About Health Alliance
Q and A's
Health Alliance Network
Participating Networks:
Frequently Asked Questions
This network, consisting of Horizon PPO, MCC PPO, and Hometown Health PPO (Northern Nevada) will be available to all participants.
The advantage to all employees and employers is the access to any participating providers in these networks.
The network, Health Alliance, is the most comprehensive and competetive in Nevada, and brings a new perspective to PPO selection for both employers and employees.
FAQ's
What is Health Alliance?
Health Alliance is a combination of three Nevada PPO Networks and one National Discount Network.
What networks participate in Health Alliance?
In Nevada, Horizon Health Network, MCC (Alternet) Network and in northern Nevada, Hometown Health Network.
What is the advantage to the Employer for using Health Alliance?
The Employer gets the benefit of utilizing the most competetive reimbursements rates available for the Health Alliance participating networks.
What is the advantage of the Employee?
By Selecting Health Alliance, the Employee can access any participating network provider in the most comprehensive network in Nevada.
Do I have to sign multiple contracts to access the Health Alliance?
No. One contract, one fee provides access to all three networks. The national network is percent of savings based.
Why hasn't this been available before?
The competetive climate in Nevada has only recently been open to this "next step" managed care system.
Who uses Health Alliance?
All new MCC and Horizon business will be offered Health Alliance. MCC existing business is considering Health Alliance this year.
What are the advantages for Third Party Administrators and Self Payors?
There are several. The Employer gets the most competetive reimbursement rates to help hold down costs. The Employer has access to three Nevada networks instead of one. Health Alliance can electronically reprice and download electronic claims to TPAs and Self Payors in a format which allows them to auto adjudicate claims without having to handle the paper claims. This vastly improves efficiency and quality and significantly reduces the cost of claims administration. This TPA/Payor service is called "HANDS FREE".
Where did the "Hands Free" name come from?
The acronym for Health Alliance Network Delivery Systems HANDS and the ability through this service to free up valuable processing time - Free, "HANDS FREE"
Why wait until now to introduce Health Alliance?
Managed Care is in a state of evolution. Market trends, competetive influences, government mandates (HIPAA) and the demand for broader access and lower cost from the Health Care Consumer has brought about the need to provide the Health Alliance Network and the "HANDS FREE" system. Health Alliance brings a broad expansive delivery system to the members and a simple, effective and cost efficient way to adjudicate the volumes of paper work created by health care plans.
Can anyone access the Health Alliance Network?
Health Alliance is a group based product. If your health insurance plan uses Health Alliance, all members can access Health Alliance.
How do I find out more about Health Alliance?
Call Pam Peale at 702-792-2994 ext. 209 or
Marcy Platt at 702-792-2994 ext. 12.