August 2024

August 2024

The Alliance Events

?Want to know how to prepare your business for what lies ahead in 2025?

Join us for an engaging panel discussion focused on proposed healthcare reforms that could impact self-funded employers in the new year. We’ll explore key issues on the legislative calendar that could affect benefit plan designs and the prices we pay for healthcare.

Employers’ medical spend trend is increasing, and prescription drug spending is now 40 – 60% of their total spend, so understanding what’s happening is key. We’ll also explore what’s going on with the upcoming state, congressional and presidential elections and what the results could mean for your business. Equip yourself with the insights and tools to confidently navigate possible health policy changes and protect your organization as we explore important issues such as price transparency, employer access to data, and PBM reform.

CE credits for HRCI, SHRM, and OCI have been applied for.

Register



Recent Blogs

Self-Funding Isn’t Just for Large Employers: How Small and Mid-Sized Businesses Can Benefit from Self-Funding

When it comes to employee health benefits, many employers believe self-funding is a strategy best suited for large corporations. However, the truth is that the size of a company does not determine its eligibility for self-funding.??

Read more


The Digital Healthcare Experience: The Importance of Digital Health Tools for Self-Funded Employers

In today’s digital age, the way consumers access and interact with healthcare is undergoing a significant transformation. Yet, despite the advancements, poor digital healthcare experience remains a significant barrier.

Read more


Self-Funding Explained: Top 4 Reasons to Self-Fund

In recent years, more employers have turned to self-funding, also known as self-insurance, as a viable alternative to the fully insured model of health benefits. Here are the top four reasons why employers are increasingly choosing to self-fund their insurance plans.

Read more


The Alliance Updates and Resources

2025 Healthcare Transformation Awards

Do you know someone that is driving innovative change in healthcare? Nominate them for a Healthcare Transformation Award.

How do I submit a nomination?

Just fill out the submission form by October 18, 2024, and we’ll contact the nominees. Recipients will be awarded live at our Spring Symposium on April 23, 2025.

Who is eligible?

Any person or business that’s moving healthcare forward in a big way. Potential recipients include employers, providers, pharmacy benefit managers, third-party administrators, brokers, and more. You can even nominate yourself!

What are the requirements?

Nominees must move healthcare forward in a way that aligns with one (or all) of the four core drivers of High-Value Healthcare:

  • Transparency: You can’t manage what you can’t measure. Improving price transparency and/or implementing a better way to measure healthcare quality.
  • Payment Reform: Creating a program that rewards value-based care (cost-effective, high-quality care) over volume of care (fee-for-service).
  • Provider Network Design: Customizing your provider network to give your employees more high-value health care options while reducing their costs.
  • Benefit Plan Design: Using incentives to drive your employees to seek care from high-value providers and utilize primary care.

Submit a Nomination


Preferred-Value Providers

Our list of preferred-value providers is growing! If you're interested in learning more about which providers are on the list, reach out to your Account Executive.


NOVO Health Closure

NOVO Health has made the difficult decision to close their business. Patients currently receiving care through NOVO’s bundled payment program will continue to receive care during the wind down process. NOVO anticipates completing the wind down process by the end of 2024. If you have employees that are currently receiving or awaiting services through NOVO’s bundled payment program, please contact Teri Jones at (833) 361-6686. She will continue to assist with care navigation.


Partner Events

Midwest Business Group on Health Webinar

Reclaiming Your Power: How to Access Your Claims Data & Hold Carriers Accountable

Thursday, September 12, 12:00 PM to 1:30 PM CT

Does price transparency really exist for employers? If it's your data and the government has confirmed it's your data, why are you still struggling to get it from your carriers/TPAs? At this program you will learn about the Florida coalition's efforts to identify fraud and wasteful spending in some of their employer-sponsored plans. This is especially relevant with another employee class action lawsuit filed against an employer. Learn how to take back your power and protect your fiduciary responsibilities.

Register Here

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