Alliance of Community Health Plans (ACHP)

Raising the bar on quality — a pillar of #MAForTomorrow that modernizes the MA star ratings program to keep pace with tech advances and close loopholes. Let’s move past outdated measures and truly empower seniors with accurate and quality info. https://lnkd.in/gmDiv94P

We're #hiring a new Digital Communications Manager in Washington, District of Columbia. Apply today or share this post with your network.

Presbyterian Healthcare Services served 57,000 New Mexican seniors in Medicare Advantage in 2023. Patients in an integrated care model saw over 10% better health outcomes and over 7% higher medication adherence. Presbyterian MA plans aren't just performing — they're demonstrating the value of alignment. ?? https://www.achp.report

Pharmacy costs are surging, with GLP-1 drug use up 32% and costs rising by $4 per member/month. But current capitation rates don't account for these trends, straining Medicaid health plans. The U.S. Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services must provide support to update capitation rates and reflect these realities.

On the heels of a summer wave of COVID-19, Americans will be able to get free virus test kits mailed to their homes starting later this month. Having swift access to testing, treatment, vaccines, and data to defeat COVID-19 is critical to saving lives. Stay tuned and follow the U.S. Department of Health and Human Services (HHS) for updates on testing availability.

Health Alliance saw Humira costs soaring to nearly $100,000 per member. In response, they transitioned 60% of patients to biosimilars by 2023 — without compromising care. This move not only saved money but also demonstrated the safety and effectiveness of lower-cost alternatives. ACHP members like Health Alliance are proving that innovative strategies can deliver better care at lower costs, ensuring patients get the right treatment at the right time. ?? https://www.achp.report/

Through virtual care programs Care My Way and Medication Therapy Management, Security Health Plan saves enrollees time and money. In fact, a local school district in Wisconsin saved more than $10,000 in 2019 and then increased those savings to $28,000+ in 2020. With health care spending projected to reach 20% GDP by 2030, ACHP members are laser-focused on delivering cost-effective, patient-centered coverage. Our latest Affordability Report highlights that critical progress. ?? https://www.achp.report/

Congrats to ACHP member UCare for earning the top spot in the 2024 Twin Cities Best of Business Health Insurance Provider! From the Twin Cities to Tulsa, that's the ACHP difference.

Nearly half of Priority Health's members are cared for by doctors in a value-based agreement. The result? Nearly $100 million in savings from 2019-2022 compared to members in fee-for-service models. Coordinated care delivered at the right time and in the right setting results in improved outcomes and increased savings. ?? https://www.achp.report/

Outdated provider directories = delays in care and unexpected costs. ACHP has IDed solutions that reduce provider burden and ensure these directories are useful for consumers. Check it out: https://lnkd.in/eC6ZQFzU