Our

240+ members provide coverage to more than

100,000 people

The Alliance® is a not-for-profit cooperative owned by self-funded employers and insurance trusts.

We move health care forward by controlling costs, improving quality and engaging individuals in their health.

We are:

› Member-owned and member-directed.

› Organized under cooperative principles so your share of costs—and your share of the benefits—is based on usage. (continued on back)

Employer Owned

Staying TrueThe Alliance was founded by seven

Madison-area employers who

wanted more control over escalating

health benefit costs.

We continually strive to remain true

to their vision of a member-owned

cooperative committed to meeting

the needs of employers.

› Experienced in using self-funding to help employers manage both health benefits and employee health as workplace assets.

› An advocate for employers on state and federal legislation that impacts employer-based health benefits, an effort led by employers on our Health Policy Committee.

› Highly effective in negotiating discounts in our network.

› Committed to pursuing high-quality, fairly priced health care—often described as high-value health care—so the return reflects the investment.

› Broad network coverage gives you—and your employees—access to high-value providers in Wisconsin, northern Illinois and northeastern Iowa.

› Savings, inflation protection and pay-for-performance contracts help you gain the greatest value from health benefits.

› Data and reporting helps you understand how utilization impacts costs and then address cost drivers.

› Fees are based on usage, with a cap to protect you in high-cost years.

› Net revenue is typically returned to members as either a cash refund or equity in the cooperative.

› Solid network results mean reinsurance carriers offer discounts on stop-loss insurance to members.

The Alliance approach

delivers benefits at all levels

of health care.

Flexibilty and Results

Our Flexible Approach Gives You More Options › Eligible members get The Alliance savings at

participating providers even when a service is not covered by a member’s benefit plan.*

› We can work with any third-party administrator (TPA) chosen by our members.

› Alliance contracts can be applied to workers’ compensation claims for qualifying employers, if your workers’ compensation carrier participates in this program.

*Certain services may be excluded, such as cosmetic surgery or LASIK procedures.

Alliance members’ annual average increase in medical costs per employee per year from 2010–2014

2.3%

Beyond claims savings, advantages for employers include:

› Consultative meetings with Alliance Member Services representatives to help you strategically manage health benefits.

› Advice and support for exploring progressive strategies such as value-based benefit design and steerage to guide consumers to high-quality, fairly priced health care. The Alliance has measured quality and cost and then shared the results for more than a decade. Our Find a Doctor website and QualityPath® initiative use this data to help people become better health care consumers.

› Insights from data management and claims reporting, including reports that monitor claims trends and customized reports to meet specific needs.

› Summary of benefits and coverage (SBC) survey results to compare your health plan to your peers.

At The Alliance, our

members are our owners.

That makes all the

difference in how we serve

both employers

and their employees

and family members.

A Member-Driven Approach

Claims and Customer Support

The Alliance’s claims repricing turnaround

averages less than one day with an accuracy rate

of 99 percent. This allows for faster and more

accurate claims processing, which means greater

plan satisfaction for employees and their families.

A Spanish interpreter is available to answer

Spanish requests from our customer service line.

Customer advocates are available during normal

business hours to assist patients with Alliance

network coverage or claims questions.

Cooperative PrinciplesAs a cooperative, seven principles of

cooperation guide The Alliance.

1. Voluntary and open membership

2. Democratic member control

3. Member economic participation

4. Education, training and information

5. Autonomy and independence

6. Collaboration

7. Concern for community

Change happens:

› Within the existing health care system, where nearly 70 percent of charges incurred by Alliance members are covered under contracts that provide incentives for better care.

› By building on a proven record of innovation. The Alliance began including pay-for-performance provisions in contracts more than a decade before the Affordable Care Act drew attention to the concept.

› In collaboration between The Alliance and other organizations, including hospitals and clinics, physicians, business associations and other partners that aim for better patient care.

› In data that reports health care outcomes, measured by The Alliance, the Wisconsin Health Information Organization and other groups supported by The Alliance.

› With groundbreaking initiatives such as QualityPath®, which identifies doctors and hospitals that—when working together— meet or exceed national standards for delivering quality care for selected procedures.

› When employers join pilot projects that explore new concepts, such as The Alliance Value-Based Benefit Design project. The outcome of pilot projects is shared so all members can benefit.

› By bringing employer groups together to address common interests, such as health policy, wellness services or onsite clinics.

› Through participation in national initiatives and employer groups that show we’re not in this alone. The Alliance belongs to national and regional organizations that share our mission and amplify our impact, including the National Business Coalition on Health, the Midwest Business Group on Health and the American Benefits Council. Alliance members gain access to American Benefits Council conference calls that provide updates on regulations, legislation and current issues.

Moving health care forward happens on many levels, in many settings.

Helping Change Happen

Learning TogetherEmployers can gain information and ideas for improving the health and productivity of their workforce at Alliance events.

Alliance Learning Circles, the Annual Seminar and our Annual Meeting combine nationally-known experts and regional leaders to deliver well-rounded educational experiences. Each event creates an opportunity for you to network with peers to share ideas and compare best practices.

Learning Circles are typically held in Madison but are usually accessible via webinar from your desktop. Regional simulcasts are available for selected events.

Praise from Participants

Members share their praise in post-event surveys:

“I gained a lot of valuable information and insight.”

“Great meeting, good topics and interaction with participants. Thanks for hosting this most informative event.”

“Keep up the great format and presentation content and materials for future meetings.”

“Today’s event was very well done from start to finish.”

“Great foundations set for the need for change and how to go about starting to generate movement toward that goal.”

“These programs are invaluable. I hope you continue to offer them.”

Visit The Alliance website

at the-alliance.org and click

the “Learn More” tab to read

case studies and articles.

(continued on back)

The Alliance’s user-friendly website

links members to information, ideas and

savings. Blog posts and newsletter issues

are updated regularly so there is always

fresh content on the site.

The site is mobile responsive, which

means you can access it from your

smartphone, tablet, computer or other

device.

The-Alliance.org links consumers to Find

a Doctor, where they can view cost and

quality information as part of their search

for a doctor, hospital or other health care

provider.

Alliance Partnerships and ProgramsThe Alliance creates positive relationships and beneficial discounts with organizations that offer optional solutions for self-funded employers.

National CooperativeRx/WisconsinRx: WisconsinRx helps you manage pharmaceutical benefits with deep discounts, clinical programs, a national network and data reporting.

Delta Dental and Delta Vision: Savings on Delta’s Wisconsin and Illinois dental and vision plans are achieved with administrative discounts, flexible options and performance and savings guarantees. Use both plans together to gain additional discounts and combined billing.

National Network Access: A partnership with Premier Healthcare Exchange Inc. (PHX) provides cost-effective national coverage for your employees who travel or have dependents located outside The Alliance service area.

The-Alliance.org

Resources and Relationships

Stop-Loss Discounts: More than 25 carriers offer significant discounts to Alliance members based on a thorough evaluation of contract performance with health care providers.

The Alliance Workers’ Compensation Solution: Wisconsin employers can reduce workers’ compensation costs by accessing The Alliance’s network to gain savings that average 35 percent on compensable billed charges.

Alliance-Supported Tools for Your EmployeesThe Alliance offers:

Discounts on worksite flu shots. The Alliance links employers to health care providers willing to offer flu shot clinics at the workplace in Wisconsin, Illinois and Iowa.

Free blood pressure screenings. Free onsite blood pressure screening provided by Home Health United can be scheduled for your employees.

Health and wellness speakers and brochures. The Alliance delivers educational presentations at your worksite to help employees become better health care consumers. A wide range of health and wellness brochures are available at a discounted price.

Healthy living discounts. Your employees can show their insurance card to gain access to discounts at health clubs, fitness clubs, nutrition counselors and other services in many communities throughout The Alliance service area.

Online access to decision aids. Employees who need help with decision-making can access Choosing Wisely® materials developed by Consumer Reports. Resources from other reputable organizations are also shared on The Alliance website.

Educational materials from reliable sources. For example, information for the mother-to-be is available from the March of Dimes and Choosing Wisely.

Check the “Member Benefits” section of The Alliance website to learn more about tools or discounts.

Member List (as of July 1, 2015)

Membership by Industry

Construction

Wholesale Trade

Professional, Scientific and Technical Services

Finance and Insurance

Health Care and Social Assistance

Educational Services

Information

Agriculture, Forestry, Fishing and Hunting

Other industries

A.L.M. Holding CompanyABS Global, Inc.Accelerated GeneticsAdelman Travel Systems Inc.Advance Concrete Form, Inc.Alkar-Rapid Pak, Inc.ALL Erection & Crane RentalAlsum Farms & Produce, Inc.Alter Trading CompanyAmerican Aluminum Extrusion Company, LLCAmerican DataAMETEK Inc.Applied Ecological Services, Inc.Aqua-Aerobic Systems, Inc.Ariens CompanyATC Management Inc.Austin-Westran, LLCAuxiantBallweg Family of DealershipsBank of Prairie Du SacBeaver Dam Community Hospital Berner FoodsBethesda Lutheran Communities, Inc.Blackhawk BankBlackhawk Insurance CooperativeBlain Supply, Inc.Bliss Communications, Inc.Body Shop Supply Co, Inc.Boston Inc.Brakebush Brothers Inc.Brooks Tractor, Inc.Cardiac Science CorporationCare Wisconsin First Inc.CB DistributorsCertco, Inc.Chambers & Owen, Inc.Charter NEX Films, Inc.Children’s Service Society of WisconsinCity of BeloitCity of JanesvilleCity of StoughtonClack CorporationCleary Building CorporationCleo Communications

Colony Brands, Inc.Concentric Rockford, Inc.Construction Resource ManagementCooperative Resources InternationalCotta Transmission CompanyCottingham & ButlerCox Transfer Inc.Crest Foods Company, Inc.CSM Companies, Inc.Culver Franchising System, Inc.CUNA Mutual GroupData DimensionsDexter Apache Holdings, Inc.Distek Integration Inc.Dorner Manufacturing Corp.Dubuque Stamping & Manufacturing, Inc.E80 Plus Constructors, LLCElectric Coalition of WisconsinElectronic Theatre ControlsEsaote North America, Inc.FABCO Equipment Inc.Faith Technologies, Inc.Fehr GrahamFestival FoodsFirst National Bank and TrustFirst Supply LLC

Fisher-Barton Group, Inc.Fiskars Brands, Inc.Flambeau, Inc.Foley & Lardner LLPForemost Farms USAFreedom Graphic Systems, Inc.Fristam Pumps USAFurst-McNess CompanyG&V Machine Company, Inc.General Beverage Sales CompanyGleason Cutting Tools CorporationGodfrey & Kahn, S.C.Goellner-Hennig Inc.Good Karma BrandsGordon Flesch Company, Inc.GRAEFGrande Cheese Co.H.G. Meigs, LLCHabush Habush and RottierHallman Lindsay Quality Paints, Inc.Hartung Brothers IncorporatedHeartwood Creations, Inc.Helm GroupHo-Chunk NationHodge Company, Inc.Home Run Auto Sales

10%

37%

6%

22%

8%

3%

4%

7%

3%

The Alliance Member List

Hononegah High SchoolHooper CorporationHufcor, Inc.Hydrite Chemical Co.HyPro Inc.

Integrated Process Engineers & Constructors , Inc. (IPEC)ISR Info Way Inc.ITU AbsorbTech Inc.J. F. Ahern CompanyJ.B. Sullivan, Inc.John Deere & Company Inc.Johnson Financial Group, Inc.JX EnterprisesKahler Slater Inc.Kalahari Development LLCKraemer North America LLCKwik Trip, Inc.Lakeside FoodsLakeside International, LLCLands’ EndLarson & Darby Group, Inc.LeMans CorporationLime Rock Springs Co.MacFarlane Pheasants, Inc.Mallery & Zimmerman, S.C.Mansur Trucking, Inc.Maranatha Baptist UniversityMasterGraphicsMasterMold, LLCMC Products CorporationMcFarlane Manufacturing Co Inc.Mead & HuntMenasha CorporationMetalcraft of Mayville, Inc.MetaStarMid-States Concrete IndustriesMilwaukee Drivers Health & Welfare Trust FundMiniature Precision Components, IncMiTek CorporationMonroe Truck EquipmentMSA Professional ServicesMutual Wheel Company Inc.NASSCO, Inc.National Mutual BenefitNicholson HardwareNORD Gear CorporationNorth American ToolOlin Corporation

Omega EnterprisesOtt Schweitzer Distributing, Inc.Palmer Johnson Power SystemsParagon Development Systems, Inc.Park BankPDQ Food Stores, Inc.Pearl Valley Farms Inc.Piggly Wiggly Midwest, LLCPlastic Ingenuity, Inc.Pomp’s Tire ServicePractice VelocityPrent CorporationPromegaQBE the AmericasQCR Holdings, Inc.Quality Liquid Feeds Inc.R.A. Smith National, Inc.Raven SoftwareRaymond Management CompanyReedsburg Area Medical CenterRegal Beloit CorporationReinders, Inc.Rhodes International, Inc.River Ridge School DistrictRobbins ManufacturingRobinson Brothers Environmental, Inc.Rock CountyRock River Valley Blood CenterRockford Ambulatory Surgery CenterRockford Anesthesiologists Associated, LLCRockford Mass Transit DistrictRogers Memorial HospitalRundle-Spence Manufacturing Co.Ryan Incorporated CentralS&S Cycle, Inc.Sanimax USA, Inc.Sartori CompanySauk PrairieSchool District of BeloitScott Construction Inc.Seats IncorporatedSECURA Insurance CompaniesShared Medical ServicesSouthcomm Inc.Southern Imperial, Inc.Southwest Technical CollegeSpacesaver CorporationSpahn & Rose Lumber Co.Spectrum Brands, Inc

Spuncast, Inc.Steinhafels Inc.Stepping Stones of Rockford, Inc.Stoughton Trailers, LLCSupplyCoreSVAThe Baraboo Bancorporation, Inc.The DeLong Co., Inc.The Fall River Group, Inc.The Fiore Companies, Inc.The Insurance CenterThe Morse GroupTop Die Casting CompanyTrachte Building Systems, Inc.Trek Bicycle CorporationTri-North BuildersU.S. Venture, Inc.United Alloy, Inc.United Stars, Inc.UW SHIPVan Horn Automotive GroupVollrath Company, LLCV-Soft ConsultingWabash NationalWAICU Benefits ConsortiumWaterstone Bank SSBWaukesha County Technical CollegeWB HoldingsWEA TrustWebcrafters, Inc.Wesley Willows CorporationWest Bend Mutual Insurance Co.Wingra Stone CompanyWipfli, LLPWisconsin Bankers Association TrustWisconsin Medical SocietyWisconsin Mutual Insurance CompanyWis-Pak, Inc.Women’s International PharmacyWoodman’s Food Market, Inc.Woodward Communications, Inc.WP Beverages, LLCWPPI EnergyZenith CutterZimbrick, Inc.

Zinga Industries, Inc.

Helping people make better

decisions about health care

is crucial to The Alliance

mission of moving health

care forward. The Alliance

strives to make health care:

› Transparent. When health care is transparent, people can understand what it costs. Equally important, they can learn whether they are obtaining high-quality health care.

› Easier to navigate. People need help learning how to pick providers that are within their network, avoiding hidden fees and finding out whether choosing another provider would reduce their out-of-pocket costs.

› A shared decision. Taking an active role in important decisions about health should be welcomed and coached. We encourage “shared decision-making,” which means the health care provider offers information, education and opportunities for the patient to participate fully in decision-making.

› Appropriate for this patient at this time. Experts say that as much as one-third of health care is unnecessary. The Alliance links patients to resources that help them learn to ask the right questions to identify unnecessary care.

Engaging Employees

Take the QualityPath®

All upside, no downside: That’s the promise of the groundbreaking QualityPath® initiative.

For employers, QualityPath delivers:

› Cost savings on the high stakes procedures of total hip replacement, knee replacement and coronary artery bypass graft (CABG). More procedures and tests will be added in the future.

› Clear guidance for employees facing high-stakes procedures so they can choose hospitals and doctors that meet national quality measures and adopt processes that are better for patients.

› An opportunity to help transform health care by showing health care providers that it’s important to adopt innovative QualityPath approaches such as bundled payments and 90-day warranties.

For employees, QualityPath delivers:

› A better patient experience, including personal assistance from The Alliance patient experience manager, who is a registered nurse and certified care manager.

› 100 percent coverage of medical procedure costs for standard plans (a modified approach is used for plans with a health savings account).

› Answers to the key questions that any patient facing a high-stakes procedure asks: “Which doctor should I use? And which hospital?”

The typical QualityPath implementation process takes 60 days or less. Resources for employers include plan design language and an employee communications toolkit. Learn more at www.the-alliance.org/about-qualitypath.

Know the Quality, Know the Cost, Skip the SurprisesOur user-friendly Find a Doctor website helps you search for doctors, hospitals and other health care providers from your smartphone, computer or tablet.

This transparency tool provides cost information for more than 70 procedures as well as Hospital Safety Scores and quality ratings for birthing centers and primary care sites.

Find a Doctor links consumers to in-network doctors, hospitals, clinics, home health providers, oral surgeons and other health care professionals.

Find a Doctor is powered by Doctor.com, a national expert on searching for care online.

Visit The Alliance website at the-alliance.org and click Find a Doctor to get started.

Educate Your WorkforceThe Alliance can help you educate employees and family members about quality, cost and other issues. Options include:

› ‘Lunch and learn’ talks to help employees become better health care consumers.

› Health Fair support. We can appear at your event or provide materials.

› Resources such as videos, brochures and materials from Consumer Reports.

IAMN

IL

WI

MI

WI

PeoriaKnox

McLean

Warren

Livingston

Henry

Milwaukee

Kane

DuPage

Gogebic

Cook

LincolnLanglade

ShawanoMarathon

Clark

Taylor

Wood Portage WaupacaOutagamie

Waushara

MarquetteGreenLake

Fond du Lac

Washington

Waukesha

DeKalb

McHenry

LaSalle

Clayton

Chippewa

Eau Claire

PepinBuffalo

Houston

Winona

Trempealeau

La CrosseMonroe

Jackson

Fayette

Winneshiek Allamakee

Adams

Juneau

SaukRichland ColumbiaDodge

JeffersonDaneIowa

Grant

LafayetteGreen

RockWalworth

DubuqueWinnebago BooneStephenson

Jo Daviess

OgleCarroll

Whiteside

Lee

Vernon

Crawford

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Fillmore

Primary Service Area

Secondary Service Area

Hospital Locations

Our broad network offers a wide choice of high-value providers to employees and family members who live and work in Wisconsin, Illinois and Iowa.

Dark teal counties offer the broadest selection; we continue to grow in light blue counties.

The Alliance network includes:

› More than 80 hospitals

› More than 7,000 medical doctors

› More than 13,500 total professional service providers

› More than 3,400 medical clinic sites

› 422 chiropractic clinic sites

› 581 mental health clinic sites

› More than 1,000 home care agency locations

As of July 1, 2015

Network Map