Value Based Purchasing

The Tri-State Health Care Coalition is pleased to offer a range of activities in which public and private purchasers engage to influence the behavior of consumers, plans, and providers to achieve greater value…we call this “Value Based Purchasing.” Our key strategy going forward is to:

• Improve the purchasing process of employers and employees

• Improve the health system (health plans, hospitals and other providers)

• Improve the health of the community (employees, consumers and public)

Controlling Your Health For Life

The Tri-State Health Care Coalition (TSHCC), in cooperation with the American Pharmacists Association (APhA) Foundation invite TSHCC members to participate in the Quincy/Hannibal area Controlling Your Health For Life: Patient Self-Management Program For Diabetes.  This value-based benefit design program has proven to improve health and reduce long-term health care costs.  Controlling Your Health for Life: Patient Self-Management Program For Diabetes is supported by Pfizer, Inc.

Click here to read more.

Prescription Management Plan 

The Tri-State Health Care Coalition offers its members access to our Prescription Management Plan.  The pharmacy benefit management arrangement provides an extensive network of pharmacies, providing prescriptions to participating members at deeply discounted prices.  Employers may use virtually any plan design and still obtain the discounts. 

In addition, a full array of services to assist employers in managing their prescription benefit, including benefit design consulting, on-line support services, fast and accurate claims processing, reporting, drug utilization evaluation and formulary management.  Click here for information on MedTrak Services.

Vision Plan 

Through an arrangement with Vision Service Plans (VSP), the nation’s largest provider of vision plans, coalition member companies may choose to offer vision care as an employee benefit.  The VSP arrangement offers various plan options, at extremely competitive prices, due to coalition group purchasing. Click here to contact TSHCC for more information.

Tri-State Coalition Open Access III and PPO Network

Our members have access to HealthLink’s Open Access III and PPO Networks that provides an extensive network of providers.  Currently, the Open Access or PPO networks are the choice for thirty-eight coalition employers, representing over 18,000 covered lives in the Quincy Area.

Employers enjoy deep discounts achieved by pooling the purchasing power of all participating employers.  A claims data collection and reporting system provides extensive reporting about utilization, cost and quality.  Physician-employer committees work together to improve the quality of care.  Click here for more information about HealthLink, Inc.