Medicare Advantage in Outagamie County, Wisconsin
31,124 people in Outagamie County, Wisconsin were enrolled in Medicare Advantage in October 2026, 73.6% of 42,287 eligible beneficiaries (+0.3 pts since October 2025). Network Health, Inc. is the largest parent organization with 54% of reported enrollment; 11 parent organizations have 11 or more members and the HHI is 3,672 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 1,876 members here are in plans that terminate or leave the county, and Sanford Health leaves. MA plans offered go from 40 to 33.
Parent organizations in Outagamie County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Network Health, Inc. | 16,801 | +4,684 | 54.1% |
| UnitedHealth Group, Inc. | 6,875 | −3,105 | 22.1% |
| Humana Inc. | 4,843 | +1,126 | 15.6% |
| Elevance Health, Inc. | 824 | −1,427 | 2.7% |
| HealthPartners, Inc. | 622 | −365 | 2.0% |
| Centene Corporation | 573 | +267 | 1.8% |
| CVS Health Corporation | 324 | −9 | 1.0% |
| Sanford Health | 117 | +37 | 0.4% |
| CareSource | 43 | −5 | 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 34 | −7 | 0.1% |
| Molina Healthcare, Inc. | 16 | +1 | under 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 5,866 beneficiaries in Outagamie County were assigned to 48 Medicare Shared Savings Program ACOs, 76.9% of assignable Original Medicare beneficiaries. Together, roughly 94% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.