Provider Newsletter

Winter 2024

Thanks for playing an important role in serving our employer-members. Here’s the latest updates from The Alliance that may interest you.

Membership Numbers

The Alliance consists of more than  118,000 lives from over  425 employers across the Midwest.

The Alliance networks include over 39,000 providers.

Meet Jeanette Krause:

The Alliance’s Provider Contract Strategy Analyst

We are thrilled to announce that Jeanette joined The Alliance in August 2024 as a vital part of our Provider Contracting and Relations team. In her new role, Jeanette will leverage her extensive expertise to support provider partnerships through data analytics and process improvement. She will also provide valuable guidance to both internal and external stakeholders, navigating the complexities of reimbursement structures with precision and insight.

Jeanette brings a wealth of experience to her position, with over 20 years in contract management and data analytics, including over 7 years specializing in provider networks within the health insurance sector. Prior to joining The Alliance, she made a significant impact at a local health plan, serving as a Provider Contracts Business Specialist and a Reimbursement and Incentives Analyst.

Her deep understanding of the industry will play a key role in strengthening provider relationships and driving our mission forward. We look forward to the expertise and innovation Jeanette will bring to The Alliance.

Welcome aboard, Jeanette!

The Alliance Network Expansion in Western Wisconsin

We are proud to announce the expansion of our provider network in Western Wisconsin! Please welcome the following providers:

Hudson Physicians – This is a multi-specialty clinic serving Baldwin, Hudson and New Richmond, WI.
Midwest Spine & Brain Institute – This is a team of spine and neurosurgeons in Hudson, New Richmond and St. Croix Falls, WI as well as or various locations in Minnesota.
Minnesota Oncology – This is a physician group offering services in Hudson, WI, as well as 14 sites in Minnesota.
Valley Surgery Center – This is a multi-specialty ambulatory surgery center located in Hudson, WI in the Hudson Medical Center.
Western Wisconsin Health is a hospital and clinic located in Baldwin, WI. Additional clinic sites are located in Roberts and Spring Valley, WI.

What is Self-Funded Health Insurance?

A self-funded or self-insured health plan offers employers a powerful way to manage healthcare benefits for their workforce. Unlike traditional insurance plans, where employers pay premiums to a commercial insurer, self-funding places the financial responsibility for paying medical and prescription drug claims directly on the employer. This approach also means employers take on both the risks and the potential rewards of managing healthcare costs.

Key Benefits of Self-Funding

Transparency and Control
Self-funding allows employers to have greater insight into how their healthcare dollars are spent. This transparency provides an opportunity to tailor benefits to meet the specific needs of employees and their families, ensuring a more effective and personalized approach to care.
Flexibility in Plan Design
Employers can customize their health plan to align with their company’s goals and their employees' needs, unlike traditional plans that often come with one-size-fits-all limitations.
Access to Broad Networks
Employers who self-fund with The Alliance benefit from expansive provider networks, ensuring employees and their covered family members have access to high-quality care wherever they live or travel.

Potential Cost Savings
By directly managing claims and administrative costs, employers can often achieve significant savings over time, especially with tools like data analytics and wellness programs that help control costs.

Sponsor an Educational Event

A unique opportunity to increase your visibility and showcase your commitment to moving healthcare forward.

Become a Sponsor