Health Insurance Tax Credit Likely to Affect Small Part of Small Business Workforce
A new Commonwealth Fund report shows that over 16 million small business workers are eligible for health insurance tax credits...
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Hospital Profits Raise Eyebrows as Medical Costs Continue to Soar
Forbes magazine released a survey of America's most profitable hospitals that revealed that 24 hospitals with more than...
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The Effects of the Affordable Care Act on Workers’ Health Insurance Coverage
A team at RAND Corporation created a microsimulation to predict how and why health insurance markets are likely to be...
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New Ideas in Medicaid Financing
Medicaid faces major challenges from the new responsibilities and financial pressure from the new health care law. The...
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Improving Access to Health Care Data
To promote innovation, quality improvement and increased efficiency in health care, we need to improve access to...
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Welcome to ACHP
ACHP is a national leadership organization that brings together innovative health plans and provider groups that are among America's best at delivering affordable, high-quality coverage and care in their communities.
ACHP and its members improve the health of the communities we serve and actively lead the transformation of health care so that it is safe, effective, patient-centered, timely efficient and equitable. Drawing on years of experience, our members collaborate, share strategies and work toward solutions to some of health care's biggest challenges. Their work is the foundation for ACHP's advocacy on behalf of better health care nationally.
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What's New
Information on NCQA's Health Plan Rankings 2010 - 2011
Information about this year's rankings can be found here.
ACHP Members Ranked Among Highest Performing Health Plans
More ACHP members are in the top ten health plans this year than ever before, according to performance rankings on clinical quality and patient satisfaction measures developed by NCQA and published in U.S. News & World Report.
- Nine of the top 10 Medicare plans and 15 of the top 25 are ACHP member plans
- Five of the top 10 commercial plans and 11 of the top 25 are ACHP member plans
U.S. News singles out an Honor Roll of health plans five ACHP member plans are on the commercial honor roll and the entire Medicare honor roll consists of ACHP member plans.
Read the ACHP press release.
Leadership of ACHP Medical Director’s Committee
We are excited to announce that our new Medical Director Committee Chair for 2011-2012 will be Bruce Nash, MD, Chief Medical Officer of Capital District Physicians Health Plan. The new leadership team will also include Brenda Bruns, MD, Executive Medical Director at Group Health Cooperative, who will be serving as Vice Chair.
We would like to thank Mike Culyba, MD, of UPMC Health Plan, Chair of ACHP’s Medical Director’s Committee and Russ Kuzel, MD, of Security Health Plan, Vice Chair of ACHP’s Medical Director’s Committee, for their leadership over the past two years.
Medicare Advantage Star Rating Resources
Slides from ACHP's presentation, "Understanding the Star Ratings and Their Impact on MA Payments" are available here. You must be logged in as an ACHP member to access this resource.
New Technology and Health Plans: Engaging Consumers and Empowering Patients
This report highlights ACHP member plan efforts to engage patients with the use of new technology in the health care industry. The examples provided illustrate innovations that have been integrated into coordinated systems of care, enhancing patient experience and improving health care delivery. Three in-depth case studies from Kaiser Permanente, HealthPartners and Group Health Cooperative of South Central Wisconsin explore these plan initiatives.
ACHP Member Plans to Offer Young Adult Coverage Before Overhaul Deadline
CEOs of ACHP member plans wrote a letter on April 23, 2010 to Health and Human Services Secretary Kathleen Sebellius expressing commitment to cover dependent adult children in the period before the provisions of the PPACA take effect.
Text of Letter
HealthReform.gov Recognition
Patient-Centered Medical Homes
ACHP member plans are pushing the boundaries on medical homes, working together through the Patient-Centered Medical Home Collaborative
- ACHP Member Group Health releases study showing that their medical home model provides patients better primary care at no more cost
- ACHP Collaborative: Coordinating Care, Improving Outcomes - Examples of Medical Home Initiatives from ACHP Member Plans
- ACHP Bulletin: ACHP Patient-Centered Medical Home Collaborative: Strategies for Practice Transformation
- More information about the ACHP Patient-Centered Medical Home Collaborative
ACHP Members Profiled by Commonwealth Fund
The Commonwealth Fund has published a series of case studies examining the care delivery systems of four ACHP member organizations:
Geisinger Health System
HealthPartners
Kaiser Permanente
Group Health of Seattle
In a study done to help Medicare beneficiaries choose a private plan, the Centers for Medicare and Medicaid Services (CMS) rates the quality of private plans offered through the Medicare Advantage program. 1. In an analysis conducted by the Kaiser Family Foundation, non-profit plans, when compared to for-profit plans, are found to have significantly higher ratings. 2. Other findings are that Private Fee-For-Service plans and regional Preferred Provider Organizations (PPOs) have below average ratings – significantly lower than HMOs and local PPOs and that more experienced plans have higher quality ratings that newer plans.
2010 Medicare Advantage Plan Quality Ratings Highlights Quality of Non-Profits
Events
Upcoming Events
Web Conference
Understanding the 2010 NCQA Health Plan Rankings This Web conference provides an overview of the rankings methodology and how the rankings changed for 2010, offers predicted
Web Conference
Legislative Committee This regular monthly meeting of ACHP's Legislative Committee is an opportunity to share information and discuss strategy on ongoing and emerging policy issues
Tuesday, September 21, 2010
In-Person Meeting
Santa Fe, NM
ACHP Primary Care Innovation Collaborative Our collaborative continues to focus on the patient centered medical home as a key infrastructure for delivering innovative, advanced primary care
Thursday, September 23, 2010
In-Person Meeting
Santa Fe, NM
Medical Director's Meeting The agenda for the Medical Director’s meeting continues to evolve, as the ACO movement does. Our overall objectives for 2010 will be addressed
Tuesday, March 22, 2011
In-Person Meeting
San Diego, California
ACHP 2011 24th Annual Boards of Directors Symposium The ACHP Boards of Directors Symposium offers a unique opportunity for ACHP Board members and their plans’ Boards
Learning and Innovation
ACHP works with medical directors, quality improvement staff, and other health plan officials to improve the health care system and the lives of people in the communities they serve. In addition, we help our members identify areas where they could improve their clinical service and financial performance and give them the tools and strategies to make it happen.
Patient-Centered Medical Home Collaborative
HealthPlan Performance Gauge
Medicare Advantage SnapShots
Public Policy
ACHP shares the Institute of Medicine's goals for quality health care: health care that is safe, effective, patient-centered, timely, efficient and equitable. We are committed to advancing public policies to help achieve these goals.
Key Issues in National Health Care
Federal Legislative Activity
Health Policy Resources