Information Sources:

On this page, IPN provides links to sites that provide information useful to both providers and patients. The sites will be continually updated, so feel free to suggest helpful sites.

Government:

Centers for Medicare and Medicaid Services. This website will answer your questions related to Medicare and Medicaid programs for both providers and patients.

State of Wisconsin’s Office of the Commission of Insurance official site will answer questions regarding insurance regulations.

Promoting Interoperability Programs Promoting Interoperability Programs Milestones In 2011, CMS established the Medicare and Medicaid EHR Incentive Programs (now known as the Promoting Interoperability programs) to encourage clinicians, eligible hospitals, and CAHs to adopt, implement, upgrade (AIU), and demonstrate meaningful use of CEHRT.

Wisconsin’s Department of Health Services. Find information specifically regarding Wisconsin’s Medicaid program.

Healthcare Standards:

The Joint Commission evaluates and accredits more than 15,000 health care organizations and programs in the US. An independent, not-for-profit organization, the Joint Commission is the nation’s predominant standards-setting and accrediting organization in health care. Since 1951, the Joint Commission has maintained state-of-the-art standards that focus on improving the quality and safety of care provided by health care organizations.

The National Committee for Quality Assurance (NCQA) is the premier source for information about the quality of the nation’s managed care plans. NCQA is an independent, 501(c)(3) non-profit organization whose mission is to improve health care quality everywhere.

Partner Websites

Below, you’ll find links to IPN’s partner health plans, health systems, products, and services.

Health Plans:

Anthem Blue Cross Blue Shield of Wisconsin has consistently served the health care needs of Wisconsin residents since 1940. Known for its stability and endurance in an ever-changing and challenging marketplace, Anthem Blue Cross Blue Shield of Wisconsin is a trusted health care leader throughout the state.

Chorus Community Health Plan, formerly Children’s Community Health Plan and Together with CCHP, offers individual and family health insurance plans which offer coverage to individuals and families living in southeastern and northeastern Wisconsin. CCHP is also an HMO for more than 150,000 BadgerCare Plus adults and children across southeast and northeast Wisconsin.

Health Payment Systems, Inc. (HPS) is a Wisconsin company that provides technological solutions to healthcare industry challenges. The HPS Single Payment System^SM is a patented method of payment to providers of both the employer portion and the patient portion of the health care claim in a single payment, eliminating the bad debt cost to the provider. The HPS SuperEOB^® clarifies the health care payment process for families by aggregating all family medical bills into a single, understandable, monthly statement.

Since 1961, Humana has been committed to helping people live healthy and happy. With multiple Medicare Advantage options, including PPOs, HMOs, and PFFSs, they strive to offer personalized care from people who care for members all over the country.

Independent Care Health Plan, or iCare, provides managed care coverage for approximately 28,000 people throughout Wisconsin. iCare has been securing the wellness of people with complex conditions for over two decades. For 2017, iCare received a rating of 4.5 out of 5 Stars from Medicare.

My Choice Wisconsin is a Medicaid HMO for BadgerCare Plus members in 27 counties in Wisconsin. My Choice Wisconsin is locally owned and managed and serves more than 21,400 members.

Founded in 1982, Network Health offers customized commercial and Medicare health insurance services to employers, individuals, and families in twenty-three counties throughout eastern Wisconsin. Through its strong reputation for quality health care coverage and exceptional customer service, Network Health has grown to serve more than 129,000 members and 20,000 wellness participants. – Visit networkhealth.com/transparency to access the machine readable files Network Health has created and published.

Trilogy Health Solutions is a competitive insurance company created for the sole purpose of serving small businesses (2-50 employees) in twenty-four counties of eastern Wisconsin. They offer a variety of medical benefit plan options including Traditional PPO plans and High Deductible Health Plans (HDHP) that qualify for health Savings Accounts (HSA). Trilogy is locally owned and managed. To find out more, please visit their website or call at 866-429-3241 or 262-432-9140.

Serving millions of people from their earliest years through their working lives and through retirement, United Healthcare, the health benefits business of UnitedHealth Group, offers programs for all ages and lifestyles. This includes individuals, employers, and Medicare and Medicaid beneficiaries. United Healthcare serves more than 26 million Americans. United Healthcare Community Plan also serves millions of beneficiaries of government health care programs in states across the US, including Wisconsin. Recently, UnitedHealth Group included Optum, a business that delivers care aided by technology and data empowering people, partners and providers with the guidance and tools they need to achieve better health.

WPS Health Insurance, the original brand, offers Preferred Provider Organization (PPO) health plans for individuals and groups, plus Medicare supplement plans. WPS Health Plan, based in Green Bay, offers HMO and point-of-service plans to the group and individual markets in eastern and north-central Wisconsin. As one of the largest health benefits providers in the state WPS remains not-for-profit.

Health Systems:

Ascension Wisconsin a not-for-profit organization of twenty-three hospitals, one hundred-eleven clinics, a college of nursing, and more than 900 physicians in Wisconsin.

The Medical College of Wisconsin, located in west suburban Milwaukee, is a private, academic institution dedicated to leadership and excellence in education, research, patient care, and service.

Value Added Services:

Legal Shield provides affordable legal protection for your practice/business, family and employees.

The MMIC Group provides physicians, clinics, and hospitals in the Upper Midwest with professional liability insurance, billing solutions, and a host of technology products and services. Members of The MMIC Group include Midwest Medical Insurance Holding Company, Midwest Medical Insurance Company, MMIC Technology Solutions, and The MMIC Agency.

With Northwestern Mutual and Physicians Nationwide, learn how to plan for your long-term care and disability income insurance. Both products for physicians have become an integral part of comprehensive financial planning. Questions regarding disability income insurance for physicians and helping to insure retirement plan contributions through insurance products can also be directed to Joe Sectzer at 414-899-1601 for more information.

Robertson Ryan & Associates was founded in 1960. Each agent at Robertson Ryan is an entrepreneur and has a vested interest in providing clients the level of service and counsel they require and expect. With offices in downtown Milwaukee, Waukesha, Lake Geneva, Racine, and Rhinelander, Robertson Ryan assists over 20,000 clients in the purchase of business and personal insurance.

Shared Purchasing Solutions, a leading national healthcare group purchasing organization, strategically partners with acute and alternate care providers to reduce costs and improve quality through its performance solutions. Built on a foundation of data, savings and trust, and supported by a team of clinical and supply chain experts, Shared Purchasing Solutions enriches healthcare delivery for its members and the communities they serve.

IPN has entered into and agreement with Health Resource Services (HRS), an affiliate of Premier, Inc., a Group Purchasing Organization. Just by being a member of IPN you are eligible for discounted services and products such as: Medical Office Supplies, Office Supplies, Computer Products, Furniture and Equipment and Wireless Service (AT&T and Verizon). Contact Dana Spiva at (901) 619-2962 or via e-mail at Dana.Spiva@hrsgpo.com.

Other:

American Red Cross. The Greater Milwaukee Chapter provides training for businesses, professionals, and recertifications.