Wisconsin Managed Care Review 2007


March 13, 2008
30 Pages - SKU: ALBA1763164
License type:
Table of Contents Related Reports
In 2006, Milwaukee-area hospitals saw their profits decline while hospitals in the Madison area enjoyed increased profitability. Wisconsin HMOs saw their profits drop by half, but, after years of decline, HMO enrollment declined only slightly.

These findings and others are included in Wisconsin Managed Care Review 2007, Allan Baumgarten's fifth annual report analyzing trends and issues in Wisconsin health markets. The report was released here this week. Baumgarten is an independent analyst and consultant on health policy and finance based in Minneapolis. He publishes annual market reports in Wisconsin and nine other states: California, Colorado, Florida, Illinois, Kentucky (new this year), Michigan, Minnesota, Ohio and Texas. GlaxoSmithKline provided support for this research.


1. Colorado HMOs at a Glance
2. Market Share of Colorado HMOs
3. Denver Area Hospital Systems at a Glance
Trend Review
4. Colorado HMO Enrollment by Line of Business, 2006
5. Colorado HMO Enrollment, 1993-20076. Colorado HMO Enrollment, June 2007
7. Premium Volume for Major Health Insurers (Outside of HMOs), 2006
8. Enrollment in Colorado Medicare Managed Care Plans, 1994-2007
9. Enrollment in Medicare Advantage Plans, 2007
10. Estimated HMO Enrollment and Penetration by Region, 2006
11. Profits and Losses for Largest Colorado HMOs, 1994-2006
12. Net Income for Colorado HMOs, 2006
13. HMO Net Income, First Half of 2007
14. HMO Underwriting Net Income by Line of Business, 2006
15. HMO Average Commercial Premium Revenue Per Member Per Month, 1994-2006
16. HMO Commercial Premium Revenue Per Member Per Month, 1996-2006
17. HMO Medical Loss Ratios and Medical Expenses, Per Member Per Month, for Commercial Plans
18. Administrative Expenses for Colorado HMOs, 2005 and 2006
19. HMO Use of Capitation Payments, 2001-2006
20. HMO Net Worth, 2005-2006
21. HEDIS Effectiveness of Care Measures for Commercial HMOs, 2006
22. Inpatient Hospital Utilization Measures for Commercial HMOs, 2006
23. Ambulatory Care Utilization for Commercial HMOs, 2006
24. Prescription Drug Expenses for Commercial HMOs, 2006
25. Enrollee Satisfaction Measures Reported on CAHPS Survey for Commercial Health Plans, 2006
Hospitals and Hospital Systems
26. Metro Denver Hospitals and Hospital Systems
27. Revenues and Net Income for Denver Metro Area Hospitals, 2006
28. Net Income for Denver Area Hospitals, 2002-2006
29. Occupancy and Payer Mix for Denver Metro Area Hospitals, 2006
30. Revenues and Profits for Largest Outstate Hospitals, 2006
31. Occupancy and Payer Mix for Largest Outstate Hospitals, 2006
A Look Ahead

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