Organizations Filed Purposes:
CHILDREN'S COMMUNITY HEALTH PLAN, INC. ("CCHP"), A SUBSIDIARY OF CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), IS A HEALTH MAINTENANCE ORGANIZATION DEDICATED TO PROVIDING ACCESS TO THE HIGHEST QUALITY HEALTH CARE AND SERVICES TO MEMBERS.
TO PROVIDE ACCESS TO QUALITY HEALTH CARE AND SERVICES TO ITS MEMBERS IN WI.
CCHP'S PURPOSE IS TO PROMOTE ACCESS TO HEALTHCARE SERVICES FOR LOW-INCOME CHILDREN AND CERTAIN OTHER DISADVANTAGED RESIDENTS OF THE STATE OF WISCONSIN, AND TO PROMOTE OR SPONSOR PROGRAMS FURTHERING THE HEALTH OF ITS MEMBERS AND THE LARGER COMMUNITIES SERVED. CCHP IS AN HMO FOR WISCONSIN MEDICAID-ELIGIBLE INDIVIDUALS AND FAMILIES LIVING IN BROWN, CALUMET, DOOR, FOND DU LAC, FOREST, GREEN LAKE, LINCOLN, JEFFERSON, KENOSHA, KEWAUNEE, MANITOWOC, MARINETTE, MILWAUKEE, OCONTO, ONEIDA, OUTAGAMIE, OZAUKEE, RACINE, ROCK, SHAWANO, SHEBOYGAN, VILAS, WALWORTH, WAUKESHA, WAUSHARA, WASHINGTON, WAUPACA, AND WINNEBAGO COUNTIES IN WISCONSIN. THE MEDICAID ENROLLMENT AT THE END OF DECEMBER 2019 WAS 120,827 MEMBERS, AND THERE WERE 10,135 INPATIENT ADMISSIONS, 403,232 AMBULATORY ENCOUNTERS, AND 2,856 DELIVERIES IN 2019. THE PLAN ALLOWS MEMBERS TO CHOOSE FROM A LARGE NETWORK OF PROVIDERS, WHICH INCLUDED MORE THAN 9,000 PHYSICIANS, 8,000 NON PHYSICIANS, AND OVER 60 HOSPITALS IN 2019. IN ADDITION, CCHP OFFERS HOME CARE, MEDICAL EQUIPMENT PROVIDERS AND THE CCHP NURSELINE FOR ITS MEMBERS.
CCHP SELLS INDIVIDUAL COMPREHENSIVE INSURANCE PLANS SUBJECT TO THE AFFORDABLE CARE ACT ON THE FEDERALLY FACILITATED MARKETPLACE AND OFF EXCHANGE, DIRECTLY TO CONSUMERS. THERE WERE 10,068 MEMBERS ENROLLED AT THE END OF DECEMBER 2019. APPROXIMATELY 75 PERCENT OF THE POLICY HOLDERS RECEIVED AN ADVANCE PREMIUM TAX CREDIT (APTC), AND THESE CREDITS ACCOUNTED FOR 62 PERCENT OF THE PREMIUM REVENUE FROM MEMBERS. ADDITIONALLY, APPROXIMATELY 34 PERCENT OF THE ENROLLMENT MONTHS WERE ON SILVER PLANS THAT QUALIFIED FOR COST SUBSIDY REIMBURSEMENT (CSR), ALTHOUGH CMS NO LONGER PAYS THE SUBSIDY.
CCHP RECORDED REVENUE AND EXPENSES FOR CHHS' FOSTER CARE MEDICAL HOME PROGRAM CALLED CARE4KIDS. CARE4KIDS IS A NON-RISK PREPAID INPATIENT HEALTH PLAN CONTRACT BETWEEN CHHS AND WISCONSIN MEDICAID THAT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES FOR QUALIFYING FOSTER CHILDREN IN SOUTHEASTERN WISCONSIN. CCHP PROVIDES UTILIZATION MANAGEMENT AND A PROVIDER NETWORK, AND PROCESSES CLAIMS FOR THE PARTICIPANTS VIA A SUBCONTRACT AGREEMENT WITH CHHS. THERE WERE 3,214 FOSTER CHILDREN IN CARE4KIDS AT THE END OF DECEMBER 2019.
Executives Listed on Filing
Total Salary includes financial earnings, benefits, and all related organization earnings listed on tax filing
| Name | Title | Hours Per Week | Total Salary |
|---|
| Lynn Maskel | MEDICAL DIR CLINICAL SERVICES | 28 | $176,551 |
| Lynn Kryfke | EXEC DIR HEALTH PLAN CLIN SVCS | 40 | $149,847 |
| James Slawson | CHIEF MEDICAL OFFICER CCHP | 40 | $137,522 |
| Julie Antholine | DIR HEALTH PLAN OPERATIONS | 40 | $132,721 |
| Michael Boeder | EXEC DIR HEALTH PLAN OPS | 40 | $123,640 |
| Michael Silver | DIRECTOR | 1 | $0 |
| Clark Slipher | DIRECTOR | 1 | $0 |
| James Purko | DIRECTOR/CHAIR | 1 | $0 |
| Thomas Precia | DIRECTOR | 1 | $0 |
| Ben Melson | DIRECTOR | 1 | $0 |
| David Drury | DIRECTOR | 1 | $0 |
| Mark Rakowski | VP CCHP | 0 | $0 |
| Michelle Mettner | SECRETARY | 0 | $0 |
| Marc Cadieux | TREASURER | 0 | $0 |
| Robert Duncan | DIRECTOR/PRESIDENT | 0 | $0 |
| Margaret Troy | DIRECTOR/CHHS PRESIDENT | 0 | $0 |
Data for this page was sourced from XML published by IRS (
public 990 form dataset) from:
https://s3.amazonaws.com/irs-form-990/202023189349306732_public.xml