Melina Kambitsi, Ph. D.
Senior VP, Business Development
& Strategic Marketing
Email Melina
Mike Roche
Director of Business Development
Email Mike
Self-Funding with The Alliance
The better alternative to traditional health plans.
What Is Self-Funding?
Under a self-funded or self-insured health plan, employers fund the plan rather than paying a premium to a commercial insurer. Self-funding can be a cost-effective alternative to the traditional fully insured approach. When your business self-funds, you take on the responsibility – as well as the risk and rewards – of paying the medical and prescription drug claims of employees and their families.
Self-Funded Plans
No Premium
All Claims Coverage Responsibility
Greater Control and Customization
Larger Savings
Greater Transparency
Total Access to Claims and Pharmaceutical Data
Fully Insured Plans
High Premium
No Claims Coverage Responsibility
Limited Control and Customization
Fixed Savings
Limited Transparency
No or Low Access to Data
Why Choose Self-Funding?
You might be interested in self-funding because you’re frustrated with health care as usual. Other insurers make few attempts to improve network quality and employer savings. But at The Alliance, we’re an advocate for our employers, and our primary focus is designing Smarter NetworksSMthat drive Serious Savings.
When you self-fund with The Alliance, you get better care at a better price.
Who Can Self-Fund?
You can! Businesses, unions, Taft-Hartley Insurance Trusts, municipalities, school districts, and all other shapes and sizes of organizations have successfully self-funded with The Alliance. We’ll help you every step of the way towards self-funding success.
Why Self-Fund with The Alliance?
Get the best care at the best price. When you join The Alliance, we help you develop custom, high-value provider networks that optimize quality and savings. After the health of your employees and their families, our main focus is your bottom line.
Our 285+ Clients Enjoy These Benefits:
NETWORKING AND LEARNING OPPORTUNITIES
We hold educational meetings to help our clients stay current on local and national health care issues. We also host networking opportunities for clients to share best practices.
COST MANAGEMENT AND SAVINGS
We drive serious savings for our clients through Reference-based Contracting® by The Alliance, bundled payments, preferred pricing, inflation protection, pay-for-performance contracts, and usage-based fees.
ACCESS TO DATA AND DATA MINING/ANALYTICS
We find savings where others can’t – or won’t – using deep data mining and analytics to unlock opportunities like employee guidance.
HIGHER-QUALITY CARE
Our value-based provider contracts build incentives for providers to deliver higher-quality care at a better price.
NOT-FOR-PROFIT COOPERATIVE
Because we’re client-owned and led, our priorities are your priorities. We use our financial resources to help you achieve better value for your health care dollar, focusing on your bottom line – not ours.
HIGH-VALUE CUSTOM PROVIDER NETWORK
Our network spans nearly 31,000+ health care providers across the Midwest. We’ll help you custom-design a Smarter Network to improve quality of care and reduce costs.
FIND A DOCTOR TRANSPARENCY TOOL
For more convenient “shopping,” Find a Doctor also provides cost, quality, and safety comparisons for more than 70 procedures.
VENDOR PARTNERSHIPS
We’ve developed strategic partnerships for pharmacy, dental, vision, workers’ compensation, and more, to add value to your health benefits.
EMPLOYEE ENGAGEMENT
We offer workplace education and online resources to help you and your employees become smarter health care consumers.