Chorus Community Health Plans Inc

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 13,391 members enrolled at the end of december 2024. Approximately 78 percent of the policy holders received an advance premium tax credit (aptc), and these credits accounted for 58 percent of the premium revenue from members. Additionally, approximately 32 percent of the enrollment months were on silver plans that qualified for cost subsidy reimbursement (csr), although cms no longer pays the subsidy. Cchp also started to sell a stand-alone dental insurance plan, which had 174 members enrolled at the end of december 2024.

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 2,803 foster children in care4kids at the end of december 2024.