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Page 1: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information
Page 2: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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.

Page 3: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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.

Page 4: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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.

Page 5: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

ProceduresCommon, expensive, schedulable procedures included in the QualityPath program are:

Knee Replacement Total Hip Replacement Coronary Artery Bypass Graft (CABG)

Page 6: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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.

Page 7: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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

Page 8: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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.

Page 9: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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.

Page 10: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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

Page 11: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

QualityPath Tutorial Video

https://www.youtube.com/watch?v=pE3sUjqvF48&list=PLwZ8Yi-7EDoxDBuqD8G0R130lp6L5OrZI

Page 12: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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.

Page 13: The Alliance ® >The Alliance is a not-for-profit, employer- owned cooperative. >The Alliance works with your employer to provide health care access, information

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.