Medicare Advantage in Shawano County, Wisconsin
7,976 people in Shawano County, Wisconsin were enrolled in Medicare Advantage in October 2026, 71.2% of 11,195 eligible beneficiaries (−0.3 pts since October 2025). Network Health, Inc. is the largest parent organization with 39% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 2,541 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 536 members here are in plans that terminate or leave the county, and Aspirus, Inc. leaves. MA plans offered go from 41 to 37.
Parent organizations in Shawano County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Network Health, Inc. | 3,106 | +1,057 | 39.0% |
| UnitedHealth Group, Inc. | 1,972 | −658 | 24.8% |
| Humana Inc. | 1,440 | +401 | 18.1% |
| Sanford Health | 528 | +19 | 6.6% |
| Elevance Health, Inc. | 325 | −759 | 4.1% |
| HealthPartners, Inc. | 211 | −33 | 2.7% |
| Centene Corporation | 169 | +74 | 2.1% |
| CVS Health Corporation | 125 | +11 | 1.6% |
| Aspirus, Inc. | 81 | +57 | 1.0% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,271 beneficiaries in Shawano County were assigned to 14 Medicare Shared Savings Program ACOs, 56.4% of assignable Original Medicare beneficiaries. Together, roughly 87% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.