Overview for Business Sponsors - Health Plan Alliance slides... · 290 E. John Carpenter Freeway Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org Health Plan Alliance Health

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



Committed to the success of regional health plans

• Improving knowledge • Increasing resources • Leveraging our network

2 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



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



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




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




Our members are across the country


Explore entire member directory

http://www.healthplanalliance.org/hpa/Health_Plan_Alliance_Membership_List.asp



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




Plan’s covered lives

100-250K16

250-500K10

<50K9

50-100K7

500K+5

11+ million total lives


Our members range in size




Number of plans in each product line

Commercial7

Medicare3

Medicaid4

19104

1


Our members are in all business lines




How you can get involved


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



• 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




A program supporting strategies with your Health System Owner

Intersection Points: Programming / Networking:

Health Plan AllianceHealth plans, hospitals and physicians working together







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




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



Ways to get more engaged – online: www.healthplanalliance.org


Home Page (Public) Click on VENDOR PORTAL link to access our vendor section of the

site.

http://www.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


Alliance staff

Documents

Overview for Business Sponsors - Health Plan Alliance slides... · 290 E. John Carpenter Freeway Irving, TX 75062-2710 972.830.0001 | healthplanalliance.org Health Plan Alliance Health