The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information.

Slides:



Advertisements
Similar presentations
International Patient Guide This would help you prepare yourself. So you can make the best decision regarding your medical holiday in Thailand.
Advertisements

March 28 th, 2014 Total Joint Replacements Community Dialogue.
Grinols and Mustard Impact of a casino opening on crime rates Concern: casinos are not random – opened in struggling areas Data at county/year level –
Peterson-Kaiser Health System Tracker How do the use and price of healthcare in the U.S. compare to other countries?
Click here to advance to the next slide.. Chapter 35 Life and Health Insurance Section 35.2 Health Insurance.
Precertification. 2 Precertification What is precertification? The purpose of precertification is to ensure that you and anyone else covered under your.
 Indemnity or Fee-for-Service coverage- -allow you go to the doctor of your choice and pay for services at the time of the visit. -The amount that your.
1 Quality of Health Care Quality of health care is not a luxury Yaseen Hayajneh, PhD.
Health Insurance Law and You Mr. Blais. Managed Care Plans These involve arrangements between the insurance companies and a certain network of health-care.
Looking Out For You: How to be a Better Health Care Consumer.
Improving Orthopedic Value from the Buy Side – Perspectives From The Alliance Minnesota Health Action Group Community Dialogue Improving Value for Hip.
Click mouse to advance slide show. Presented by Your insurance I.D. contains a lot of information in a very small area. This can make it challenging.
Empowering Smarter Healthcare Decisions COMPASS PROFESSIONAL HEALTH SERVICES Healthcare Support for You and Your Family 1 Confidential and Proprietary.
Section 24.2 Participating in Your Healthcare Slide 1 of 18 Objectives Describe how to choose and participate fully in your healthcare. Compare different.
Health Insurance HEALTH INSURANCE COVERAGE Hospital insurance pays for most of your charges if you are hospitalized with and illness or injury.
Your plan at your fingertips Manage your plan, cut costs and feel confident when you get care with your myHealthPartners online account and the myHP mobile.
© 2011 wheresjenny.com. Questions before we start: 1) Why do people consider buying health insurance? 2) Do you have health insurance? 3) What do you.
Stacy Brethauer, MD Bariatric and Metabolic Institute.
The Alithias Transparency Platform Healthcare Work Confidential, Alithias, Inc.
TRS ACTIVECARE BENEFIT COMPARISONS Fall open enrollment: August 1-31, 2013.
Chapter 22 Buying InsuranceSucceeding in the the World of Work 22.3 Health and Life Insurance SECTION OPENER / CLOSER INSERT BOOK COVER ART Section 22.3.
Agribusiness Library LESSON: HEALTH INSURANCE. Objectives 1. Determine the function of health insurance, and define common health insurance terms. 2.
1 New Agent / Distributor Membership Orientation.
Anthem HIP 2.0 Indiana Primary Health Care Association Annual Conference 2015.
WeCARE - Rev. 10/20/2005 WeCARE Wellness Comprehensive Assessment Rehabilitation & Employment WeCARE is funded by the NYC Human Resources Administration.
WeCARE - Rev. 10/20/2005 WeCARE Wellness Comprehensive Assessment Rehabilitation & Employment WeCARE is funded by the NYC Human Resources Administration.
Health insurance coverage 1. Health Insurance Coverage Hospital insurance  Classified as medical insurance.  Covers for most or all of the charges during.
ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute of Ophthalmology ARAVIND EYE CARE SYSTEM Aravind Eye Hospital & Postgraduate Institute.
Providing Health Care Information for Floridians.
Open Enrollment and Wellness Update Learning Tuesday October 20, 2015.
Compass Xpress Cross Selling Sales Training Property of Regions Health Group, Inc. and Compass Health Insurance DBA 1.Fact Finding Questions 2.ACA to Compass.
MyHealthPartners Your myHealthPartners online account is available so you can shop, plan and feel confident when you get care.
Business Plan By : Paula Grundy HIP AND KNEE: TRANSITIONAL HOME.
High Performance Surgery Network OCTOBER 9, 2015.
Providing Insights that Contribute to Better Health Policy Patient Cost Sharing: An Overview Joy M. Grossman, Ph.D. December 3, 2003.
1 Web Based Decision Support Tools Providing Information to Empower Consumers Consumer Driven Healthcare Summit John Mills Washington, DC September 27,
Together we can do so much February 5th , 2016:
Accountable Care Organizations (ACO) Katharine Rebolledo, MBA University of New Mexico Department of Family and Community Medicine.
15-16 International Student Health Insurance Overview.
Health Insurance Question: Why should I have health insurance? The cost of health care has risen drastically over the past few decades. If you do not have.
Lesson 1 Making Consumer Choices What information do you need before you make a decision regarding health care products and services?
HSE STANDARD 5.  Calculate the costs of a range of health insurance plans, including deductibles, co- pays, PPO’s and HMO’s. For a selected disease/disorder/injury,
Acquire Mommy Makeover in India for a Hot Post Pregnancy Look.
Reaching age 65 is an important milestone…you’re now eligible to enroll in Medicare! (whether you decide to retire or continue working)
Managed Health Care Manar alramli
Today we will talk about:
PROTECTING PATIENTS BY
Clinical Advocacy in Action
Delete this slide before distribution
U.S. Prices Higher: Total Hospital and Physician Costs for Select Procedures in Selected Countries, 2012 US dollars AUS FRA NETH NZ SPA SWIZ UK US (avg)
Choose Experienced Hip Replacement Surgeons in Mexico.
HEALTH INSURANCE HSE STANDARD 5.
Delete this slide before distribution
Health Insurance Premiums & Benefits
William Morgan, MD, Chief Clinical Officer,
David was told that hip replacement surgery was his only option
Medical Second Opinion In Action: Spinal Surgery
Choice Plus Plan with Health Savings Account (HSA)
Problem: Finding a quality provider to perform a procedure
Medical Second Opinion In Action: Hip Replacement
Coordinating Medical Care VNA Community Healthcare
Voluntary Benefits (Offered through Voya) To proceed to the next slide, click the “NEXT” buttons as shown here: Welcome to another installment of.
Clinical Care Coordination In Action: Heart Disease
Health Insurance Premiums & Benefits
REHAB CAREERS STANDARD 5
It’s OK to ask questions
MX Notice of Privacy Practices
Section 24.2 Participating in Your Healthcare Objectives
Presentation transcript:

The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information and savings when you use their network of doctors, hospitals and health services. >The Alliance is developing the QualityPath initiative to help you get quality care at a lower price.

QualityPath ® QualityPath is an initiative that will: >Identify doctors and hospitals that – when working together – meet proven standards for delivering quality care for total hip replacement, knee replacement and coronary artery bypass graft. >Provide access to information and easy-to-use tools that can be used to select high-quality, fairly-priced health care providers for specific procedures.

Having Surgery? QualityPath Can Help. QualityPath focuses on non-emergency care that you can schedule in advance, which means that you have time to “shop” for care.

Procedures Common, expensive, schedulable procedures included in the QualityPath program are:  Knee Replacement  Total Hip Replacement  Coronary Artery Bypass Graft (CABG)

Hospitals & Doctors Have Good Track Record of Results >Surgical complications and patients being readmitted to the hospital are at or lower than the national average. >They appropriately use radiology and don’t expose you to unnecessary harm. >You examine your options and make your treatment decision with the doctor which sometimes may mean you won’t choose surgery.

QualityPath Providers Procedure HospitalDoctors Coronary Artery Bypass Graft (CABG) St. Mary’s Hospital Madison, WI Dr. Vijay Kantamneni Knee Replacement St. Clare Hospital Baraboo, WI Dr. Christopher Dale Knee Replacement & Total Hip Replacement Meriter Hospital Madison, WI Dr. James Bowers Knee Replacement & Total Hip Replacement Monroe Clinic Monroe, WI Dr. Lance Sathoff Knee Replacement & Total Hip Replacement Rockford Memorial Hospital Rockford, Il Dr. Mark Barba & Dr. Michael Chmell

100% Coverage (Medical Procedure Costs) >QualityPath patients have 100 percent coverage of medical procedure costs for: >Care provided or ordered by your QualityPath surgeon in preparation of the surgery. >The surgery and hospital stay. >Follow-up visits and physical therapy/cardiac rehabilitation.

90-Day Warranty >90 days post procedure >Covers complications related to the surgery >To qualify for the warranty, you must comply with your physician’s recommendations for post-surgical care and physical therapy/cardiac rehabilitation. >Special provisions do apply, call the Patient Experience Manager to learn more.

Patient Experience Manager  Check to make sure you’re using a QualityPath doctor or hospital  Make appointments  Help transfer medical records  Offer travel information  Make sure hospitals and doctors know you’re a QualityPath participant

QualityPath Tutorial Video

QualityPath & Find a Doctor To find a QualityPath provider simply visit The Alliance’s new Find a Doctor site.  Visit  Click on the Find a Doctor button  Search for your selected hip, knee, or coronary artery bypass graft surgery  Look for the QualityPath logo to help you select the right provider for your surgery.

Who to Call? PATIENT EXPERIENCE MANAGER You must call the Patient Experience Manager to get the benefits linked to QualityPath Please call as soon as you learn a QualityPath procedure may be in your future.