the alliance ® >the alliance is a not-for-profit, employer- owned cooperative. >the alliance...
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The Alliance®
> The Alliance is a not-for-profit, employer-owned cooperative.
> The Alliance works with your employer to provide health care access, information and savings when you use their network of doctors, hospitals and health services.
> The Alliance is developing the QualityPath initiative to help you get quality care at a lower price.
QualityPath®
QualityPath is an initiative that will: > Identify doctors and hospitals that – when working together – meet proven
standards for delivering quality care for total hip replacement, knee replacement and coronary artery bypass graft.
> Provide access to information and easy-to-use tools that can be used to select high-quality, fairly-priced health care providers for specific procedures.
Having Surgery? QualityPath Can Help.
QualityPath focuses on non-emergency care that you can schedule in advance, which means that you have time to “shop” for care.
ProceduresCommon, expensive, schedulable procedures included in the QualityPath program are:
Knee Replacement Total Hip Replacement Coronary Artery Bypass Graft (CABG)
Hospitals & DoctorsHave Good Track Record of Results
> Surgical complications and patients being readmitted to the hospital are at or lower than the national average.
> They appropriately use radiology and don’t expose you to unnecessary harm.
> You examine your options and make your treatment decision with the doctor which sometimes may mean you won’t choose surgery.
QualityPath ProvidersProcedure Hospital Doctors
Coronary Artery Bypass Graft (CABG)
St. Mary’s Hospital
Madison, WI
Dr. Vijay Kantamneni
Knee Replacement St. Clare Hospital
Baraboo, WI
Dr. Christopher Dale
Knee Replacement & Total Hip Replacement
Meriter Hospital
Madison, WI
Dr. James Bowers
Knee Replacement & Total Hip Replacement
Monroe Clinic
Monroe, WI
Dr. Lance Sathoff
Knee Replacement & Total Hip Replacement
Rockford Memorial Hospital
Rockford, Il
Dr. Mark Barba &
Dr. Michael Chmell
100% Coverage (Medical Procedure Costs)> QualityPath patients have 100 percent
coverage of medical procedure costs for:
> Care provided or ordered by your QualityPath surgeon in preparation of the surgery.
> The surgery and hospital stay.> Follow-up visits and physical therapy/cardiac
rehabilitation.
90-Day Warranty> 90 days post procedure> Covers complications related to the surgery > To qualify for the warranty, you must comply with your
physician’s recommendations for post-surgical care and physical therapy/cardiac rehabilitation.
> Special provisions do apply, call the Patient Experience Manager to learn more.
Patient Experience Manager
Check to make sure you’re using a QualityPath doctor or hospital
Make appointments Help transfer medical records Offer travel information Make sure hospitals and doctors know
you’re a QualityPath participant
1.800.223.413
QualityPath Tutorial Video
https://www.youtube.com/watch?v=pE3sUjqvF48&list=PLwZ8Yi-7EDoxDBuqD8G0R130lp6L5OrZI
QualityPath & Find a DoctorTo find a QualityPath provider simply visit The Alliance’s new Find a Doctor site. Visit www.the-alliance.org Click on the Find a Doctor button Search for your selected hip,
knee, or coronary artery bypass graft surgery
Look for the QualityPath logo to help you select the right provider for your surgery.
Who to Call?
PATIENT EXPERIENCE MANAGER
You must call the Patient Experience
Managerto get the benefits linked to QualityPath.
800.223.4139Please call as soon as you learn a
QualityPathprocedure may be in your future.