Administration’s Actions Will Help Stabilize ACA Coverage

For immediate release June 8, 2016
CONTACT:
Rachel Schwartz
rschwartz@achp.org
202-524-7759 (office)
202-577-5435 (cell)

The Alliance of Community Health Plans (ACHP) commended the U.S. Department of Health and Human Services for actions announced today that will help to stabilize ACA coverage over the long term.

“ACHP members have emphasized repeatedly that a broad, stable risk pool is critical for health plans to maintain and expand coverage,” says ACHP President and CEO Ceci Connolly. “We are very pleased that the administration has responded to the needs of plans who remain committed to coverage. These steps will encourage people to enroll, and stay enrolled, in health plans that provide essential benefits.”

ACHP supports these new actions that will restrict limited duration health plans, which do not provide adequate coverage. Equally important are the steps announced to improve how the risk profile or illness burden of enrollees is assessed – by including partial-year enrollees and prescription drug information. These and other improvements announced will sustain coverage in the Marketplaces.

Two ACHP member plans, SelectHealth of Salt Lake City and UPMC Health Plan of Pittsburgh, will be spotlighted for their work in coordination of care and member engagement in a day-long forum sponsored by the U.S. Department of Health and Human Services. Marketplace Year 3: Issuer Insights and Innovation will convene Thursday, June 9, 2016 and stream live at http://www.hhs.gov/live/live-2/. ACHP can facilitate interviews with plan presenters.

SelectHealth of Salt Lake City has focused its outreach on helping consumers make sense of the health care law and providing one-on-one assistance. UPMC of Pittsburgh has shown extraordinary growth in its individual market, with 122,000 health plan memberships in 2016, up from 55,000 in 2015 and 4,500 in 2014. Both plans emphasize the need for a highly coordinated approach to delivering care.

“SelectHealth, UPMC and all ACHP plans remain committed to providing high-quality, affordable care to the newly insured. We hope the administration will take further steps to assure the sustainability of the individual market,” says Connolly.

 

About ACHP
The Alliance of Community Health Plans (ACHP) is a national leadership organization bringing together innovative health plans and provider groups that are among America’s best at delivering affordable, high-quality coverage and care. ACHP’s member health plans provide coverage and care for more than 18 million Americans. These organizations focus on improving the health of the communities they serve and are on the leading edge of innovations in affordability and quality of care, including primary care redesign, payment reforms, accountable health care delivery and use of information technology. To learn more about ACHP, go to www.achp.org.