High-Quality Care + Lower Cost = QualityPath®
QualityPath is designed to:
- Inspire and sustain changes in the way health care is purchased.
- Save money for employers
- Reduce out-of-pocket costs for employees and family members
- Guide patients who need surgeries to high-quality care
What QualityPath Does
QualityPath identifies doctors and hospitals that – when working together – meet national quality measures and adopt processes that are better for patients.
Meet the QualityPath doctors
Three procedures are available:
- Total hip replacement
- Knee replacement
- Coronary artery bypass graft, often called heart bypass surgery
What Employers Can Expect
- A bundled price that covers the medical procedure for a set cost that is substantially below the average cost within The Alliance network.
- A 90-day warranty that means care for avoidable complications becomes part of the bundled price, not an additional charge.
- Guidance to high-quality hospitals and doctors.
- Access to QualityPath participation as a benefit of membership; there is no additional fee to participate.
How to Implement QualityPath
Get started by signing up to participate in QualityPath.
- In Wisconsin and Iowa, contact:
- Mike Roche, member services manager, 800.223.4139 x6645
- Paul Roelke, member services advisor, 800.223.4139 x6647
- In Illinois, contact:
Member services will guide you through the set-up process. Download the implementation documents.
What Your Employees Can Expect
- Shared decision-making, which helps patients decide early in the process – before surgery is scheduled – whether they need the surgery and the risks that come with it.
- 100 percent coverage of medical procedure costs, which is required as part of plan design. Employers may choose to offer additional incentives, which are required for high-deductible health plans (HDHPs) with health savings accounts (HSAs).
- Guidance from the Patient Experience Manager, who is a registered nurse. The manager can help make appointments, transfer medical records, serve as a liaison and link patients to additional information. Patients must call the Patient Experience Manager at 800.223.4139 to receive QualityPath benefits.
- A 90-day warranty. Patients must follow recommendations for care, including physical therapy or cardiac rehabilitation, to keep the warranty in place.
View our infographic showing the QualityPath journey for your employees.
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