Today we will talk about: How to find out who is in the Alliance network How health care cost & quality differs show you how to use The Alliance Find a Doctor site to get the best value for you

Provider Network You are able to search and choose your provider from: More than 90 hospitals More than 7,000 medical doctors More than 13,500 total professional service providers More than 3,400 medical clinic sites 420 chiropractic clinic sites 580 mental health clinic sites More than 1,000 home care agency locations How do you figure out what’s best for you in all of this choice?

Know the Cost. Compare the Quality. Skip the Surprises. www.the-alliance.org Click on the Find a Doctor button: Here’s where to go to …

We’ve Gone Mobile You can use your phone, tablet, or laptop too! “Click to call” features for ease of use Whether you access the Internet by laptop, tablet or smartphone … you can Find a Doctor.

Three Ways to Use to Spend Less & Find Quality Care #1 Know the Cost Price estimates for more than 50 procedures, based on costs charged to real patients. #3 Compare the Quality Primary care performance rating Hospital birthing care rating Hospital Safety Score Find a Doctor is more than just a listing of providers. #2 Look for the Symbols These symbols will help guide you through the search results. We’ll see an example of this in a minute. #3 Check the Quality The primary care performance rating: How many stars – one to five – are earned by a clinic that offers internal medicine, pediatrics or family medicine. Ratings are based on if this location makes good use of your health care dollars and provides recommended care for your health issues at the right time. Hospital birthing care rating: How many stars – one to five – are earned by a hospital that has birthing care, based on deliveries by cesarean section and obstetrical trauma. The Hospital Safety Score is based on how often people staying overnight in the hospital were harmed by injuries, infections or medical errors that occurred during their stay. The Leapfrog Hospital Safety Scores give hospitals A to F grades for patient safety. #2 Look for the Symbols Best Price Tier Facility Fees More Information

Log In for Full Access Only employees enrolled in a health plan that uses The Alliance network can log in to view cost estimates. Focus the search results to only information that applies to you. View information unique to your employer. Log in to compare hospital and clinic cost estimates for more than 50 procedures. The first thing you want to do is log in. Whether you are: Looking for a new primary care doctor close to home. Researching the quality of local clinics and hospitals. Or comparing the cost of a needed procedure at different providers … Find a Doctor will tailor your search results and will to find the best care options for you.

Sign Up for an Account Create your account in less than a minute. Use your email address and selected password to log in the next time you come to the site. Creating a log in is quick and easy. There’s only a short form to fill out online. [Screenshot of log in form shown.] Be sure to type your name – especially your first name – exactly as it appears on your health insurance card. In addition, you’ll have a chance to sign-up for an account after this meeting. [Give details: laptop, tablet, paper forms … what will be available after this meeting?]

That’s all it takes to have full access to this health care tool. Logging In Enter your Email address Enter your password Click “Log-in” That’s all it takes to have full access to this health care tool. The next time that you return to the Find a Doctor site, log in simply by entering your email address and password. That’s all it takes to have full access to Find a Doctor.

Tutorial Video Add 3 minute video (?) Use only when appropriate. Embedded link to YouTube – need wifi

Arthroscopic Knee Surgery for Torn Cartilage Examples From The Alliance Market Janesville and Beloit Fort Atkinson and Madison Madison and Madison .25 miles + elevator turn = $914 difference Why do you want to look at cost? Did you know that different hospitals charge different prices for the same exact surgery? Yellow= Difference between Meriter ($8,754) & Madison Surgery Center ($7,840) Blue= Difference between Fort Health Care ($14,730) & Madison Surgery Center ($7,840) Purple= Difference between Beloit Hospital ($14,230) & St. Mary’s Janesville ($9,350) Search conducted: 2/02/16, for Arthroscopic Knee Surgery Data for Meriter from Customer Service, 2/04/16. 33 miles in 49 minutes = $6,890 difference 11 miles in 20 minutes = $4,880 difference Source: FindADoctor.the-alliance.org on 2/2/2016; Source for Distance and Time: www.mapquest.com

How to Start a Search Enter a zip code or city near where you want care. Employer name is auto-filled when you log in. When you log into your account, the employer field will fill in automatically. If you are looking for a provider closer to where you live, enter your home zip code or city.

Search by Cost See cost information on over 50 procedures Click here Or click here for a drop-down list of procedures. Click on the Procedures & Costs button. And start entering the name of the procedure in the box below. Once you start typing, a drop-down menu will appear with suggested procedures available. Enter procedure name

Search by Cost Example of: Colonoscopy without biopsy Narrow or broaden the distance of your search area. See the range in cost between all providers in your search. This is a search for … Colonoscopy without biopsy; near the 53711 zip code Search done 02/02/2015 Point out site features such as: search area (distance), estimated procedure cost and Leapfrog’s Hospital Safety Score. What is Leapfrog’s Hospital Safety Score? The Leapfrog Group (a national nonprofit watchdog of quality and safety of care in U.S. hospitals) gives hospitals a letter grade of A through F based on how often people staying overnight in the hospital were harmed by injuries, infections or medical errors that occurred during their stay. Facilities near the same area can have different costs.

Calculate and Compare Use the out-of-pocket cost calculator and comparison tool for up to three different provider and procedure options. On your search results, click the link to our out of pocket cost calculator and compare the cost and quality of up to three different facilities. The calculator will help you determine how much the procedure could cost you, after insurance is applied. Click here for the cost calculator.

Look for the Symbols Example search: Arthroscopic Knee Surgery The check marks hospitals or clinics in the “best price tier”. This is a search for: Arthroscopic Knee Surgery; near the 53711 zip code Search done 02/01/2015 Point out site features such as: best tier pricing, facility fees and more information icons. Place your cursor over the question mark for more information. Watch out for facility fees. They are often charged at facilities that are owned by hospitals to cover the maintenance costs.

Research the Quality of Hospitals and Clinics Before Making an Appointment Medical errors happen. Check out the Leapfrog Hospital Safety Score and quality information on area clinics, before you make an appointment for a procedure. Here’s how …

Search by Quality Rating Quality ratings for hospitals & primary care clinics Including QualityPath doctors and hospitals Click here Click here for a drop-down list of quality rating options You can also search for quality ratings of hospitals and primary care clinics. Just click on the “Quality Rating” tab. And click to the right of the selection field for a drop-down menu of quality rating options. Choose which one best fits your search.

Search by Quality Rating Example Search: Primary Care (Family Medicine) Star ratings are based on data provided by the Wisconsin Health Information Organization (WHIO) Here’s an example of a Family Medicine Primary Care search. Primary Care Provider locations earn a star rating from a low of one star to a high of five stars. Stars are used to rate how well a Primary Care Provider location provides recommended care for your health care issues at the right time and how well they make good use of your health care dollars. This is a Quality Rating search for … Primary Care – Family Medicine, near the 53719 zip code Search done 02/01/2015 Both of these “star ratings” (in Wisconsin) are provided by WHIO (Wis. Health Information Organization)

Search by Quality Rating Example Search for: Birthing Care Leapfrog Hospital Safety Scores give hospitals an A through F letter score. Scores are based on how often people staying overnight in the hospital were harmed by injuries, infections or medical errors that occurred during their stay. Star ratings are based on deliveries by cesarean section and obstetrical trauma. Here’s an example of a Birthing Care Search. Star ratings are based on deliveries by cesarean section and obstetrical trauma. And Leapfrog Hospital Safety Scores assign an “A through F” letter score. These scores are based on how often people staying overnight in the hospital were harmed by injuries, infections or medical errors that occurred during their stay. This is a Quality Rating search for Birthing Care, near the 53719 zip code Search done 02/01/2015 Both of these “star ratings” (in Wisconsin) are provided by WHIO (Wis. Health Information Organization) And the Hospital Safety Scores are provided by The Leapfrog Group

QUESTIONS? Contact: The Alliance Customer Service Call: 800.223.4139 Monday through Friday 8:30 a.m. – 4:30 p.m. Email: FindaDoctor@The-Alliance.org