ACHP and our members improve the health of the communities we serve and actively lead the transformation of health care to promote high-quality, affordable care and superior customer service.
ACHP Plans’ Work in the Community
ACHP plans are working with communities, provider groups, patients and other stakeholders to improve the quality and affordability of care and the overall health of their communities. Our innovation profiles describe how member health plans are pursuing these goals by engaging patients in their care, increasing access to providers, encouraging data sharing and transparency, and aligning economic incentives, among a variety of efforts.
Engaging Patients in Their Health
In Tallahassee, Fla., Capital Health Plan is collaborating with physicians, educating patients and engaging with community leaders through the Choosing Wisely® campaign, a program that taps the expertise of physician societies to reduce the most commonly overused medical tests and procedures. With Choosing Wisely, Capital Health Plan is creating the cultural transformation necessary to embrace better, more selective and higher-value health care.
A key to lowering health care cost trends is helping people play an active role in their own health. HealthPartners of Minneapolis invests in proactive telephone coaching, smoking cessation programs, fitness club fee reimbursement and other customized approaches that result in fewer heart attacks, lower diabetes incidence and reduced insurance claims among members.
To bend the rising health care cost curve, CDPHP of Albany has developed SharedHealth, a multi-stakeholder partnership based on transparency and support. SharedHealth is a long-term solution to the cost issue based on the principles of transparency and support, and aims to engage members by providing employers with the tools they need to capitalize on a healthy workforce.
To improve patient care and reduce preventable hospital admissions, Group Health Cooperative in Seattle invests in a program to streamline discharge procedures and improve communications, helping the health plan decrease hospital readmission rates, improve patient satisfaction and save more than $50 million in unnecessary hospital costs in one year.
Capital Health Plan of Tallahassee established the Center for Chronic Care to improve the care and patient experience of its highest-risk members – those with complex chronic conditions. The center provides intensive, evidence-based outpatient primary care and individualized care plans for such patients, resulting in high patient satisfaction and improved clinical outcomes.
In 2013, CDPHP joined with the YMCA and Hannaford supermarkets to offer its community a free place to learn about healthy eating, fitness and health care. Named the Healthy Living Center and conveniently located inside a large, popular Hannaford supermarket, the 5,600 square foot center offers a variety of programs that cover exercise, nutrition, senior health, medication safety and disease management.
In Minneapolis, HealthPartners’ PowerUp program, directed at childhood obesity, is changing the culture around food and activity. Through partnerships between the plan and the community that create programs for healthier living, PowerUp instills a healthier lifestyle and meets the causes of rising obesity rates at their roots.
Priority Health of Grand Rapids provides children covered by Medicaid with greater access to health care services through a patient-centered medical home, helping improve the health of all children in Michigan. By helping local pediatricians increase same-day office visits, for example, health outcomes improved, and hospital admissions and emergency visits declined.
Recognizing the need for a comprehensive health information technology network in western New York, Independent Health has pulled together area stakeholders and competitors to collaborate on a digital medical record database, and combat chronic diseases with a unified purpose. The digitized registry, called HEALTHeLINK, allows nearly all of western New York’s health care providers to quickly access health records, saving time, money and potentially lives.
Kaiser Permanente of Southern California implemented the Healthy Bones program to proactively identify, screen and treat those with, or at risk of, osteoporosis. The program has drastically increased the rate of osteoporosis screening and treatment, and reduced the rate of debilitating and costly hip fractures, saving an estimated 250 lives annually.
Looking for a way to support its hospitals and nursing staff, CareOregon adapted an innovative U.K. program called Releasing Time to Care. The methodology was designed by nurses to help front-line hospital nursing staff increase the time available for bedside nursing by improving the safety, quality and delivery of care.
ACHP members lead this year’s NCQA Health Insurance Plan Ratings, making up seven of the nine Medicare plans rated a 5, eight of the twelve commercial plans rated a 5 and the only Medicaid plan rated a 5.