HEALTHCARE OF WISCONSIN HEALTHCARE OF WISCONSIN HEALTHCARE OF WISCONSIN
The Best for the Group comes when everyone in the group does
what's best for himself AND the group.
― John Nash
HEALTHCARE OF WISCONSIN
HEALTHCARE OF WISCONSIN HEALTHCARE OF WISCONSIN HEALTHCARE OF WISCONSIN
The Best for the Group comes when everyone in the group does
what's best for himself AND the group.
― John Nash
HOW - DIRECT HEALTHCARE
A New Approach
HOW Buys Healthcare
HOW Buys Healthcare
HOW - A Proposal
Healthcare of Wisconsin [HOW] is a proposed statutory plan to provide direct medical services for Wisconsinites, who are not covered by state and federal programs, without the necessity of using tax dollars. HOW promotes healthcare equity and provides direct medical services, the next step in the relationship between a he
HOW - A Proposal
Healthcare of Wisconsin [HOW] is a proposed statutory plan to provide direct medical services for Wisconsinites, who are not covered by state and federal programs, without the necessity of using tax dollars. HOW promotes healthcare equity and provides direct medical services, the next step in the relationship between a healthcare provider and a consumer.
A healthy society is necessary for a vibrant business environment.
A new approach to healthcare is paramount to achieving Wisconsin Manufacturers and Commerce’s goal “to make Wisconsin the best place in the nation to do business.”
HOW Buys Healthcare
HOW Buys Healthcare
HOW Buys Healthcare
HOW – Who is Covered?
Covered Wisconsinites
2021 Wisconsin Individuals’ Health Insurance Statistics – Total Insured 5,457,000
3,509,000 have health insurance from an employer.
213,000 have private health insurance purchased through an exchange.
181,000 have private health insurance purchased another way.
1,553,000 have other health insurance
HOW – Who is Covered?
Covered Wisconsinites
2021 Wisconsin Individuals’ Health Insurance Statistics – Total Insured 5,457,000
3,509,000 have health insurance from an employer.
213,000 have private health insurance purchased through an exchange.
181,000 have private health insurance purchased another way.
1,553,000 have other health insurance.
240,000 Wisconsinites are uninsured.
The 1,553,000, who have other health insurance (Medicare, Medicaid, Veteran’s Health Administration, and other government programs), are not covered. HOW covers the rest and accepts the ACA Medicaid Expansion
Healthcare Benefits
HOW Buys Healthcare
Healthcare Benefits
HOW – What it provides?
HOW provides the following services: ambulatory patient, emergency, pregnancy, maternity, newborn care, mental health, substance abuse disorder, rehabilitative and habilitative care and devices, laboratory, preventative and wellness care, pediatric care, pediatric and adult oral and vision care, and medical managem
HOW – What it provides?
HOW provides the following services: ambulatory patient, emergency, pregnancy, maternity, newborn care, mental health, substance abuse disorder, rehabilitative and habilitative care and devices, laboratory, preventative and wellness care, pediatric care, pediatric and adult oral and vision care, and medical management programs (for specific needs like weight management, back pain, and diabetes)..
HOW – What it costs?
Covered Wisconsinites pay mandatory monthly fees. HOW uses deductibles, copayments, and refund tax credits to lower monthly fees. With about four million covered Wisconsinites in the group, HOW achieves the lowest costs.
HOW - DIRECT HEALTHCARE
Healthcare Providers
Covered Wisconsinites
Covered Wisconsinites
Medical Services Providers, licensed in Wisconsin, would comprise a joint venture, the Wisconsin network. a non-governmental, non-profit organization. For their respective members, this network sets their prices for their goods and services and establishes the processes for determining medical necessity, prior authorizations, denials, app
Medical Services Providers, licensed in Wisconsin, would comprise a joint venture, the Wisconsin network. a non-governmental, non-profit organization. For their respective members, this network sets their prices for their goods and services and establishes the processes for determining medical necessity, prior authorizations, denials, appeals, disclosures, etc. A HOW administrative contractor pays the claims submitted by this network. This network enters into a healthcare requirements contract with the State of Wisconsin to provide four million plus covered Wisconsinites with direct healthcare at the lowestprices.
Covered Wisconsinites
Covered Wisconsinites
Covered Wisconsinites
Covered Wisconsinites would pay mandatory monthly fees for individual or family health coverage, based on income, age and size of household. HOW uses tax credits to lower monthly fees. These fees together with reasonable deductibles and co-payments would be deposited into the HOW Fund and managed by the State of Wisconsin Investment Board
Covered Wisconsinites would pay mandatory monthly fees for individual or family health coverage, based on income, age and size of household. HOW uses tax credits to lower monthly fees. These fees together with reasonable deductibles and co-payments would be deposited into the HOW Fund and managed by the State of Wisconsin Investment Board.
The HOW fund would pay the healthcare costs of covered Wisconsinites. With four million plus Wisconsinite in the group, HOW would achieve the lowest costs.
Management
Covered Wisconsinites
Management
A board of trustees, comprised of members from the healthcare industry and Wisconsin ex officio members, manages HOW operations. State of Wisconsin Investment Board [SWIB] manages the HOW fund. In addition, SWIB manages the initial capitalization and reserves funded by the elimination of miscellaneous business income tax deductions.