Medicare Advantage in Waupaca County, Wisconsin
10,974 people in Waupaca County, Wisconsin were enrolled in Medicare Advantage in October 2026, 73.8% of 14,879 eligible beneficiaries (+0.8 pts since October 2025). Network Health, Inc. is the largest parent organization with 48% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 3,243 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 453 members here are in plans that terminate or leave the county, and Aspirus, Inc. leaves. MA plans offered go from 38 to 34.
Parent organizations in Waupaca County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Network Health, Inc. | 5,199 | +923 | 47.5% |
| UnitedHealth Group, Inc. | 2,718 | −378 | 24.8% |
| Humana Inc. | 2,054 | +430 | 18.8% |
| Elevance Health, Inc. | 288 | −585 | 2.6% |
| Sanford Health | 238 | +10 | 2.2% |
| HealthPartners, Inc. | 198 | −83 | 1.8% |
| Centene Corporation | 135 | +16 | 1.2% |
| CVS Health Corporation | 56 | +1 | 0.5% |
| Aspirus, Inc. | 44 | +11 | 0.4% |
| CareSource | 13 | −5 | 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, 2,155 beneficiaries in Waupaca County were assigned to 24 Medicare Shared Savings Program ACOs, 69.1% of assignable Original Medicare beneficiaries. Together, roughly 92% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.