Learning and Innovation

ACHP works with medical directors, quality improvement staff, Medicare program officers, marketing officers and other health plan officials from its membership to improve the health care system and the lives of people in the communities they serve.

Our programming model relies heavily on members identifying key challenges and presenting to other members about their innovative practices and strategies. To produce events that members consistently participate in and value, we begin by identifying members who are top performers in specific areas and help these leaders highlight their unique strategies and share lessons learned. Vendor-free conferences, Web-based learning sessions and traditional conference calls offer an intimate forum to discuss health care improvements and strategies for addressing challenges in the marketplace.

ACHP members and others who want to learn more about our programming should contact Adam Zavadil, director of market strategy and analysis, at 202-785-2247 or at azavadil@achp.org.   

Patient-Centered Medical Home Collaborative - The Medical Home concept was first presented as a model of care for children with special needs in the 1960s and 1970s. It has since evolved as the utility of the model was recognized in treating adults with chronic illnesses. The Patient-Centered Medical Home model has recently emerged as an approach that combines medical homeness with patient-centered care. As the concept (and operational strategies to ensure the success of the concept) is still poorly defined, ACHP plans have agreed to collaborate to define a robust medical home model that simultaneously addresses customer experience, health outcomes and per capita costs and leverages the unique attributes that characterize our plans.

HealthPlan Performance Gauge - ACHP and its members pursue a vigorous and ever-expanding analysis agenda. Our quantitative analysis efforts are best exemplified by ACHP's HealthPlan Performance Gauges, proprietary interactive tools that help our members understand how well they rate on measures of clinical and customer service quality (for commercial, Medicare and Medicaid health plans). The Gauges also identify the largest opportunities for improvement, as well as the health plans that they could learn the most from to improve in those areas. We also provide our members with interactive tools to help them better understand their financial performance.

Medicare Advantage SnapShots - These Medicare Advantage reports use the latest enrollment, payment and demographic data to illuminate this rapidly evolving market and help ACHP members better understand MA dynamics in their marketplace.

Innovation Summaries - Our qualitative analysis efforts are best exemplified by our popular series of Innovations Summaries. These brief papers help our members answer a wide array of operational, clinical or marketplace-related queries based on knowledge obtained by speaking with our member plans.