Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Health Plan Alliance Health plans, hospitals and physicians working together
Health Plan Alliance Overview for
Business Sponsors
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Committed to the success of regional health plans
• Improving knowledge • Increasing resources • Leveraging our network
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Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
3 4/13/2016 Copyright © 2015 Health Plan Alliance
What will be covered
• Our vision, mission, and focus • Our membership • Our programs and services • Our business sponsors • Our team
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Who we are Founded by 8 regional plans in 1996
Our Vision We exist to inspire and support health plans to deliver exceptional service, drive transformational care, and champion health and well being
Our Mission
4
The Health Plan Alliance brings together health plans with similar values in collaborative ways to improve their performance and succeed in their markets
4/13/2016 Copyright © 2015 Health Plan Alliance
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Focus on helping regional health plans succeed
• Supporting health plans: • Improving clinical performance • Improving financial performance • Improving operational performance • Improving customer experience • Improving market position
• No political lobbying or advocacy activities
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Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
1. Adventist Health Plan (CA)2. Alliant Health Plans (GA)3. Aspire Health Plan (CA)4. Avera Health Plans (SD)5. AvMed (FL)6. Baptist Health Plan (KY)7. Chinese Community Health Plan (CA)8. Community First Health Plans (TX)9. Community Health Options (ME)10. Community Health Plan of Washington (WA)11. Concert Health Plan (FL)12. Cook Children’s Health Plan (TX)13. Cox HealthPlans (MO)14. Fidelis Care New York (NY)15. FirstCarolinaCare Insurance Company (NC)16. Geisinger Health Plan (PA)17. Gundersen Health Plan (WI)18. Health Alliance Medical Plans (IL)19. Health Alliance Plan (MI)20. Health First Health Plans (FL)21. Health New England (MA)22. Health Partners Plans (PA)23. Health Plan of San Joaquin (CA)24. Indiana University Health Plans (IN)
25. Johns Hopkins Healthcare (MD)26. Medical Associates Health Plans (IA)27. MetroPlus Health Plan (NY)28. Mount Carmel Health Plan (OH)29. Network Health Plan (WI)30. New West Health Services (MT)31. Paramount Health Care (OH)32. Parkland Community Health Plan (TX)33. Passport Health Plan (KY)34. Physicians Health Plan (MI)35. Physicians Plus Insurance Corporation (WI)36. Presbyterian Health Plan (NM)37. Prominence Health Plan (NV) 38. Providence Health Plans (OR)39. Rocky Mountain Health Plans (CO)40. Samaritan Health Plans (OR) 41. Santa Clara Family Health Plan (CA)42. Scott & White Health Plan (TX)43. SelectHealth (UT)44. Sentara Health Plans (VA)45. Sharp Health Plan (CA)46. SummaCare (OH)47. Valley Health Plan48. Western Health Advantage (CA)
Our membership roster
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Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Our members are across the country
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Explore entire member directory
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Single owner-IDS or provider
entity39
Multiple owners
3
Cooperative1
Government owned
2
Independent3
• 48 plans submitted data
Plan ownership
Our members represent various ownership models – all regional plans with strong provider ties
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Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Plan’s covered lives
100-250K16
250-500K10
<50K9
50-100K7
500K+5
11+ million total lives
• 47 plans submitted data
Our members range in size
9 4/13/2016 Copyright © 2015 Health Plan Alliance
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Number of plans in each product line
Commercial7
Medicare3
Medicaid4
19104
1
• 48 plans submitted data
Our members are in all business lines
10 4/13/2016 Copyright © 2015 Health Plan Alliance
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
How you can get involved
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Value Visits Multidisciplinary face to face sessions with a focus on the 9 key priorities and trends
Three Leadership Conferences
each year
Value Calls, Webinars,
Executive Briefings, and Vendor Spotlights
Operational topics designed for specific peer groups and/or
topics of interest
Member Discussions: Archived and Searchable
Today: Listservs
Coming soon:
Discussion Forum
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
• Organization-wide risk and compliance• Risk adjustment and revenue management• Risk reimbursement arrangements• Strategic alignment of health system, medical groups and health plans• Informatics and analytics• Customer experience• Retail market strategies and revenue management• Clinical integration, care management and care coordination• Operational excellence• Government programs
Our members tell us what is important
Key 2015 programming priorities
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Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
A program supporting strategies with your Health System Owner
Intersection Points: Programming / Networking:
Health Plan AllianceHealth plans, hospitals and physicians working together
13 4/13/2016 Copyright © 2015 Health Plan Alliance
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
14 4/13/2016 Copyright © 2015 Health Plan Alliance
Business sponsorships
• Website posting – Available to All Sponsors • Name • Description • Contact • Clients • Links
• Best Practices and/or Capabilities Webinars or Presentations at Events • 60 – 90 minutes • With or without Members as co-presenters • Fit with agenda or hot topics
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
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Business sponsorships (cont’d)
• Sponsorships • Build relationships • Meals, speakers or in-kind • Marketing support includes newsletter and recognition at
events • Umbrella Contracts
• Driven by member need • Consensus among members • Bring value not possible in individual contract • Member makes own business decision • Administrative fee negotiated • Marketing and access to members
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Ways to get more engaged – online: www.healthplanalliance.org
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Home Page (Public) Click on VENDOR PORTAL link to access our vendor section of the
site.
Health Plan Alliance 290 E. John Carpenter Freeway
Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org
Patrice SnowdenProgram [email protected]
Keri BloomerProgram [email protected]
Cathy [email protected]
Dennis BolinMembership Engagement/Chief Marketing [email protected]
Donna DixonMembership [email protected]
Rosecelia (Roe) CarsonBusiness [email protected]
Jaime González, DrPHBusiness Development/Chief Financial [email protected]
Kristin RodriguezChief Knowledge Officer/Knowledge Management & Communication972-830-8684kristin.rodriguez@healthplanalliance.org
Sara Neese, RNLearning & Innovation/Chief Operating [email protected]
Leadership Team Specialist Team
• CEO and senior leadership• Alliance governance relations• System/health plan relations
• Annual member strategic conversations/priorities
• Member orientation oversight• Peer group support for: Operational Areas
such as Claims, Customer Service and Administrative Areas such as Marketing and Workforce, & Topics such as Health Care Reform, Exchanges and ICD-10
• Alliance membership growth
• Products/services• Financials/budget• CFO support• Multicultural initiatives oversight• Vendor relations
• Medicare programming oversight• Knowledge management and content
delivery infrastructure• Member and vendor communications
• Programming oversight• Peer group support for: CMOs, Medical
Directors, Clinical, Quality, Pharmacy, Fraud & Abuse, Medicare & Medicaid & Compliance Program teams
• Alliance operations
• Member onboarding/engagement support
• Website and member database management
• Newsletter management• Programming support
• Programming support• Meeting logistics• Program content website
management
• Programming support• Meeting logistics• Program content website
management• Support to Alliance Board of
Directors & Subcommittee
• Alliance staff support• Vendor/sponsor engagement
and database management• Accounting and financial
support• Programming support• Program content website
management
General email: [email protected] site: www.healthplanalliance.org
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Alliance staff