Board of Directors
Community Health Plan
Since its onset in 1993, the Penn-Ohio Health Care Alliance has grown
to 14,481 covered members in cooperation with its business partner, HealthAmerica.
This growth stems from the clear vision and core principles established
by the Alliance and its founding members.
Although many changes in health care have been observed over the past
decade, the vision and mission of the Alliance have remained intact.
Now, after years of successful growth, the Alliance must address a
new health care environment if it is to continue to grow at its historical
pace. Several market characteristics have surfaced which create this
need for change including increased legislative actions and opportunities,
the rapid growth in technology, and the demand for new and sophisticated
health care servicesall of which have increased premiums and
costs in recent years.
The result of these events not only threatens the continued growth
of the Alliance and its partner HealthAmerica, it will also challenge
the core mission and values of the organizations over the next several
years. Therefore, change must be incorporated to slow and potentially
reverse the progress of these inflationary factors. As partners, Penn-Ohio
and HealthAmerica have a unique opportunity to create change among
the four stakeholders involved in the health care delivery and financing
process. These include the employer, employee, payer, and health care
provider. Through a joint effort, each party can project its needs
in order to attain balance within our select community.
By definition, a Community Health Plan can be characterized as the
planned interaction of purchasers, consumers, providers, administrators,
insurers, and community influencers of health care services for the
purpose of improving health status, balancing incentives and accountabilities,
seeking cost and quality efficiencies, and assuring long-term commitment
among the parties.
This definition is not far from the original intent of the managed
care industry. The Community Health Plan can provide further opportunity
for long-term price stability and improved access to quality and cost-efficient
The development of a Community Health Plan provides a unique opportunity
for the Alliance in Western Pennsylvania and Eastern Ohio to create
win-win partnerships. In the fall of 2000, the Alliance
Board of Directors agreed that the initial focus for the Community
Health Plan should begin with education, communication, and the promotion
of wellness. As opportunities for change and collaboration are created
through these initial steps of our work plan, further programs and
opportunities for success will be measured and reported to the membership.