WISCONSIN

Overview

Wisconsin collects healthcare claims data and other information from providers in order to disseminate consumer guides and legislative reports. The Wisconsin Health Information Organization also operates an all-payer claims database (APCD), one of the largest in the country, along with a consumer website for comparing cost and quality information. Wisconsin received a $2.4 million dollar grant from CMS in 2014 in order to develop a state innovation plan to reduce Medicare and Medicaid costs.

In the 2018 legislative session, Wisconsin passed a bill that would set up a state-based reinsurance program, the Wisconsin Health Care Stability Plan (WIHSP), to expand access to care and lower costs for consumers. The reinsurance program will pay insurers up to 80 percent of that part of claims totaling more than $50,000 but less than $250,000 using public money. The program’s stated aims are to reduce premium increases, keep more individuals insured, and entice insurers to offer insurance plans in the state. Wisconsin’s 1332 State Innovation Waiver to implement WIHSP was approved by HHS on July 29, 2018 for 2019 through 2023. Wisconsin joins Alaska, Hawaii, Maine, Minnesota, and Oregon as states that have received a 1332 waiver from the federal government.

State Action




2020 Legislative Session: 1/14/2020 - 5/13/2020 (2019-2020 term). *Current session bill updates are ongoing. Check back weekly for updates.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
Filter by Key Issue

Additional Resources

STATE BUDGET

Wisconsin operates on a biennial budget cycle. The governor submits a proposed budget in January of each odd-numbered year and the legislature adopts a budget in July. The budget cycle runs from July to June of the following odd-numbered year. See 2019-21 budget here.

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