ACAP Comments on Comprehensive Overhaul of Medicaid Managed Care Regulations
ACAP submitted nearly 60 pages of comments to CMS on its Notice of Proposed Rulemaking that governs managed care in Medicaid and the Children’s Health Insurance Program (CHIP). The proposed regulations constitute the most sweeping set of changes to the rules governing managed care organizations serving Medicaid and CHIP since 2002.
Notable areas of feedback from ACAP and its Safety Net Health Plans included actuarial soundness, enhanced quality reporting and standards, establishment of a Medicaid medical loss ratio (MLR), and requirements around network adequacy.
Press release > Full comments >
Univ. of Florida Researcher Award Grant From ACAP, AcademyHealth
Melissa Bright, Ph.D., M.S., an Assistant Research Scientist at the College of Medicine and the Institute for Child Health Policy at the University of Florida, was awarded a competitive research grant through a new partnership between the Association for Community Affiliated Plans (ACAP) and AcademyHealth.
Read more > | Learn about the 2016 grant >
ACAP Reaction to Supreme Court Decision in King v. Burwell
ACAP's statement regarding the Supreme Court's decision to uphold subsidies for individuals receiving coverage in Federally-facilitated Marketplaces is here.
Jennifer McGuigan Babcock to Assume Role of Vice President, Medicaid Policy
ACAP today announced that Jennifer McGuigan Babcock, the group’s Vice President for Exchange Policy and Director of Strategic Operations, will assume the duties of the Vice President for Medicaid Policy. She will begin her new duties on July 2. She succeeds Kathryn Kuhmerker, whose retirement at the end of June caps a distinguished career in Medicaid policy and advocacy. More >
ACAP Issues Recommendations for Refinements to Health Reform
ACAP today issued a set of recommendations to improve the delivery of health coverage under the Affordable Care Act (ACA) in an effort to smooth the provisions of the Act and make it work better going forward. Among the recommendations laid out today is a sustained call to enact a guarantee of 12-month continuous enrollment in Medicaid and CHIP to reduce gaps in Medicaid coverage, improve health outcomes, and lower administrative burden on states and providers.
More > Read the recommendations >
ACAP Recognizes Senator Sherrod Brown with Congressional Leadership Award
At its 2015 CEO Summit, ACAP honored Senator Sherrod Brown with the organization’s 2015 Congressional Leadership Award. Senator was recognized for his career-long dedication to protecting and strengthening vital programs that serve as a lifeline to people with low incomes, including Medicaid and the Children’s Health Insurance Program, or CHIP. More >
Moms2B Wins ACAP Supporting the Safety Net Award
Moms2B—a program dedicated to addressing maternal and infant health disparities focusing on low-income neighborhoods in and around Columbus, Ohio with high rates of infant mortality—was recognized today by the Association for Community Affiliated Plans (ACAP) with the tenth annual “Supporting the Safety Net” Award. The award was presented at ACAP’s CEO Summit in Washington, D.C. More >
Inside the ACAP Collaborative to Combat Rx Drug Abuse
A new ACAP report highlights innovative strategies employed by not-for-profit Safety Net Health Plans to address the issue of prescription drug abuse—in particular, the misuse and abuse of prescription opioid painkillers. The report draws upon the experience of ACAP’s Reducing Prescription Drug Abuse Collaborative, a group of 13 ACAP-member Safety Net Health Plans which designed and executed projects aimed at curbing prescription drug abuse among their plan members.
Read the report >
Assessing ACAP Plan Efforts to Coordinate Care for Dual Eligibles With Chronic Conditions
On the eve of a Senate Finance Committee hearing on ways to improve care for chronically ill Medicare beneficiaries, ACAP Chief Executive Officer Margaret A. Murray noted the progress of ACAP-member Safety Net Health Plans offering coverage through Special Needs Plans and in Financial Alignment Demonstrations:
“Under the duals demonstrations, health plans are already innovating, and enrollees are seeing the benefits. Some plans are working with community-based organizations to connect members to stable housing after they emerge from stays in nursing facilities. Others are opening regional primary care centers for dual eligibles who didn’t have a regular or meaningful relationship with a primary care provider before joining the demonstration... We are commited to continuing our work on ways to improve the design and implementation of the Duals Demonstration and the sustainability of integrated care programs for dual-eligible beneficiaries.”
Fact Sheet > Statement > Letter to Senate Finance Committee >
Related: ACAP Applauds Steps to Consider Full-Benefit, Partial Benefit Duals Separately
4 in 10 Marketplace Issuers Offer a Medicaid Plan in the Same State; Featured in Georgetown CCF Blog
An ACAP study finds that nearly 4 in 10 organizations that offer coverage through Qualified Health Plans (QHP) in public Health Insurance Marketplaces operate a Medicaid managed care plan in the same state, providing an opportunity for consumers with low incomes to select a source of coverage that may remain continuous. Issue Brief > Spreadsheet >
A March 23 post on A Children's Health Policy Blog authored by Meg Murray and Jennifer Babcock ties the findings of the brief to policies aimed at maximizing the benefits of "overlap issuers." Blog >