The Central New York Developmental Disabilities providers met monthly to share information and work on issues of mutual interest and concern. In 2013, a subset of members began regular meetings to discuss: managed care readiness; consult Managed Care, legal and accounting experts; explore the challenges of preparing for managed care; and explore options to best position the people we serve and our organizations. In 2016, Members created a nimble, flexible governance structure that ensures balanced representation. Inclusive Alliance is an Independent Provider Association (IPA) comprised of twenty-one members that cross systems. The organization was incorporated by New York State on July 2017.