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Policy Support

Medicaid Managed Care and Health Care Reform

Background

Comprehensive reform of the U.S. health care system has been brought up at various times by Congress during which discussions almost invariably focus on the uninsured and expansion of health insurance coverage. In 2010 the United States made progress toward both with the Patient Protection and Affordable Care Act (ACA) which became law on March 23, 2010. While the ACA created new programs like the health insurance exchanges, it also made important changes to improve the Medicaid and CHIP programs that currently serve nearly 50 million Americans.  This legislation will improve and protect Medicaid and CHIP and will expand this program to more than 16 million currently uninsured Americans.

ACAP Position and Legislative Action

During the health care reform debates, ACAP supported the movement toward universal and continuous health coverage that provides coordinated systems of accessible, high-quality health care for all individuals, regardless of socioeconomic status, race and ethnicity, individual or family health status, or employment status. ACAP served a policy incubator, a sounding board for Congressional and White House analysts as well as an industry leader in advocacy on issues of crucial importance to Medicaid and Medicaid managed care. As a result many positive elements came our an expansion of the Medicaid program to 133% FPL, an equalization of the Medicaid drug rebate the managed care plans, and a reauthorization of the Medicare Advantage SNP program.

ACAP Documents Relating to Health Care Reform

 Description 
Families USA Group Letter Urging Congress to Push Forward with Health Reform - January 21, 2010Download
Letter Urging House and Senate leadership to Phase-in an Increase of Medicaid Reimbursement for Primary Care Services - January 12, 2010Download
Letter to the Speaker Pelosi regarding the Senate Annual Fee on Health InsurersDownload
ACAP's Comments for House/Senate Reconciliation on Health Reform Legislation - January 2010Download
Letter of Support to Senator Casey - December 2009Download
ACAP, Families USA, NACHC and APHA Roll Call Add Supporting Medicaid Expansion - November 2009Download
Group Sign-on Letter Supporting H.R>. 3692 - November 4, 2009Download
ACAP Letter to House Leadership Support Passage of H.R. 3962 - November 3, 2009Download
Partnership for Medicaid Letter to Congress Pushing for Bigger Medicaid Expansion - October 2009Download
ACAP Letter in Support of House Tri-Committee Health Reform Bill - July 21, 2009Download
ACAP Letter in Response to House Tri-Committee Health Reform Discussion Draft, July 1 2009Download
ACAP Comments on Senate Finance Committee's Financing Comprehensive Health Care Reform: Proposed Health System Savings and Revenue Options Paper - May 26, 2009Download
ACAP Comments on Senate Finance Committee's Expanding Health Care Coverage Options Paper - May 22, 2009Download
ACAP Comments on Senate Finance Committee's Transforming Health Care Delivery System Options Paper - May 15, 2009Download
ACAP Comments on Treatment of Medicaid Enrollees in Health Reform and Coverage ExpansionsDownload
Congress Should Establish Strong Standards for all Health Plans Serving a Low-Income, Subsidized Population to Ensure Enrollees Get the Care they NeedDownload
Safety Net Health Plans and the “Public Health Insurance Option”: Coordination, Quality, Integration, And Fair Competition in the Exchange Download
Health Care Reform Principles for Safety Net Health PlansDownload
Safety Net Health Plans Put People First - Top 10 Reasons SNHP Support Medicaid Managed CareDownload
Improving Medicaid's Continuity of Coverage and Quality of Care - July 2009Download
Lewin Group and ACAP, Medicaid Health Plans: A Turnkey Solution for Expanding Health Insurance Coverage Case Studies of California and Massachusetts, July 2007 Download