Smarter Self-Funded Health Plans Start Here

The Alliance helps 300+ employers of all sizes and industries self-fund their benefits – and save money – through custom Smarter Networks^SM and unique Smarter Health^SM data analysis tools.

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Employers that self-fund take on the risk – and the reward – of paying for their employees’ health care and pocketing what they don’t use. The savings employers gain use comes from low utilization, smarter referrals to high-value providers, and steerage solutions guided by sophisticated claims analysis.

Here’s the key features that makes self-funding at The Alliance smarter:

Smarter Networks^SM

The Alliance’s provider network design offers you the ability to customize the network you offer to your employees and family members. Our Smarter Networks create three unique ways to customize your network:

The Comprehensive Network by The Alliance: Our standard network option encompasses over 34,000 health care providers, hospitals, doctors, and clinicians across the Midwest. The Comprehensive Network serves as a broad choice network for your employees.
The Alliance & Trilogy Health Networks: This network option encompasses more than 41,000 health care providers, equating to over 90% of Wisconsin. The Alliance & Trilogy Health Networks offers your employees the most choices possible.
The Premier Network by The Alliance: Engaged employers that want a fully customizable health plan choose our tiered option: The Premier Network. Using up to four tiers, you can steer your employees and their family members to smarter decisions within a broad provider network. Tiers range from preferred (best value) to comprehensive (most choice). The Premier Network is great for employers that want total control over their employees’ provider network options.

Smarter Health^SM

Access to data is what makes The Alliance different, and by deep-diving into yours, we can find serious savings where others can’t – or won’t.

Smarter Health analysis empowers employers with data-driven insights that help them understand where their health care dollars are spent – and where they can save.

Smarter Health helps you identify cost-saving opportunities for your unique patient population with pinpoint accuracy. We use those results to help you figure out where to focus your resources for the most impact and savings.

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Reference-Based Contracting^®

The Alliance contracts differently with providers. We guarantee unique contract provisions that lock in low rates while protecting your employees from out-of-network charges and surprise bills.

Reference-Based Contracting provides the baseline employers need to pay a fair price for services by paying providers a percent of Medicare – the single largest purchase of health care in the US – rather than focusing on savings off billed charges.

This alternative way to pay offers a more appropriate benchmark to measure value while enabling you to use innovative benefit plan design to offer your employees high-value health care.

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QualityPath^®

QualityPath is a program offered to our employer-members that helps simplify how their employees shop and pay for the most common tests and procedures.

QualityPath provides patients with a single, bundled price for certain services from participating providers who are carefully vetted to ensure they meet certain safety standards. These providers also agree to a warranty, so if complications occur, it’s no problem for your employees and their family members. QualityPath can save your employees – and your business – thousands of dollars in health care costs.

Patronage

As a not-for-profit cooperative owned by its 300+ employer-members, we offer patronage – or our cooperative shareholder benefit – back to our employers each year. When our net proceeds exceed our operation costs and budget, the Board of Directors can approve shareholder benefit distributions in the form of patronage checks.

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Stop-loss Insurance

Stop-loss insurance is purchased from an insurance carrier to cap your catastrophic claims risk. This insurance reimburses your plan when claims exceed a predetermined amount for either an individual and/or the entire group. Coverage for individual claims is known as “specific coverage” while coverage for group claims is known as “aggregate coverage.” We can refer you to a great stop-loss insurer!

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The Cooperative Difference

The Alliance is a not-for-profit cooperative, which means we’re owned by our employers. We have transparent, fair, equitable, and consistent pricing among our employer-members, who share a voice in the cooperative’s direction with their stock and participation on committees and events.

Additionally, our cooperative stakeholder benefit gives employers back a share of profits at the end of every year. Why? Because as a disruptive force for good, The Alliance has a vested interest in your bottom line – not ours.

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Health Policy Advocacy

We offer a platform for employers to share their stories with lawmakers to advocate for more preferable health policy. Whether it’s joining our Health Policy Committee, or joining us for a meeting on Capitol Hill, we don’t just give you a voice – we need it to bring lasting change to health care.

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Education & Events

We regularly host events and webinars to help educate our employer-members with the latest self-funding strategies, help them network, and keep them apprised of what’s happening at the state and federal legislative levels.

Click to view our upcoming events!

Innovative Partners

We’re proud to work alongside partners that share our commitment to High-Value Health Care. Our partnerships provide employers, employees, and their families with preferred pricing and performance guarantees on prescription drug benefit management (PBM), dental insurance, and vision insurance.

National CooperativeRX/WisconsinRX gives you greater value for your pharmaceutical spending with discounts, leading-edge clinical programs, a national network, enhanced data reporting, and more!

Delta Dental offers The Alliance employers administrative discounts, flexible options, and performance and savings guarantees — all while protecting the smiles and oral health of your employees and their families.

DeltaVision® can be offered on a completely voluntary basis or as a contributory plan. Your membership with The Alliance generates additional discounts that provide exclusive value to your employees and their families.

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Self-Funding 101: Learn more about the basics of self-funding and see if it’s right for you.

Read our Blog: Get the latest self-funding strategies, employer insights, legislative items, and more!

Case Studies: Don’t just take our word for it – hear from real employers how The Alliance empowered them to significant savings and improved health outcomes for their employees.

Media Mentions: As the voice for self-funded employers, The Alliance is a proactive leader when it comes to improving health care. Learn more about our impact from reputable news sources.

Subscribe to our Newsletter: Our highly-popular monthly newsletter is the best way to stay engaged with The Alliance.

Featured Insights on Self-Funded Health Plans

New Transparency Trends: 3 Healthcare Problems (And Their Solutions)

By Melina Kambitsi, Ph.D. | Jun 15, 2022 | 3 min read

There’s growing price transparency concerns among employers whose health care costs – which amounted to $1.2 trillion in 2018 – continue to outpace wages and inflation. More than half of those costs can be attributed to hospitals and physicians. Hospitals account...

5 Key Takeaways from RAND Corp’s Hospital Price Transparency Study

By Melina Kambitsi, Ph.D. | May 31, 2022 | 3 min read

The importance of hospital price transparency has come to the forefront for payers once again. Employer-sponsored health plans cover roughly half of all Americans, account for $480 billion in hospital costs, and their cost has outpaced wages and inflation for more...

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The Four Best Benefits of Choosing a Level Funded Health Plan

By Mike Roche | May 17, 2022 | 3 min read

Employers with healthy workforces are paying needlessly high health care costs, which is why many of them trust us to self-fund their health plans. After all, employers that choose self funding retain savings from things like unused care, utilizing custom provider...