Health Plan Alliance Announces a New Provider Network Optimization Consortium

01/18/2022

Health Plan Alliance Announces a New Provider Network Optimization Consortium

IRVING, Texas, January 11, 2022 — The Health Plan Alliance (Alliance), in collaboration with Faegre Drinker Consulting and ATTAC Consulting Group (ACG), is pleased to announce the launch of its first Provider Network Optimization Consortium (PNOC).

PNOC will provide participating plans with assistance and tools to more successfully administer one of the most important parts of any health plan—its Provider Network. Borrowing from successful practices used in other successful consortia managed by HPA, PNOC will include expert-delivered content, member-to-member information sharing, “Shark Tanks” with vendors that offer needed services, and collaborative sessions to develop needed materials.

The Health Plan Alliance supports 45 regional health plans in non-competing markets that work with one another and their provider networks to improve managed care in their communities. “The Provider Network Optimization Consortium is another example of the collaborative learning activities run by the Alliance that bring so much value to our members,” said Kristin Rodriguez, Health Plan Alliance chief operating officer. “This type of peer-to-peer learning is the hallmark of the Alliance.” 

Health plans must continually enhance their clinical, administrative, financial and IT operations in order to optimize their provider networks. HPA’s consortium model is premised on health plans pooling resources and utilizing internal and external experts. In so doing, health plans receive far more services together than they could purchase individually.

“On most days for most Americans, the provider network is the health plan,” observes Mike Adelberg, the leader of Faegre Drinker’s Healthcare Strategy Practice and a co-facilitator of the PNOC. “And yet, health plans struggle to keep pace with member expectations and the many innovations changing healthcare. PNOC positions Alliance health plans to embrace the best of what is happening in healthcare today.”

Jocelyn Bayliss, leader of ATTAC Consulting Group’s (ACG’s) Provider Network Management division and a co-facilitator of PNOC agrees. “For the last 25 years, I’ve helped plans across the nation build and improve their provider networks. Working with individual plans is great but I’m excited to see the consortium model leverage our team’s skills to positively impact several health plans at once.” 

The PNOC is comprised of 18 provider-sponsored health plans from the Alliance membership. It includes several of the highest quality plans in the US. Consortium activities kick off in January and will run through May 2022.  

  

About Health Plan Alliance

The Health Plan Alliance is a national organization that brings provider-sponsored health plans together with their health system and provider group leaders for unparalleled peer-to-peer collaboration. For more than 20 years, Health Plan Alliance members have leveraged the collective knowledge of our community to enhance their business acumen and advance the quality of health care delivery in their communities. For more information visit healthplanalliance.org or email info@healthplanalliance.org.   

Media contact:
Nicole Fultz
Director, Learning and Communications
972-830-8691
nicole.fultz@healthplanalliance.org


Business development contact: 
Jaime González
Chief Business Development Officer
972-830-6355
jaime.gonzalez@healthplanalliance.org