Dean Health Systems
- Company typePrivate
- Founded1988
- HeadquartersMadison, United States
- Headcount1,001–5,000
- GTM typeB2B and B2C
- OfferingServices
Dean Health Systems firmographics
Firmographics- Name
- Dean Health Systems
- Legal name
- Dean Health Plan, Inc.
- Website
- https://deancare.com
- Company type
- Private
- Founded year
- 1988
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Ownership category
- akta.pro rank
Dean Health Systems industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Medicare Advantage (MA) Plans (FSAIAGAA)
- akta.pro secondary industries
- MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG), Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)
Keywords
Where Dean Health Systems is headquartered
LocationHeadquarters
- HQ city
- Madison
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Dean Health Systems business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Others, Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Health Insurance Premiums: Dean Health Plan generates revenue primarily through收取健康保险保费。提供多种计划类型，包括HMO、PPO、EPO、FOCUS网络计划，适用于个人/家庭、雇主团体和Medicare受益人。保费根据计划类型、覆盖范围和家庭/员工规模而有所不同。
- Administrative Services Only (ASO): Self-funded plan administration services where employers pay monthly administrative fees plus are fiscally responsible for medical costs. Includes stop-loss coverage options, utilization management, and disease management services.
- Medicare Advantage Plans: Dean Advantage HMO/HMO-POS Medicare plans and DeanCare Gold (Cost) Medicare plans generating revenue through Medicare Part C payments
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Smart Plans - No deductibles, no coinsurance, copay-only structure |
| Subscription | Monthly | Copay Elite Plans - Tiered copay benefit structure |
| Subscription | Monthly | Level-Funded Plans - Hybrid funding model for small groups |
| Other | Monthly | ASO Self-Funded Plans - Customized employer control |
| Unit Pricing | Pay-as-you-go | E-visit Pricing - Virtual care consultations |
| Subscription | Annual | Living Healthy Rewards Program |
Go-to-market motion3 records
Distribution channels6 records
Marketing channels11 records
Dean Health Systems product offering
Product offeringCore offering
Dean Health Systems, operating as Dean Health Plan by Medica, sells a portfolio of fully insured and self-funded health insurance plans to individuals, families, employer groups, and Medicare beneficiaries in Wisconsin. Offerings include commercial individual and family plans, small group (2–50) and large group (51+) employer coverage, ASO and level-funded arrangements, Dean Advantage Medicare Advantage, DeanCare Gold Medicare Cost, DeanCare Select Medicare Supplement, and BadgerCare Plus Medicaid managed care. Care delivery is coordinated through an Integrated Delivery Network with SSM Health.
Product overview
Dean Health Plan by Medica is a health insurance company offering a comprehensive portfolio of health coverage products across Wisconsin. The core offering includes individual and family plans (EPO and HMO), Medicare plans (Dean Advantage, DeanCare Gold, DeanCare Select), and employer group plans ranging from small groups (2-50 employees) to large groups (51+). The company operates as a fully integrated delivery network with over 3,700 providers, 33 hospitals, and 230 primary care sites primarily through SSM Health. Specialized plan variants include Smart Plans (no deductibles/no coinsurance), Value Choice tiered benefit plans, Copay Elite plans with reduced copays, Level-Funded hybrid plans, and Administrative Services Only (ASO) self-funded options. Supporting services include e-visits and video visits through SSM Health, a 24/7 Nurse Advice Line, and WebMD-powered wellness programs with rewards. The company also administers Wisconsin Medicaid (BadgerCare Plus).
Differentiator
Problem solved
Functional benefit
Brands
- Dean Advantage: Medicare Advantage HMO/HMO-POS plan offering health coverage for Medicare-eligible individuals.
- DeanCare Gold
- DeanCare Select
- Copay Elite Plans
- Smart Plans
- Level-Funded Plans
- ASO (Administrative Services Only)
Products and services
- Dean Health Plan by Medica (commercial individual and family plans) Individual and family health insurance plans for Wisconsin residents purchasing coverage directly; includes network-based coverage and access to SSM Health providers.
- Dean Advantage (Medicare Advantage HMO/HMO-POS) Medicare Advantage plans offering coordinated medical, hospital, and prescription drug coverage for Medicare-eligible individuals through a contracted provider network.
- DeanCare Gold (Medicare Cost) Medicare Cost plan providing supplemental Medicare coverage options in designated service areas for Medicare beneficiaries.
- DeanCare Select (Medicare Supplement) Medicare Supplement (Medigap) insurance for Medicare beneficiaries seeking coverage to fill Original Medicare gaps.
- Large Group Health Plans (51+ employees) Fully insured health insurance plans for employers with 51 or more employees, including PPO, POS, and HMO plan designs with national network access.
- Small Group Health Plans (2–50 employees) Fully insured health insurance plans for Wisconsin small employers with 2 to 50 employees, offered in PPO, POS, and HMO plan designs.
- ASO (Administrative Services Only) Administrative services only arrangements for self-funded employer groups that want Dean to administer claims, network access, and member services while the employer assumes the claims risk.
- Level-Funded Plans Level-funded health plan product combining fixed monthly payments with a stop-loss policy, where employers receive 50% of any unused claims funds back at year end.
- BadgerCare Plus (Medicaid Managed Care) Medicaid managed care coverage for eligible Wisconsin residents under the BadgerCare Plus program.
Quantifiable outcome
- More than 98% member retention each year
- +3 more outcomes
Companies that use Dean Health Systems
Customer profileNamed customers7 records
Segments5 records
Ideal customer profiles5 records
Dean Health Systems technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration13 records
Feature6 records
Dean Health Systems partnerships and signals
Strategic signalPartnerships
14 partnerships are on record, tiered core, strategic and minor.
- Prime TherapeuticscorePrime Therapeutics Management manages specialty drug prior authorizations through the Gateway portal, effective July 1, 2026. The Medical Pharmacy Solutions team handles review and approval for certain specialty drugs, replacing the previous fax-based process.
- CareloncoreCarelon supports utilization management for musculoskeletal (MSK), interventional pain management, cardiology, and radiology prior authorizations. Effective October 1, 2024, Carelon manages the submission and medical necessity review process replacing NIA Magellan with additional consideration for cardiology services.
- SSM HealthcoreSSM Health is the integrated healthcare delivery network partner providing inpatient and outpatient health services through Dean Medical Group clinics, SSM Health St. Mary's Hospital - Madison, SSM Health St. Clare Hospital, and SSM Health St. Mary's Hospital - Janesville. The partnership enables the Integrated Delivery Network (IDN) model where physicians, hospitals, benefits administrator, and PBM work together for coordinated care.
- MedicacoreMedica is an independent, nonprofit health plan headquartered in Minnetonka, Minnesota that has partnered with Dean Health Plan. The partnership aligns best practices and shares technology including a new, shared claims processing platform. Medica branding appears in association with Dean Health Plan as part of the integration.
- NavituscoreNavitus provides pharmacy benefits management (PBM) services including formulary management, prior authorization, and cost savings programs. Members access pharmacyfinder through the Navitus member portal. The PBM is integrated into the ASO services and benefit administration.
- First HealthstrategicFirst Health provides PPO network access for Dean Health Plan members outside the service area or Wisconsin. The partnership enables out-of-area coverage for dependents and travelers through the First Health provider locator.
- WebMDstrategicWebMD powers the Living Healthy wellness portal providing personalized health journeys, wellness resources, exercise videos, mental health podcasts, nutritional information, and interactive challenges. The Living Healthy program offers rewards redeemable for gift cards.
- SSM Health ZipnosisstrategicSSM Health Zipnosis provides the e-visit platform enabling members to receive diagnosis, treatment plans, and prescriptions (if needed) from SSM Health providers within 60 minutes or less through an online form.
- MyChart (SSM Health)strategicMyChart enables members to securely make appointments, message providers, view lab results, and access health records. Available through SSM Health integration for scheduling video visits.
- HealthSparqstrategicHealthSparq provides the online provider directory enabling members to search for in-network doctors, specialists, hospitals, and pharmacies by plan type. Accessible at deancare.healthsparq.com.
- AvailitystrategicAvaility Essentials is a multi-payer provider portal for reviewing member eligibility/benefits, prior authorization submission, and claims status. Dean Health Plan uses Availity for electronic data interchange (EDI) and provider transactions.
- Feeding AmericaminorFeeding America Food Banks partnership provides food insecurity resources to Dean Health Plan members through referrals and community connections.
- United Way 211minorUnited Way 211 partnership connects members to social services and community resources addressing social determinants of health including housing, food, and financial assistance.
- Wisconsin Community Health PlansminorDean Health Plan participates in Wisconsin Community Health Plans Week campaign 'Your Health. Your Community. Your Plan.' highlighting the value of community health plans in Wisconsin.
Scale indicators6 records
Recent moves6 records
Expansion highlights6 records
Dean Health Systems competitors and assessment
Company assessmentDirect peers
- HealthPartners: Minnesota-headquartered integrated health system and health plan with a Wisconsin service area presence, operating a comparable IDN combining insurance, employed providers, and pharmacy services.
- Aspirus Health Plan: Wisconsin and Upper Michigan health plan offering individual, family, employer group, and Medicare products tied to the Aspirus provider network, operating a similar regional integrated delivery model.
- Gundersen Health Plan: Regional health plan integrated with Gundersen Health System serving western Wisconsin, Minnesota, and Iowa with commercial and Medicare products via an IDN approach directly comparable to Dean's SSM Health partnership.
- Quartz Health Solutions: Wisconsin-based regional health plan offering commercial, Medicare Advantage, and Medicaid products through an integrated provider partnership model that closely mirrors Dean's IDN structure in the same geography.
- Network Health: Northeast Wisconsin health plan affiliated with Froedtert & the Medical College of Wisconsin, offering employer group, individual, and Medicare plans through an integrated provider arrangement similar to Dean's model.
- Security Health Plan: Wisconsin-licensed health plan affiliated with Marshfield Clinic Health System, offering HMO, Medicare Advantage, and other insurance products tied to an integrated delivery network in a multi-county Wisconsin service area.
- Group Health Cooperative of South Central Wisconsin: Member-owned Wisconsin HMO operating in Dane and surrounding counties with individual, family, employer, and Medicare plans through an integrated provider network directly overlapping Dean's core Madison service area.
Broad incumbents
- Blue Cross Blue Shield of Wisconsin: Wisconsin's dominant statewide health insurer under the Anthem-affiliated Blues license, offering a much broader commercial, Medicare, and individual market footprint that competes directly with Dean for Wisconsin employer and member business.
- Medica: Independent nonprofit health plan headquartered in Minnesota that has partnered with Dean Health Plan since 2023 to align technology and back-office operations while operating across multiple states with a broader product portfolio.
Regional players
- UCare: Minneapolis-based nonprofit health plan focused on Medicare and Medicaid products with limited Wisconsin overlap; relevant comparable for Dean's BadgerCare Plus and Medicare Advantage business mix though operating primarily in Minnesota.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks5 records
Key highlights6 records
Customer concentration
Dean Health Systems social profiles
Digital presenceDean Health Systems financial estimates
Financial estimateRevenue estimate
Valuation estimate
Dean Health Systems leadership team
Management profileNumber of profiles
Profiles4 records
Dean Health Systems funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Dean Health Systems M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Dean Health Systems
What does Dean Health Systems do?
Dean Health Systems, operating as Dean Health Plan by Medica, sells a portfolio of fully insured and self-funded health insurance plans to individuals, families, employer groups, and Medicare beneficiaries in Wisconsin. Offerings include commercial individual and family plans, small group (2–50) and large group (51+) employer coverage, ASO and level-funded arrangements, Dean Advantage Medicare Advantage, DeanCare Gold Medicare Cost, DeanCare Select Medicare Supplement, and BadgerCare Plus Medicaid managed care. Care delivery is coordinated through an Integrated Delivery Network with SSM Health.
Is Dean Health Systems a public or private company?
Dean Health Systems is a private company. It is classified as unknown and is currently operating.
When was Dean Health Systems founded?
Dean Health Systems was founded in 1988. It employs 1,001 to 5,000 people.
Where is Dean Health Systems based?
Dean Health Systems is headquartered in Madison, United States, in the North America region.
How does Dean Health Systems make money?
Three revenue lines are on record. Health Insurance Premiums are the primary driver. The others are administrative Services Only (ASO) and medicare Advantage Plans.
Who are Dean Health Systems's main competitors?
Direct peers on record are HealthPartners, Aspirus Health Plan, Gundersen Health Plan, Quartz Health Solutions, Network Health, Security Health Plan and Group Health Cooperative of South Central Wisconsin. Broad incumbents are Blue Cross Blue Shield of Wisconsin and Medica. UCare is listed as a regional player.
Does Dean Health Systems have an API?
No public API is recorded for Dean Health Systems.
What industry is Dean Health Systems in?
Dean Health Systems's product category is Health Insurance. Its primary akta.pro industry code is FSAIAGAA, Medicare Advantage (MA) Plans, with a secondary code of FSAIAGAG, MA-PD Plans (Medicare Advantage with Prescription Drug Coverage). Its NAICS code is 524114 and its SIC code is 8000.