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The Alliance

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Information about The Alliance
Health & Medicine

Published on February 24, 2014

Author: thealliance200

Source: slideshare.net

Description

Learn more about The Alliance cooperative based in Fitchburg, Wis.
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Solution Advantage Quality TPAs Resource THE ® ALLIANCE VBBD Agent Self-Insured Health Care Benefits Self-Fund Employees The Alliance Cooperative Network Control Cost Moving Engage Employer Solution Forward Benefits Cost Value Cooperative Self-Insured Quality Control Self-Funded VBBD Engage Improve Members The Alliance Moving Forward Members Network Improve Resource Value Employees Advantage Health Care

Cooperative As a not-for-profit cooperative our members are the owners. The Alliance was founded in 1990 by seven Madison-area employers.

What Difference Does Member-Owned Make? 4.6% The average increase Alliance members experienced in medical costs per employee per year. *Does not include pharmacy data, (2010-2012). 12% 10% 8% 6% 4% 2% 0% 10.6% 8.3% 4% 2.7% 2008 2009 2.5% 2010 2011 2012

Provider Contracting with over: 63 Hospitals 5,100 Medical Doctors 10,365 Professional Service Providers 2,675 Medical Clinic Sites 422 Chiropractic Clinic Sites 433 Mental Health Clinic Sites 195 Home Care Agencies

Claims Flow Health care provider generates claims and forwards to The Alliance. The Alliance receives claim, collects data, reprices, and sends on to TPA within three working days. TPA receives claim and pays according to The Alliance directive based on the employer’s benefit plan design.

Membership Fee Schedule ONE TIME FEE Membership Stock=$10 Capital Equity Stock = $10 per Alliance enrolled employee ONGOING FEES EXAMPLE Access Fee = $1 per employee per month Retainage = 3.3% $100 claim – 34.7% average discount $34.70 savings – 3.3% retainage $1.15 in retainage paid to The Alliance $33.55 net savings (savings minus retainage) -an effective discount of 33.55% PATRONAGE Average annual patronage dividend over the past five years has been 14.28%. Net income for The Alliance is allocated to our member companies at the end of the fiscal year.

Facilitating Member Interaction Alliance Learning Circles Alliance Product Partnerships Alliance-Supported Tools Free Reports Initiatives

www.the-alliance.org crigsby@the-alliance.org 800.223.4139 x6643 608.630.1865 (cell) Calvin Rigsby Business Development Manager

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