Community Health Alliance set to be among lowest cost options

Tennessee’s only health insurance CO-OP, Community Health Alliance (CHA), has expanded to all 95 counties (up from five of the eight ratings areas last year) with competitive rates for the second open enrollment period which begins Saturday. Initial analyses show CHA to be the lowest health care coverage option in most of the state’s rating areas. CHA offers individual and family plans, both on and off the Marketplace. The CO-OP also offers plans for small businesses through the federally facilitated SHOP (small business health options) as well as private market solutions for both large and small employers. “We’ve worked very hard to stay true to our mission of offering high-quality, affordable coverage and I’m proud of what our team has been able to accomplish,” said President and CEO Jerry Burgess . “As the most affordable option in most areas of Tennessee, shoppers will be able to get the coverage they need for themselves and their families with a substantial provider network to support that.” Community Health Alliance has a competitive selection of provider partners across the state in its Choice Network, and a team that remains committed to analyzing the provider network needs for its members. CHA also offers narrow network options with its Select Network in the Nashville and Memphis to provide even lower cost...

Community Health Alliance Opens New Customer Service Center

More than 70 new positions added! Community Health Alliance (CHA) has established a new Customer Service Center in the historic Miller’s Building on Gay Street in downtown Knoxville and will begin operation for open enrollment on Nov. 15. The new Customer Service Center represents a significant investment in the community, including the addition of more than 70 new jobs. CHA’s Knoxville location now has 95 employees and has become one of the largest and fastest growing downtown businesses. Customer service representatives are trained and licensed to help both health plan members and potential members with health insurance enrollment, tax credit qualification and understanding plan benefits. They will also assist CHA members with benefit and billing questions, and making payments. The Customer Service Center also provides the same services for Consumers’ Choice Health Plan, South Carolina’s health insurance CO-OP. “As a consumer operated and oriented company – after all, that’s what CO-OP stands for – we embrace a high-touch approach with our members,” said Jerry Burgess , CHA president and CEO. “And the Customer Service Center embodies every aspect of that commitment to service.” Beginning Saturday, Nov.15, Customer Service Center representatives will be assisting callers who wish to enroll for 2015 health insurance coverage. Hours of operation are Monday through Friday, 8 a.m. to 6 p.m., and 9 a.m. to 1 p.m. on Saturdays. For added convenience, callers also have the option to schedule a return phone call through 7:30 p.m. EST Monday through Friday, or during Saturday’s hours of operation. The Customer Service Center phone number is 800-580-8574. Personalized service in four cities across Tennessee To better accommodate both...

Community Health Alliance and Vanderbilt University Medical Center Enter Collaborative Partnership

Community Health Alliance (CHA), Tennessee’s health insurance CO-OP, and Vanderbilt University Medical Center in Nashville, Tennessee, have finalized a collaborative effort to provide consumers with comprehensive care. Community Health Alliance has developed many preferred provider partnerships across the state as it prepares for benefit plans to take effect on Jan. 1, 2014. “Vanderbilt University Medical Center is a nationally recognized healthcare facility,” said Jerry Burgess, Community Health Alliance CEO. “We are extremely proud to include them in our network of outstanding preferred providers. This partnership affirms our commitment to provide the best care and wellness programs available to communities throughout the state.” Vanderbilt University Medical Center (VUMC) is a comprehensive academic medical center dedicated to the missions of patient care, research and education. Its reputation for excellence in each of these areas has made VUMC a major patient referral center for the Mid-South. Each year, people throughout Tennessee and the Southeast choose Vanderbilt for their health care needs, not only because of its reputation for excellence but also because the faculty and staff are dedicated to treating patients with dignity and compassion. In July of this year, for the ninth consecutive year, Vanderbilt University Medical Center was named among the nation’s 100 “Most-Wired” hospitals and health systems for its innovative efforts in medical technology. Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are again this year named among the nation’s best hospitals by U.S. News & World Report. “Our collaboration with Community Health Alliance will help increase access for Middle Tennesseans to the comprehensive array of health care services we offer,” said John Howser, Assistant...

Community Health Alliance Earns NCQA Interim Accreditation

Community Health Alliance (CHA), Tennessee’s health insurance CO-OP (Consumer Operated and Oriented Plan), has been awarded Interim Accreditation by the National Committee for Quality Assurance (NCQA) Review Oversight Committee. NCQA Health Plan Accreditation is a voluntary review process. It evaluates how well a health plan manages all parts of its organization and delivery system — physicians, hospitals, other providers and administrative services — to continuously improve the quality of care and services available to its members. NCQA Health Plan Accreditation surveys include rigorous on-site and off-site evaluations of over 60 standards and selected HEDIS® (Healthcare Effectiveness Data and Information Set) measures. A team of physicians and health plan experts conducts accreditation surveys. A national oversight committee of physicians and other health care professionals analyzes the team’s findings and assigns an accreditation level based on the performance of each plan being evaluated against NCQA’s standards. The standards are purposely set high to encourage health plans to adopt strategies that improve care, enhance service and control cost. “NCQA Accreditation provides purchasers and consumers with an unprecedented ability to evaluate the quality of different health plans along a variety of important dimensions, and to make their health plan decisions based on demonstrated value rather than simply on cost,” said Judy Slagle, CHA senior vice president and chief operating officer. “We are very proud of this achievement.” NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers,...

Community Health Alliance enters partnership with NorthCrest Medical Center

Community Health Alliance (CHA), Tennessee’s health insurance CO-OP, has added NorthCrest Medical Center in Springfield, Tennessee to its growing network of preferred providers. The agreement will help provide consumers with the comprehensive care necessary for health plans now available for coverage beginning Jan. 1, 2014. “NorthCrest has been named an exemplar hospital by the Institute for Healthcare Improvement,” said Jerry Burgess, Community Health Alliance CEO. “We are pleased to include them in our provider network as we work to extend access to high quality care throughout the state. This partnership is key to fulfilling the commitment we’ve made to individuals and employers throughout Tennessee.” NorthCrest Medical Center, a not-for-profit community hospital, has been providing compassionate, quality health care since 1956. With a mission of enhancing community and patient wellness, NorthCrest provides inpatient, outpatient, and emergency medical services to Northern Middle Tennessee and Southern Kentucky. The medical center was recently recognized with an “A” Hospital Safety Score by The Leapfrog Group, and for the second consecutive year NorthCrest was recognized by The Joint Commission as a top performer on key quality measures concerning the treatment of heart attack, heart failure, pneumonia, and surgical care. ABOUT COMMUNITY HEALTH ALLIANCE Community Health Alliance is Tennessee’s health insurance CO-OP. As a nonprofit, member-governed health plan, Community Health Alliance promotes patient-focused and provider-engaged care, with a customer friendly size and attitude. The National Committee for Quality Assurance (NCQA) has awarded an interim accreditation status for service and clinical quality that meets the basic requirements of NCQA’s rigorous standards for consumer protection and quality improvement to Community Health Alliance. Just like any insurance company, Community...

Community Health Alliance Enters Collaborative Agreements In East and West Tennessee

KNOXVILLE, Tenn. (July 1, 2013) – Community Health Alliance (CHA), Tennessee’s health insurance CO-OP has entered into collaborative agreements with three new partners on both ends of the state. Community Health Alliance is assembling its preferred provider network across the state, on target to rollout health plans for qualified individuals and small businesses in Tennessee beginning this October. Covenant Health and Tennova Healthcare both serve the East Tennessee region. Decatur County General Hospital, located in Parsons, Tennessee west of Nashville, is CHA’s first rural facility partner. Covenant Health’s acute care hospitals include Fort Sanders Regional and Parkwest Medical Centers in Knoxville, Methodist Medical Center in Oak Ridge, Fort Loudoun Medical Center in Lenoir City, LeConte Medical Center in Sevierville, Roane Medical Center in Harriman, and Morristown-Hamblen Healthcare System in Morristown. The health system also operates a psychiatric facility, Peninsula Hospital, a division of Parkwest Medical Center, in Blount County. Consistently ranked among the top 100 health systems in the country, Covenant Health has more than 10,000 employees and physicians who deliver quality care to thousands of East Tennessee residents. “Covenant Health, working with its affiliated physicians, is pleased to work with Community Health Alliance in this expansion of affordable health care coverage for East Tennesseans,” said Anthony L. Spezia, Covenant Health President and CEO. This agreement also provides CHA’s East Tennessee members with coverage to Tennova Healthcare’s six acute care hospitals, 25 ancillary centers and 36 employed medical groups representing more than 1,000 physicians. Tennova’s six hospitals include: Physicians Regional Medical Center, Turkey Creek Medical Center, North Knoxville Medical Center, Jefferson Memorial Hospital, LaFollette Medical Center and Newport Medical...