The Alliance of Community Health Plans (ACHP) is the voice of regional, nonprofit health plans.
Washington, DC
Joined December 2009
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Medicare Advantage risk adjustment should reflect beneficiaries’ health care needs, not reward coding intensity. In a new letter to @CMSGov, ACHP outlines recommendations for developing an inferred risk adjustment model that improves accuracy and supports fair competition.
Read ACHP's full recommendations: achp.pub/4yFdwx6
Join ACHP and Credo Health at 3:30 p.m. ET to explore how better clinical data can support more accurate risk adjustment and stronger quality outcomes. Don’t miss it.
Register now: achp-org.zoom.us/webinar/reg…
Alliance of Community Health Plans (ACHP) retweeted
The quality star ratings for Medicare Advantage came out last night and the big takeaway is that @_ACHP’s local health plans continue to dominate the top of the charts. Equally important, our members distinguish themselves on measures that matter. Watch this space for more info.
Alliance of Community Health Plans (ACHP) retweeted
It’s a trend in the @_ACHP membership. We are oversubscribed at the top of the quality charts; we’re local and we collaborate with your doctors. We’re designed to be different.
We’re proud that all Kaiser Permanente Medicare health plans earned 4 stars or higher (out of 5) in CMS’s 2027 Medicare Star Ratings. Thank you to our care teams for their commitment to providing expert medicine and outstanding service to our members.
k-p.li/3Ud1cVU
$496B in savings shows the power of biosimilars. ACHP member companies have adoption rates above 90%, generating millions in savings & lowering Rx costs for patients, but policymakers must adopt a framework that makes them sustainable. More stats by @AccessibleMeds: accessiblemeds.org/resources…
Generics and biosimilars saved the U.S. system $496B in 2025 alone. But AAM's CEO warns the pricing pressure behind those savings is pushing some manufacturers toward the exit.
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#Biosimilars #DrugPricing
ACHP President & CEO @CeciConnolly joins @BeckersHR on Medicare Advantage disruption. ACHP research w/ @HealthScapeAdv found 10% fewer plans, leaving 4.6M seeking new coverage. But our local nonprofit plans step in when national insurers exit. Link below:
Listen Here: podcasts.apple.com/us/podcas…
In this episode, Ceci Connolly, President and CEO, Alliance of Community Health Plans (ACHP), discusses Medicare Advantage market disruption, plan exits, beneficiary impacts, and the need for risk adjustment reform to support sustainable coverage in local communities. #podcast #healthcare #leadership
Alliance of Community Health Plans (ACHP) retweeted
Looking forward to having @MichaelBagel on stage to dive into these crucial policy shifts! 🚨 Reminder: Today is the absolute last day to register for #HMACon2026. Secure your spot before registration closes tonight: bit.ly/4vo3RZj
One week to go! ACHP Vice President of Public Policy @MichaelBagel will join health care leaders at #HMACon2026 to examine how coverage churn affects providers and risk-bearing organizations and how leaders can prepare for continued volatility. See you in New Orleans!
🎯 US Healthcare 2026: Oct 5-7 in New Orleans. Navigate policy shifts, engage decision-makers, identify new opportunities & build cross-sector collaboration.
Get the full agenda → bit.ly/4vo3RZj
#HMACon2026 #Healthcare
Alliance of Community Health Plans (ACHP) retweeted
What if AI could serve as a GPS for surgeons?
In a first for Sutter, Dr. Hernan Bazan and the surgery team at Sutter's CPMC used AI-assisted fusion imaging to help treat an 86-year-old patient with severely blocked arteries. The technology transformed her CT scan into a patient-specific 3D roadmap, helping guide the team during a minimally invasive endovascular procedure. Read more: bit.ly/4jqsiD0.
Alliance of Community Health Plans (ACHP) retweeted
Reporting from @Axios highlights concerns about slowdown in biosimilar development & the potential consequences for patients & the U.S. health care system. This underscores the urgency for bipartisan, market-based solutions that would support greater biosimilar competition. More:
Read ACHP’s full comment letter: achp.pub/4xE2IOv
Alliance of Community Health Plans (ACHP) retweeted
NSA disputes are rising, provider strategies are evolving and the rules keep changing.
Join ACHP and @ZelisHealthcare on September 22 at 3:30 p.m. ET to explore IDR trends, out-of-network claims and how AI can strengthen your NSA strategy.
Register today 👇️
Our comment letter makes the same case other @ModernMedicaid partners do: this rule impacts patients, providers, states & communities alike. ACHP member companies are ready to help states implement it w/o eligible people losing coverage because of paperwork. More in the blog 👇
MMA partners are among the more than 43,000 commenters who responded to CMS’ recent interim final rule on #Medicaid work requirement implementation. Their comments raise concerns about the rule's wide-ranging effects on patients, providers, states and communities. Read our latest blog to hear from stakeholders and experts, in their own words, about how federal work requirements could affect Medicaid coverage and care for millions across the country: modernmedicaid.org/what-they…
Our member companies already deliver medically tailored meals that help patients manage chronic disease. H.R. 5439 builds the Medicare evidence base to scale what works. ACHP is proud to support this bipartisan bill from @RepMcGovern & @RepNicole.
PASSED: The Ways and Means Committee just passed H.R. 5439, the Medically Tailored Home-Delivered Meals Program Pilot Act.
Introduced by @RepNicole, this bill would create access to healthy, medically necessary, home-delivered meals for Medicare seniors and evaluate how this approach can be part of the solution to achieving better health outcomes and reduced hospital readmissions.
For real examples from our member companies, read the letter here: achp.pub/3VDDNgw
Alliance of Community Health Plans (ACHP) retweeted
We're proud that for the 11th year in a row, we have more 4.5 and 5-star plans than any other health care organization, according to the @NCQA. Thank you to our care teams for their commitment to providing high-quality care and service.
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While others retreat from Medicare Advantage, @hapmichigan grew enrollment by 45.8% & expanded across Michigan.
When the health plan and the care team answer to the same community, staying put isn't a gamble. It's the model.
‘We’re here for the long term’: Henry Ford doubles down on Medicare Advantage as others retreat
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Alliance of Community Health Plans (ACHP) retweeted
Greater biosimilar competition effectively lowers Rx drug costs for patients, taxpayers and the U.S. health care system.
Recent reporting from @axios underscores the urgency for solutions that foster greater competition and encourage biosimilar development. More: