This article examines challenges to the success of health alliances between insurers, providers, hospitals and patients. While health alliances hold potential to improve health care for chronic conditions, health alliances struggle to achieve meaningful change in a short period of time.
The authors analyze comparative data from four health alliances in the Aligning Forces for Quality initiative. They conducted 68 interviews with key stakeholders and coded all transcripts for key themes, including infrastructure, governance, stakeholder relationships and participation.
This research indicates that while the coordination of health alliances is complex and challenging, various strategies can strengthen health alliances in their mission to improve chronic care.