Trilogy Health to offer Medicaid HMO plan through new partnership

Milwaukee-based Trilogy Health Insurance has signed a contract with the Wisconsin Department of Health Services to administer the BadgerCare Plus and Medicaid SSI programs to eligible residents of Milwaukee, Ozaukee, Racine and Waukesha Counties.

The new HMO represents a group effort among Trilogy, Milwaukee-based Independent Physicians Network and Milwaukee-based Scas Management Group.

“Collectively, we bring significant expertise and leadership in meeting the health care needs of Wisconsin residents, including those in government programs,” said William Felsing, Trilogy chief executive officer. “As local companies, we will handle all components of the plan’s operations in the Milwaukee area, rather than in remote locations.”

Bonnie Warner has joined Trilogy as president and Medicaid executive director.

“The Medicaid line of business represents an exciting new direction for our company,” Warner said. “The extensive health care experience of Trilogy’s founders and our focused experience in government programs positions us well to serve BadgerCare Plus and SSI members in southeastern Wisconsin.”

IPN will provide care coordination and support services for all Trilogy members. IPN has more than 900 member physicians in Milwaukee and the surrounding areas in Trilogy’s physician network. Currently, IPN physicians provide medical care for more than 150,000 Milwaukee-area residents.

“We are excited to be able to offer Trilogy as a choice for the more than 100,000 Medicaid members served by our physicians,” said Dr. Ajit Parekh, board president and medical director of IPN. “The significant experience that Trilogy, SMG and IPN have in working with the Medicaid program should have a positive impact on the BadgerCare Plus and SSI members who enroll in Trilogy.”

SMG will provide customer service, claims processing, provider relations and administrative services through its Milwaukee office.

“With our local operations and leadership, we will work closely with Trilogy, IPN, healthcare providers and specialty services organizations to help ensure quality care for our Trilogy members,” said Ron Scasny, president of SMG.

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