TPA Briefing
October 2008
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In This Issue
On My Mind: Carrots and Sticks
Reminder: New Alliance Logo and Web Site
The Alliance Health Policy Committee
Benchmarking Benefit Plans
Web Spotlight: Case Studies
New Hire at The Alliance
Alliance Provider Update
QualityCounts for Employees
News You Can Use
About The Agent and Consultant Briefing
On My Mind:  Carrots and Sticks
 By Cheryl DeMars, CEO
 
Cheryl
We recently held our Annual Meeting. We had great turnout for our annual business meeting and educational program. We were proud to welcome two knowledgeable speakers to discuss The Nuts and Bolts (and Legal How-Tos) of Carrots and Sticks
 
Workplace strategies to improve employee health are not new. However, as health care costs continue to climb, employers are increasingly considering the use of incentives to boost participation and to encourage employees to take action on the results.  Rebecca K. Kelly, PhD, RD, CDE, from the University of Alabama, shared her story of how she engaged more than 80 percent of her workforce in her programs.
 
Our other speaker, Jeffrey Zimon, Esq., discussed the legal issues that employers must be mindful of in the design and implementation of incentive programs. Members were provided with information about the Health Insurance Portability and Accountability Act (HIPAA) and what they need to know to legally provide and promote such programs.
 
Reminder: New Alliance Logo and Web Site
(www.the-alliance.org) 
As we've mentioned in the previous communications, The Alliance has a new Web site and logo. Following are a few questions and answers to help you understand this change.
 
Where can I get a copy of the new logo?
You can download our new logo and read more about the guidelines for using it today at our new Web site by clicking here.
 
You should be able to use the logo as is, but if you have any trouble sizing it for ID cards, please contact Carlene Boehmer.
 
Do employers have to reissue health cards immediately?
No. We are not we are not asking you or our employers to reissue health identification cards immediately, but rather to do so during the next regularly scheduled issuing of cards.
 
When should I incorporate this new logo into my procedures?
We suggest that you incorporate this new logo in your set up immediately by downloading the new logo from our Web site.
 
Should I change the Web address on cards? What happens if someone goes to your old Web site?
Individuals accessing the old Web site will be redirected to our new Web site at least through February, so if you reference our old Web address on your current ID cards for provider look-up, members will still be able to access information. 
 
As with the logo, we ask that you incorporate the new Web address: www.the-alliance.org into your set-up immediately, and to include it on current cards during the next regularly scheduled issuing of cards. 
 
Did your claims filing address, customer service phone number and Payer IDs change?
No. Our claims filing address, customer service phone number and Payer IDs have not changed.
 
We currently access secure.alliancehealthcoop.com to upload/download files to The Alliance; will the domain name for this secure site be changing?
No, The Alliance will maintain the use of alliancehealthcoop.com for secure file transfers. Please continue to use secure.alliancehealthcoop.com to upload/download files to The Alliance.
 
We currently use ftp.alliancehealthcoop.com for our automated data upload/downloads of data. Will the domain name for this site be changing?
No, The Alliance will maintain the use of ftp.alliancehealthcoop.com for automated data file transfers. Please continue to use ftp.alliancehealthcoop.com for your automated data transfers.

What can I find on the new Web site?  
If you haven't stopped by The Alliance's new Web site, make sure you visit today. At http://www.the-alliance.org/tpas.aspx you can find the TPA toolkit, information about who to call, and much more.
 
If you have questions about our new Web site or logo, please contact Carlene Boehmer
 
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The Alliance Health Policy Committee
The Alliance Health Policy Committee had its first meeting and is well on its way to developing The Alliance platform. You may remember that The Alliance Board established a formal health policy function to accomplish the goals of:
  • Providing timely and objective information to members,
  • Becoming a resource to public policy makers, and
  • Taking action on issues that are likely to impact Alliance members and that are consistent with our mission.

The platform being developed by the Health Policy Committee is focused on the following areas:

  • Promoting health care quality transparency.
  • Aligning incentives to promote greater value.
  • Providing tools and support for individuals to become "informed health care consumers".
  • Improving the health care marketplace.

These areas of focus were chosen because of their relationship to the mission of The Alliance, their relevance to current health policy interests, and their alignment with the needs and interests of other Alliance members.  
 
We thank the following members of the committee for stepping forward to take part in this important initiative: 
 
Tom Armani
Senior Director, Compensation and Benefits
Spectrum Brands
 
Lee Bauman
President
Wisconsin Auto & Truck Dealers Insurance Corporation
 
Dan Bullock
CFO
Cleary Building Corp.
 
Wendy Cuevas
VP Human Resources
Blackhawk Community Credit Union
 
Melanie Hirshfeld
Field Operations Director
WEA Trust Insurance Corp.
 
Curtis Larson
Vice President of Finance
Accelerated Genetics
 
Mary Ann Reichling
Director, Benefits, Compensation & EIS
Lands' End
 
Jerry Ward
VP of Operations
Seats Inc.
 
Jeff Wick
CEO
Wick Building Systems 

 

Benchmarking Benefit Plans
We recently released our eighth annual Summary Plan Description (SPD) Analysis. The SPD analysis is an excellent tool that helps members benchmark their benefit plan against those of other local employers. It can help members understand the most popular approaches to stop-loss coverage, employer contribution levels, deductible levels, coinsurance options, prescription drug benefits, and wellness program offerings.
 
This year's report includes information about benefit plans from 99 members, which offer more than 155 separate plans to their employees. We gather the information through a survey and the final SPD Analysis is offered free to members who have participated. Members who participated in the survey will receive their complimentary copy this week. Members who didn't participate this year can purchase a copy of the report from The Alliance.
 
We can also perform custom searches for members from our summary plan description database. It's a helpful way to explore how a benefit plan compares with other members in terms of coverage for a particular medical treatment, such as chiropractic care, acupuncture or gastric bypass surgery. 
 
For more information on the 2008 Summary Plan Description Analysis, please contact Diane Loram, 800.223.4139, ext. 6643.

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Web Spotlight:  Case Studies

Need a little inspiration? Want to learn what our members are doing to keep health care costs down? The Alliance's Web site features member case studies to light a spark.
 
This month, why not check out how Webcrafters, Inc, a Madison-based manufacturer helped their 650 employees lighten up? It's the newest case study featured on our Case Studies page. Visit today


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New Hire at The Alliance
The Alliance is pleased to welcome Melissa Thomas.
 
Melissa Thomas is serving as a customer service representative and brings more than four years of health insurance customer service experience from WPS' TriCare division. She has also worked answering inquiries and interfacing with providers in CUNA Mutual Group's disability claims area.  
 
Please join us in welcoming Melissa:
 
Melissa Thomas
mthomas@the-alliance.org
608.210.6604
Alliance Provider Update
 
provider directory iconThe Alliance encourages employers to distribute the Provider Update listing to their employees.

Just a reminder - always check the online provider directory for the most current provider information!

QualityCounts for Employees
QC logo 
 
The Alliance encourages employers to distribute the QualityCounts for Employees information piece to their employees.
  • Finding the Right Doctor
    Choosing a doctor might seem easy, but finding a high-quality physician that fits your needs is not and should not be based on a snap judgement. 

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News You Can Use
 
The Alliance highlights health care and benefit management news for employers in News You Can Use with a link to take you to the original story or report.
  • The Cost of Surgery

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About The Alliance TPA Briefing
Each month, The Alliance TPA Briefing delivers the latest news to third-party administrators about Alliance services, programs and events as well as information on health benefit trends, issues, and ideas of interest to our mutual clients.

Subscriptions are available on a complimentary basis. To subscribe, please send an e-mail message with your name and agency to the Sales and Member Services Department.

Reader comments, suggestions, and topics are always welcome.  

Cathy Lanser, Editor
Melanie Cannon
, Designer
Mary Borland
, Director, Sales and Member Service
Carlene Boehmer, Manager, Claims and Customer Services