthcare services for low-income children and certain other disadvantaged residents of the state of wisconsin, and to promote or sponsor programs furthering the health of its members and the larger communities served. CCHP is an hmo for wisconsin medicaid-eligible individuals and families living in brown, calumet, dodge, door, eau claire, fond du lac, grant, green lake, jefferson, kenosha, kewaunee, manitowoc, marinette, milwaukee, oconto, outagamie, ozaukee, racine, rock, shawano, sheboygan, walworth, washington, waukesha, waupaca, waushara, and winnebago counties in wisconsin. The medicaid enrollment at the end of december 2024 was 117,950 members, and there were 8,435 inpatient admissions, 402,726 ambulatory encounters, and 2,213 deliveries in 2024. The plan allows members to choose from a large network of providers, which included more than 11,500 physicians, more than 13,400 non physicians, and 102 hospitals in 2024. In addition, CCHP offers home care and medical equipment providers.

$142.5M in expenses

CCHP sells individual comprehensive insurance plans subject to the affordable care ACT on the federally facilitated marketplace and off exchange directly to consumers. There were 13,391 members enrolled at the end of december 2024. Approximately 78 percent of the policy holders received an advance premium tax credit (aptc), and these credits accounted for 58 percent of the premium revenue from members. Additionally, approximately 32 percent of the enrollment months were on silver plans that qualified for cost subsidy reimbursement (CSR), although CMS no longer pays the subsidy. CCHP also started to sell a stand-alone dental insurance plan, which had 174 members enrolled at the end of december 2024.

$17.6M in expenses

CCHP recorded revenue and expenses for CHHS' foster care medical home program called care4kids. Care4kids is a non-risk prepaid inpatient health plan contract between CHHS and wisconsin medicaid that provides comprehensive healthcare services for qualifying foster children in southeastern wisconsin. CCHP provides utilization management and a provider network, and processes claims for the participants via a subcontract agreement with CHHS. There were 2,803 foster children in care4kids at the end of december 2024.