The Wisconsin Association of Health Plans proudly offers the Corporate Affiliate Program (CAP), designed to foster collaboration, amplify influence, and shape the future of healthcare in Wisconsin. CAP features four levels of partnership—Partner, Champion, Supporter, and Friend—each tailored to meet diverse organizational goals and priorities.

The Association extends its gratitude to the 2025 CAP Participants for their dedication and partnership. These contributions drive innovation, enhance collaboration, and leave a lasting impact on Wisconsin’s health plan community, helping to advance the shared mission of improving healthcare across the state.

For inquiries or to learn more about becoming a CAP affiliate, contact Association staff at cap@wihealthplans.org or call (608) 255-8599.

Partner

Navitus Health Solutions, owned by SSM Health and Costco Wholesale Corporation, was founded as an alternative to spread-based PBMs. Now, more than 20 years later, the organization delivers a range of solutions through portfolio brands including Navitus, EpiphanyRx, Lumicera, and Archimedes and we proudly serve approximately 18 million members through nearly 800 client relationships.

Our 100% transparent, pass-through PBM empowers clients with their data so that they can optimize their benefit offerings. For health plan clients, we are committed to helping them achieve their goals of controlling cost, improving health, and growing their business. Our deep government programs expertise is well-aligned to support compliance and regulatory needs for health plans offering managed Medicare or Medicaid plans. We believe in working together from the start so that clients experience true partnership from implementation to ongoing benefit management.

ECHO® for Healthcare is an end-to-end payment solution tailored to fit the unique needs of health plans, dental plans, and TPAs, designed to save time and money. ECHO's network includes 1.6M+ providers and vendor connections creating the industry's largest payment network. ECHO processes over $180B in claims annually for over 400 payers. The ECHO advantage include:

• Convert costly check payments to a fully digital platform. ECHO drives over 90% electronic payment processing by maximizing choice in payment methods and automates payment preferences. In the State of Wisconsin, ECHO achieves over 93% for electronic payment processing.
• Eliminate 1099 processing, reporting, and liability for fines. 
  
• Reduce provider abrasion with providing a system of choice with maximizing the payment choices, dedicated call center, and access to the remittance/835 at no cost.
•  Complete Fraud Prevention & Security: real-time, multi-layered fraud prevention and security includes risk scoring and real-time ID verification.

Champion

As a global leader in diabetes care, Abbott is constantly working to deliver the highest quality products and unwavering support to our customers. Consistent and accurate glucose monitoring is the foundation of any diabetes management plan so we’re committed to continuous improvement in the way patients and professionals measure, track and analyze glucose levels.

Gaine Technology is a pioneering provider of health data management solutions for healthcare payers and life science organizations. Gaine’s Coperor Health Data Management Platform unifies disparate health data sources to create a single, trusted source of truth for all your provider, member, and claims data, leading to lower operational costs while accelerating strategic initiatives like interoperability and advanced analytics such as artificial intelligence. 

Supporter

Health Payment Systems (HPS) is contracted throughout Wisconsin, covering 100+ hospital facilities and 29,200+ individual providers. Only HPS combines a broad independent provider network with their innovative PayMedix patient financing solution.

Our PayMedix solution provides the member with a single monthly statement, the SuperEOB®, addressing all claims accrued and offers patient financing for everyone up to the full out-of-pocket maximum. PayMedix removes the financial barrier to care for members by prompt paying both the entire healthcare claim in one electronic payment to providers, and then offering interest-free financing to members for those claim payments, regardless of their credit history. PayMedix and the SuperEOB® can overlay any network offering.

Additionally, HPS/PayMedix acquired a post-tax patient financing tool, TempoPay, that can supplement any benefits plan, anytime.  TempoPay is a card-based financial tool that provides members with immediate access to a pre-determined credit limit to pay for healthcare with flexible, interest-free repayment options.

Since 1996, J&B Medical has been a family-owned leader in healthcare, providing program management, managed care contracts, technology solutions and medical products. As a certified Women’s Business Enterprise, we focus on improving outcomes, reducing costs and delivering exceptional service.

SafeRide Health is dedicated to reducing barriers to care by improving non-emergency medical transportation (NEMT). We leverage proprietary technology and a network of vetted transportation providers to close the gap between need and access for the nation’s most vulnerable. SafeRide’s scalable and intuitive platform enables cost-effective, on-demand transportation for the country’s largest MA, Medicaid, and provider programs.

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including top national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. Learn more at Zelis.com and follow us on LinkedIn to get the latest news.

Friend

Baker Tilly

Baker Tilly is a leading advisory, tax, and assurance firm whose specialized professionals guide clients through ever changing business world, helping them win now and anticipate tomorrow. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion.

Elligint Health 

Starting in 1997 with a commitment to addressing food insecurity, our journey has led to a significant nationwide presence for Homestyle Direct. Headquartered in Twin Falls, Idaho, with a second distribution center in Lewisburg, TN, we now serve over 200,000+ meals weekly to Medicaid, Medicare Advantage, and private pay across the continental U.S. Our mission is to deliver delicious healthy meal options that promote health equity, disease management and food security.

Husch Blackwell

Husch Blackwell has a national reputation for providing exceptional healthcare legal services. Our healthcare law team includes more than 150 skilled attorneys – all with experience in the healthcare industry. We offer competitive rates, creative use of alternative fee approaches, and an efficient staffing model to help healthcare clients advance their unique business goals.

Inovalon

For health plans, Inovalon provides analytics-based software solutions to improve operational transparency, clinical quality metrics, risk score accuracy, patient engagement, treatment outcomes, and economic performance.

Latitude Health

Latitude Health optimizes the Prior auth and Utilization Management process by integrating AI with human expertise to deliver faster, higher-quality care decisions. Latitude's solutions reduce workload, improve decision quality, and drive down costs with AI that’s purpose-built for the people who use it. Latitude's end-to-end solutions support all parts of the UM workflow while giving leadership teams compliance and opportunity insights needed to transform UM into a strategic advantage.

Lockton Re

Lockton Re is shaping the future of reinsurance by helping businesses understand, mitigate, and capitalize on risk through innovative solutions, cutting-edge technologies, and a team empowered to always do what’s right for clients. With a deep understanding of both local and global needs, Lockton Re remains agile in delivering tailored solutions that push the industry forward. The firm’s unmatched commitment to client service and its digital-first approach have driven strong momentum across its global platform—now comprising over 450 colleagues in 22+ locations and serving more than 300 clients. Guided by its core values of Fierce Independence, Empowered People, and Born Digital, Lockton Re continues to attract a growing and impressive roster of global and regional clients.

MedImpact

As the nation’s largest independent PBM, MedImpact provides connected health solutions that make care more personal, predictive, and affordable for our clients and members. We serve many large employers, hospitals and health plans, and more than 55 million consumers in the U.S. and around the world.

Milliman

Health. No issue is more complex. Or more personal. Employing industry-leading data analytics and solutions, Milliman works with clients across the healthcare spectrum to control costs, expand coverage, and untangle regulatory complexity to improve the health and well-being of people everywhere.

Novo Nordisk

For over a century, Novo Nordisk has been a company united for one purpose, helping people. Through our products, our employees, and our community partnerships, we fight against diabetes and other chronic diseases to help bring a better tomorrow. People living with chronic diseases expect companies like Novo Nordisk to be agents of change and collaborators within a challenging healthcare system. We care deeply about the people who need our medicines, and we're committed to working with everyone across the healthcare system to find long-term solutions. Affordability. Innovation. Prevention. Quality Outcomes. These are all the shared responsibilities of everyone who cares for patients.

Oliver Wyman Actuarial Health Practice

Oliver Wyman’s Actuarial Health Practice is the consulting arm of Marsh McLennan. The Actuarial Health Practice is dedicated to using mathematics, analytics, and strategic planning to help healthcare focused clients achieve their ultimate business goals. As trusted advisors serving payers, providers, and other stakeholders in the health care space, we collaborate with our clients to develop and implement practical solutions that consider our clients’ unique exposures and situations.

Penstock

Penstock is the nation’s fastest-growing payment integrity partner, helping health plans recover millions in inaccurately paid dollars with speed, accuracy, and transparency. Ranked #1 in the Northeast on the Inc. 5000 list and #353 nationally, Penstock delivers proven results through advanced analytics and collaborative partnerships. We empower payers to maximize recoveries while strengthening provider relationships.

Prolacta Bioscience

Prolacta Bioscience is dedicated to Advancing the Science of Human Milk to improve the health of critically ill infants around the world by unlocking the biological power of human milk. Prolacta's 100% human milk-based products have been evaluated in more than 30 clinical studies published in peer-reviewed journals are clinically proven to improve health and reduce complications. More than 100,000 premature infants have benefited from Prolacta's products worldwide to date.

Risk Strategies

The Risk Strategies National Health Care Practice provides unbiased solutions to the health care industry across all aspects of the business – Employee Benefits, Managed Care, Reinsurance and Property, Casualty and Liability. By bringing together one of the largest teams of dedicated health care insurance and reinsurance professionals operating across the country, Risk Strategies brings its health care clients a focused, integrated and responsive liability and risk management service that is best in class.

Sanofi

Sanofi is an innovative global healthcare company, driven by one purpose - chasing the miracles of science to improve people’s lives. Our team, across some 100 countries, is dedicated to transforming the practice of medicine by working to turn the impossible into the possible. We provide potentially life-changing treatment options and life-saving vaccine protection to millions of people globally, while putting sustainability and social responsibility at the center of our ambitions.

Smart Data Solutions

Smart Data Solutions (SDS) is a leader in healthcare workflow automation, providing cutting-edge solutions that streamline data capture, processing, and interoperability for health plans and payers. With over 20 years of experience, SDS leverages AI, EDI, and advanced automation to drive efficiency, reduce costs, and improve data accuracy. We partner with health plans to optimize operational processes, enhance member experiences, and navigate the evolving healthcare landscape with confidence.

Summit Reinsurance Services, Inc.

Summit Reinsurance Services, Inc. (Summit Re) is a managing general underwriter and reinsurance advisor working with health insurers, managed care organizations, provider entities, captives, and self-funded employers throughout the US. We help our customers analyze, manage, and transfer risk to protect their financial stability.

Toney Healthcare

Toney Healthcare delivers peace of mind to health plans through expert guidance in utilization management, audit services, staff augmentation, and clinical operations leadership. With deep experience across Medicaid, Medicare Advantage, TRICARE, Special Needs, and Commercial/ACA lines of business, our team of seasoned professionals helps plans navigate complexity, strengthen compliance, and improve member outcomes.

WISHIN

WISHIN is an independent not-for-profit organization dedicated to bringing the benefits of widespread, secure, interoperable health information technology to patients and caregivers throughout Wisconsin. WISHIN has built a statewide health information network of more than 2,200 participants, including payors, physicians, hospitals, clinics, pharmacies and clinical laboratories. WISHIN’s vision is to promote and improve the health of individuals and communities in Wisconsin through the development of real-time-capable information-sharing services that facilitate the electronic delivery of the right health information at the right place and right time, to the right individuals.

Workday

Workday outperforms competing cloud ERP solutions for healthcare, providing the best business foundation to help you drive the future of health. With Workday, you can secure and empower clinical talent, boost supply chain resilience, maximize the value of your technology investments, and financially sustain your mission.

ZeOmega

ZeOmega is the leading healthcare enterprise management platform, empowering health plans and other risk-bearing organizations with a holistic view of members, to care for their physical, behavioral, and social needs and help them thrive. Jiva represents a best-of-breed technology, a comprehensive set of modules, apply advanced analytics and workflows to support a wide range of functions, all lines of business and adhere to state and national requirements.