The Florida Alliance for Healthcare Value is an employer-led research and education organization that brings together benefits leaders and healthcare stakeholders to develop and implement innovative improvements in healthcare cost, quality, transparency and safety in Florida.
Two New Employer Resources
The guide is based on an Oncology Employer Learning Collaborative (ELC) undertaken with the Florida Alliance for Healthcare Value and Midwest Business Group on Health employer members and the important work done by the National Alliance of Healthcare Purchaser Coalitions, the National Comprehensive Cancer Network (NCCN), and the National Cancer Treatment Alliance (NCTA). Staff and Employer Members of the Florida Alliance and MBGH were active participants in the development of the toolkits and checklists that these organizations developed for employers to better manage their cancer population. A review of these resources was done with both coalitions and their Employer Members during the collaborative and in other settings.
During the ELC, the Employer Members shared the approaches they are taking to optimize cancer prevention, screening, diagnosis, and treatment, as well as how they are supporting care navigation, paying for care, and helping affected employees return to work. A goal of participating Employer Members was to extend life while improving quality of life, improve productivity, and better manage costs. This toolkit includes many of their insights, strategies, and best practices.
The Mental Health Parity Compliance Employer/Healthcare Purchaser Toolkit was developed in partnership with the National Alliance of Healthcare Purchaser Coalitions. This much-needed initiative was funded by Orange County Government and the Bowman Family Foundation.
The Toolkit will greatly assist employers with how to work with their TPAs (and carve out mental health providers, if applicable) on ensuring appropriate analysis of their mental health/substance use disorder data as it compares to their medical/surgical health data.
It is recommended that you review all the materials and send the Non-Quantitative Treatment Limit (NQTL) Tools to your TPA/carrier/service provider as explained in the toolkit as soon as possible. Most analyses the TPAs/carriers/service providers have done to date have not met the expectations of the Department of Labor, who is stepping up enforcement of the law. Please note that both self-funded and fully insured employers have a fiduciary duty to ensure compliance as described in the toolkit.
Empowering Employers to Transform Healthcare Quality and Delivery
Nationally recognized, we are Florida’s only business coalition on health. For more than three decades, we have worked to promote quality through collaboration. Today, we are redefining and driving healthcare value in a number of ways:
- Engaging, uniting and empowering employers, leveraging their collective voice to drive meaningful change
- Assessing and improving healthcare quality and outcomes
- Breaking down barriers to accountability and transparency
- Developing, piloting and implementing innovative solutions
- Serving as a valued resource, proactively identifying trends, challenges and best practices in benefits strategies
- Convening, connecting and informing through ongoing education and networking opportunities
- Partnering with and influencing healthcare providers
What We Believe — Employer / Healthcare Purchaser Rights
Employers and healthcare purchasers have the right to:
Advocate for better value in the health care they purchase for their employees
Transparency of the costs and quality of the care they purchase
Be proactive and empowered purchasers of health care, seeking out innovative ways to generate value for their employees and their families
Use their healthcare data to support new partnerships made in an effort to accelerate value
Expect that quality is measured in a meaningful way
Ensure that plan members have the best patient care imaginable
What Our Employer Members Say
Ashley Bacot, Health Plan Architect
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The Central Florida Health Care Coalition, Incorporated d/b/a Florida Alliance for Healthcare Value is providing this information to our employer members solely in our capacity as a 501c3 nonprofit education organization and not as advice in any capacity. The information that is not in the public domain is private and confidential.
