Throughout its twelve-plus years of operations, the Alliance membership remained about 60% nonprofit health care providers and 40% nonprofit health plans. A few of its health system members were both health financing and delivery organizations. Many, but by no means all, of the health plan members were Blue plans, and while most of the provider members were hospitals, multi-hospital systems, or state alliances or state associations of hospitals, and several others were nursing homes and post-acute care providers. Two national groups, both based in Washington, DC, were also members at various points: the National Association of Community Health Centers and Leading Age (formerly the American Association of Homes and Services for the Aging). The specific organizational members over the period 2003-2015 are listed in the Members section of this web site.

Each organizational member designated an executive, typically either the CEO or a direct report to the CEO, to serve on the Alliance and Institute boards. There were also four unaffiliated personal board members. Each board member served a two-year term and was typically re-elected. The Alliance Board met in person twice a year: in April in Washington, DC and in November in Chicago (near O’Hare Airport). At least two conference call meetings were also held each year. The Institute Board met once a year, either in person or by conference call, in conjunction with the Alliance’s annual meeting.

At in-person board meetings, education forums were held in addition to the conduct of regular board business. Typically the forums were kicked off by national policy or political experts/observers as well as by nonprofit health care leaders describing successful collaborative programs at the regional or local level to improve health care access, quality and/or efficiency. Examples of national speakers were Steve Hayes( Fox News), Alex Castellanos (MSMBC), Eleanor Clift (McLaughlin Group), Robert Laszewski (Health Policy and Strategy Associates), Paul Keckley (Deloite), Benjamin Isgur (PricewaterhouseCoopers), and Ken Ackerman/Don Wegmiller/David Bjork (Integrated Healthcare Strategies). Examples of collaborative program topics were reducing readmissions, reforming care delivery for high-risk patients, conducting community health need assessments, establishing nonprofit hospital/community health center relationships, assessing and reducing geographic variations in health care, reforming nonprofit health plan/hospital payment arrangements, preventing and managing chronic diseases, establishing patient-centered medical home programs, eliminating hospital-acquired infections, improving population health, and adopting health information technology.

Between Board meetings, the President issued a monthly newsletter as well as special emails on important developments.