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POLICY & ADVOCACY ARTICLES
ACAP Letter in Opposition to the Better Care Reconciliation Act
Partnership for Medicaid Sign On Letter on Better Care Reconciliation Act
Statement of ACAP CEO Margaret A. Murray on the Better Care Reconciliation Act
Actuarially-Sound Rate Setting Joint Sign on Letter to the Senate
Statement on the Medicaid and CHIP Quality Improvement Act of 2017
Actuarially-Sound Rate-Setting for Managed Care under Medicaid Capped Allotment Systems
ACAP Statement on Medicare Advantage Hearing
D-SNP Reauthorization Sign on Letter
ACAP Lauds Introduction of the Bipartisan Stabilize Medicaid and CHIP Coverage Act of 2017
Statement of ACAP on CBO Score of American Health Care Act
Partnership for Medicaid Sign-on Letter to Senator Hatch on American Health Care Act Bill
Letter to Senator Hatch on the American Health Care Act
Statement of ACAP CEO Margaret A. Murray on House v. Price
Statement of ACAP CEO Margaret A. Murray on House Ways and Means Hearing on Medicare Extenders
ACAP Comment Letter on All Cause Readmission for BCN May 2017
ACAP Comment Letter on Use of Pharmacotherapy for Opioid Use Disorder Measure
ACAP Board Chair John Lovelace Testifies Before Senate Finance Committee on Improvements to Chronic Care
The ‘Medicaidization’ of Marketplaces: A Necessary Trend
Statement of ACAP on the Passage of the AHCA in the House of Representatives
Statement of ACAP on the American Health Care Act
ACAP Comment Letter on Non-Acute Mental Health Utilization Quality Measure for Dual-Eligible Beneficiaries
Statement of ACAP on the Meadows-MacArthur Amendment to the American Health Care Act
Coalition to Stop Opioid Overdose
ACAP Comment Letter on Chronic Care Act
Letter to Senate Finance Committee Supporting Aspects of CHRONIC Care Act
Coalition Letter to Leaders in Congress on Cost-Sharing Reductions
ACAP 2017 Transformation Ideas per 2018 Announcement of Rates
ACAP 2017 Transformation Ideas per 2018 Announcement of Rates
ACAP Comments on Healthy Days in the Community
Statement of ACAP CEO Margaret A. Murray on Marketplace Stabilization Regulation
Statement of ACAP CEO Margaret A. Murray on Need for Continuation of CSRs
Statement of ACAP CEO Margaret A. Murray on the Medicare Advantage Final Call Letter
ACAP Letter to FCC on TCPA 2017 Implied Consent
Statement of ACAP CEO Margaret A. Murray on the Withdrawal of the American Health Care Act
ACAP Comments on Proposed HEDIS 2018 Changes
Comments to HRSA on Proposed 340B Drug Pricing Program Omnibus Guidance
Statement of ACAP in Opposition to the American Health Care Act
ACAP Letter of Opposition to the American Health Care Act
Hill Leadership AHCA Sign on Letter
ACAP Principles on Medicaid Capped Allotment Proposals
ACAP Principles: Program Flexibility in Medicaid
Letter to Congress on the American Health Care Act
Statement on the Confirmation of Seema Verma as CMS Administrator
ACAP Comment Letter on Proposed QHP Application and Rate Review Timeline
Patient Provider Relationship Sign on Letter
ACAP Comments on Marketplace Stabilization Rule
Statement of ACAP CEO Margaret A. Murray on the American Health Care Act
ACAP Comment Letter on 2018 Advance Notice and Draft Call Letter
Statement of ACAP CEO Margaret A. Murray on House v. Price
ACAP Comments 42 CFR Part 2 SNPRM
Statement of ACAP CEO Margaret A. Murray on Proposed Marketplace Regulation
Deborah Frank Recognized with Leadership in Advocacy Award
ACAP Re-Elects John Lovelace to Lead Board of Directors
ACAP Principles on the Affordable Care Act and Health Reform
Coverage You Can Count On
Coalition Letter to Congress against ACA Medicaid Expansion Repeal
Statement of ACAP CEO Margaret A. Murray on the Opening of the 115th Congress
Partnership for Medicaid Letter on ACA Repeal
ACAP Comments on Proposed 2018 HEDIS-CAHPS for HPA Scoring
ACAP Comment Letter on 2017 MACRA Final Rule
ACAP Comment Letter on 2018 Draft Letter to Issuers
Comments to Mathematica and CMS on Quality Measures
Comments on HHS Notice of Benefit and Payment Parameters for 2018: Proposed Rule
Coalition Letter to Congress with CHIP Funding Extension Quality Recommendations
Safety Net Health Plans Come Together to Address Diaper Need
Letter to FCC on Telephone Consumer Protection Act Declaratory Order
Letter to Senate Finance Committee on Draft ACE Kids Medicaid legislation
Comments on Mental Health and Substance Use Disorder Parity Task Force Listening Session
Marketplace Letter to CMS on Short-Term Insurance Plans
Letter to House Energy & Commerce Committee on Draft ACE Kids legislation
Statement of ACAP CEO Margaret A. Murray on H.R. 5422, The Medicaid and CHIP Quality Act of 2016
Summary of Key Medicaid Managed Care Regulation Provisions
ACAP Reaction to Updated Medicaid Managed Care Regulations
ACAP Comments on CMS Risk Adjustment White Paper
Statement of ACAP CEO Margaret A. Murray on the Update to Federal Medicaid Managed Care Regulations
ACAP Comments on CMS Risk Adjustment White Paper
Comments to SAMHSA on Confidentiality of Substance Use Disorder Patient Records (42 CFR Part 2) Proposed Rule
Stakeholder Letter to SAMHSA on Confidentiality of Substance Use Disorder Patient Records (42 CFR Part 2) Proposed Rule
Statement of ACAP CEO Margaret A. Murray on the 2017 Medicare Advantage Final Call Letter
Letter of Support to Senator Warner and Representative Green for Medicaid Expansion Legislation
Coalition Letter to Congress on Medicaid Provider Taxes
Comments to NCQA on Proposed 2017 Health Plan Accreditation Standards
Statement of ACAP CEO Margaret A. Murray on the Sixth Anniversary of the Affordable Care Act
ACAP Comments to NCQA on Proposed 2017 HEDIS Changes
Letter to Congressional Leaders on Substance Use Disorders and 42 CFR Part 2 Privacy Regulation
ACAP Principles for Developing a QRS
Response to Senate Finance Committee on High-Cost Breakthrough Drugs
Joint Letter in Support of Proposed 2017 Medicare Advantage Capitation Rates and Payment Policies
Comment Letter on 2017 Advance Notice
Statement of ACAP CEO Margaret A. Murray on the 2017 Advance Notice of Changes to Medicare Advantage
Reform 2.0 – ACAP’s Proposals for Reforming the Affordable Care Act
Statement of ACAP CEO Margaret A. Murray on the Coming 2017 Advance Notice of Changes to Medicare Advantage
Charles King of Housing Works Wins ACAP’s Leadership in Advocacy Award
Thirty-Nine Health Care Organizations Call on Congress to Support 12-Month Continuous Enrollment in Medicaid and CHIP
Briefing Paper: Congress Must Address Incorrect Medicaid Managed Care Payments to Protect Taxpayers’ Dollars and Enrollees’ Access to Care
ACAP Medicaid Managed Care Enrollment Infographic
Letter to Senate Finance Committee on Chronic Care Working Group Options Document
Statement of ACAP CEO Margaret A. Murray on S. 2438, The Medicaid and CHIP Quality Act of 2016
Letter on Draft Letter to Issuers for 2017
Comments to CDC on Guidelines for Prescribing Opioids for Chronic Pain
Response to Senate Finance Committee Request for Information on Medicaid Reporting Requirements
Response to CMS on Medicaid Access Final Rule with Comment Period
Response to CMS on Medicaid Access RFI
Letter to CMS on MMP Quality Rating Strategy
Letter Regarding HHS Notice of Benefit and Payment Parameters for 2017: Proposed Rule
Letter on Enhancements to the Star Ratings for 2017 and Beyond
Comments to the NAIC Medical Loss Ratio Quality Improvement Activities Subgroup
Comments on Proposed Guidance on Nondiscrimination in Health Programs and Activities
ACAP Letter to CMS on Updates to HCC Risk Adjustment Model
ACAP Letter to CMS on Updates to HCC Risk Adjustment Model
In Comments to CMS, ACAP Expresses Strong Support For Proposed Changes to Risk Adjustment for Dual Eligibles
Continuity of Medicaid Coverage in an Era of Transition
Statement of ACAP CEO Margaret A. Murray on Open Enrollment for Marketplace Health Coverage
ACAP Letter to MedPAC on Health Risk Assessments
ACAP Letter to MedPAC on Health Risk Assessments
Comments to HRSA on Proposed 340B Drug Pricing Program Omnibus Guidance
Letter to Chairmen Upton and Murphy on H.R. 2646, The Helping Families in Mental Health Crisis Act of 2015
Projected Savings of Medicaid Capitated Care: National and State-by-State.
Statement of ACAP CEO Margaret A. Murray on S. 2104, The Protecting Medicare Advantage for All Medicare Beneficiaries Act
Letter of Support for the Preserving Medicare Advantage for all Medicare Beneficiaries Act of 2015
Statement of ACAP CEO Margaret A. Murray on CMS Research on the Link Between Socioeconomic Status and Star Rating Performance
ACAP Letter to CMS on Risk Adjustment for Dual Eligible Beneficiaries
Letter to NCQA on HEDIS in Medicaid Expansion States
Statement of ACAP CEO Margaret A. Murray on the Fiftieth Anniversary of Medicaid
Comments Regarding the Requirements for the Health Plan Identifier
Safety Net Health Plans Highlight Actuarially Sound Rates, Quality in Comments on MMC Regulation
Comments on Proposed Medicaid Managed Care Regulation
Request for Extension of Comment Period for the Medicaid Managed Care Notice of Proposed Rulemaking
Comments on the 2016 QHP Enrollee Experience Survey
Comments on the Proposed Out-Of-Pocket Cost Comparison Tool for the FFM
In Wake Of King V. Burwell Decision, Safety Net Health Plans Call For Further Refinements To Health Reform
ACAP Recognizes Advocacy of Senator Sherrod Brown with Congressional Leadership Award
Safety Net Health Plans Call for Refinements to Affordable Care Act to Inform Consumer Choice, Assure Fair Competition in Marketplaces
Comments on Medicaid and CHIP Mental Health Parity Proposed Rule
Letter to Senate Finance Committee on Need for Changes to Star Ratings System
Letter of Support for Ways & Means Markup of Medicare Advantage Legislation
ACAP Facts at a Glance: Safety Net Health Plans Serving Dual Eligibles Through Special Needs Plans
Statement of ACAP CEO Margaret A. Murray on New Federal Medicaid Managed Care Regulations
Letter to Senate Finance Committee on Care Management Improvements for Beneficiaries With Chronic Conditions
Statement of ACAP CEO Margaret A. Murray on the Medicare Access and CHIP Reauthorization Act of 2015
ACAP Letter to CCIIO Requesting a Delay in Risk Adjustment and Reinsurance Data Submission Deadline
Comments to NCQA on Proposed 2016 Health Plan Accreditation Standards
Statement of ACAP CEO Margaret A. Murray on the 2016 CMS Rate Announcement and Final Call Letter
Coalition Letter to Senate Leadership on Reduction of Psychotropic Medications in Foster Care Youth
Comments to NCQA on Proposed 2016 HEDIS Changes
Response to CMS 2016 Advance Notice and Call Letter
Follow-up Comments on the NAIC Managed Care Plan Network Adequacy Model Act
Letter to CCIIO Regarding Draft Summary of Benefits and Coverage
Coalition Letter to Congress on CHIP Funding
Pennsylvania’s Laval Miller-Wilson Wins ACAP Leadership in Advocacy Award
Statement of ACAP CEO Margaret A. Murray on the Stabilize Medicaid and CHIP Coverage Act of 2015
Statement of ACAP CEO Margaret A. Murray on the President’s Budget Proposal and Continuous Eligibility in Medicaid
ACAP Introduces Christine Aguiar as Vice President for Medicare and Managed Long-Term Care
Letter to CCIIO on Draft 2016 Letter to Issuers in the Federally-faciliated Marketplaces
Comments on the NAIC Managed Care Plan Network Adequacy Model Act
Letter to CCIIO on Notice of Benefit and Payment Parameters for 2016: Proposed Rule
Response to MACPAC on Children’s Health Care Coverage
Letter on Enhancements to the Star Ratings for 2016 and Beyond
Comments to NCQA on Proposed HEDIS/CAHPS Changes for Health Plan Accreditation 2016
Partnership for Medicaid Letter on Actuarial Soundness
Statement of ACAP CEO Margaret A. Murray on HHS OIG Report on Provider Availability
Coalition Letter to Congressional Leadership on Medicare Sustainable Growth Rate
Response to House/Senate Letter on Medicaid Managed Care Best Practices
Statement of ACAP CEO Margaret A. Murray on Health Insurance Marketplace and Their Promise for Low-Income Families and Workers
Coalition Amicus Brief in re: Halbig v. Burwell
Response to CMS on Medicare Advantage Star Ratings System RFI
ACAP Comments on Potential MLR Requirement in Medicaid Managed Care Regulations
Coalition Letter to Congress on Primary Care System Funding
Coalition Letter to Congress on CHIP Funding
Statement of ACAP CEO Margaret A. Murray on HHS OIG Report on State Standards For Access to Care In Medicaid Managed Care
Letter to CCIIO on Immigration Data-Matching Issues
Letter to CMS on Cost-Sharing Reduction Reconciliation Reporting Requirements
Response to Senate Finance Committee Call for Enhancements to Health Care Data
ACAP Comments to NQF on Risk Adjustment for Socioeconomic Status or Other Sociodemographic Factors
Comments to NQF on Dual Eligibles MAP
Letter to CCIIO on RBIS Submissions
Letter to Sean Cavanaugh on LPI Stars
ACAP Letter of Support for H.R. 4484, March 2014
Comments to NCQA on Proposed Behavioral Health Measures
ACAP, AHIP, BCBSA Letter to CCIIO Regarding HICS
Comments to CMS on Guaranteed Availability
Comments to ASB on Proposed Actuarial Standard of Practice, Medicaid Managed-Care Capitation Rate Development and Certification
ACAP, LHPC, CAHP Letter on Proposed Rule for Exchange and Insurance Market Standards
Letter to Cindy Mann on Medicaid Managed Care Regulations
Letter to Cindy Mann on Sovaldi
Partnership for Medicaid Letter on CHIP Reauthorization (Senate Finance Committee and Energy and Commerce Committee)
Coalition Letter to House Leadership on Reduction of Psychotropic Medications in Foster Care Youth
ACAP Comments to NQF on Risk Adjustment for Socioeconomic Status or Other Sociodemographic Factors
Coalition Letter to Senate Leadership on Reduction of Psychotropic Medications in Foster Care Youth
State Policies Regarding Medicaid MCO Preferred Drug Lists
Response to CCIIO Draft 2015 Letter to Issuers in Federally-Facilitated Marketplaces
ACAP Recognizes Dennis Heaphy of Massachusetts with 2014 Leadership in Advocacy Award
Safety Net Health Plans Put People First
Improving Risk Adjustment for High-Risk/High-Need Medicare Beneficiaries
Statement of ACAP CEO Margaret A. Murray on the Medicaid and CHIP Continuous Quality Act of 2014
Response to BHP Proposed Federal Funding Methodology for Program Year 2015
Comments to CMS on Draft Exchange Quality Ratings System Framework Measures and Methodology
Response to CMS Proposed Enhancements to 2015 Star Ratings
Understanding Medicaid Managed Care – Care Management
Understanding Medicaid Managed Care – Community
Understanding Medicaid Managed Care – Housing
Understanding Medicaid Managed Care – Jobs
Medicaid Coalition Letter on Health Extenders to House Ways and Means
Medicaid Coalition Letter on Health Extenders to Senate Finance Committee
On Tenth Anniversary of Creation of Medicare Special Needs Plans, ACAP Calls For Their Reauthorization
Comments to CMS on the Basic Health Program Draft Regulation
Comments to Senate Finance Committee on Mental Health Issues
Statement of ACAP CEO Margaret A. Murray on Health Insurance Marketplaces and Their Promise for Low-Income Families, Workers
Bridging the Gap: Continuity and Quality of Coverage in Medicaid
Members of Medicaid Managed Care Plans Are Happier With Their Plans Than Members of Commercial Plans
Comments to CMS on Enrollee Satisfaction Survey Data Collection
Supplementary Comments to IRS on Excise Tax
Letter to Senate Finance Committee on Health Insurer Excise Tax
Comments to IRS on Excise Tax NPRM
The Continuity of Medicaid Coverage: An Update
Statement of ACAP CEO Margaret A. Murray on the Stabilize Medicaid and CHIP Coverage Act
Comments to CMS on Medical Loss Ratio Requirements for Medicare Advantage and Medicare Prescription Drug Benefit Programs
ACAP Marks Third Anniversary of Affordable Care Act
Comments to NCQA on HEDIS 2014
Comments to NCQA on Proposed Changes to Health Plan Accreditation 2014
Comments on Letter to Issuers on FFE and Partnership Exchanges
Statement of ACAP CEO Margaret A. Murray on MACPAC Endorsement of 12-Month Continuous Eligibility for Medicaid and CHIP
Response to CMS RFI for Performance Indicators for Medicaid/CHIP
Response to CMS 2014 Notice and Call Letter
Response to OMB on Draft Streamlined Application for Health Insurance Forms
Response to Proposed Rule on EHB, Eligibility, Appeals, Cost Sharing and Other Provisions
Coalition Letter to Secretary Sebelius on Waiting Periods for CHIP
Coalition Letter to CMS on Single Streamlined Application and Translation
Statement of ACAP CEO Meg Murray on the Nomination of Marilyn Tavenner
Comments to NCQA on Health Plan Rankings
Statement of ACAP CEO Margaret A. Murray on the “Fiscal Cliff” Agreement
Response to CCIIO Draft Notice on Payment Parameters
Response to CMS RFI on Quality in Health Benefit Exchanges
Response to Exchange EHB, Accreditation and Actuarial Value Rule
Recommendations to CCIIO on FFE Web sites
Coalition Letter to the White House on Medicaid Provider Assessments
Improving Risk Adjustment in Health Insurance Exchanges to Promote Fair Payment
Comments to NCQA on Health Plan Rankings and D-SNPs
Letter to CCIIO on Qualified Health Plan Accreditation, Consumer Reporting and Consumer Satisfaction
Statement to the House Ways and Means Committee on SNP Reauthorization
Ten Things You May Not Know About Medicaid and the Expansion
Letter to the FDA on Generic Suboxone
How States Can Leverage Medicaid Managed Care to Improve Quality
Coalition Letter Supporting Affordability of Family Coverage (July 2012)
Letter in Support of the Start Healthy Act of 2012
Response to the Senate Finance Committee on Waste, Fraud and Abuse
Comments to CCIIO on Guidance on Federally-Facilitated Exchanges
Comments on Proposed Rule Increasing PCP Payments
Medicare’s Quality Incentive System Does Not Adequately Account for Special Needs of Dual-Eligible Populations
Comments on Interim Final Exchange Establishment Rule
Comments on Interim Final Medicaid Eligibility Regulations
Letter to Cindy Mann on Health Homes Guidance
Comments to CMS on EQR Standards
Letter to the IRS on the Excise Tax
Letter to Secretary Sebelius on the Delay of ICD-10 Implementation
Coalition Letter Supporting Affordability of Family (March 2012)
Response to CMS on Methodological Changes for CY 2013 MA, Capitation Rates, Payment Policies
Congress Should Integrate Care for Dual Eligibles to Improve Quality and Reduce Costs
Medicaid Managed Care Expansions Offer Tools for Improving Care and Containing Costs
Comments to CCIIO on Essential Health Benefits Bulletin
Comments to CMS on MLR Provisions of Public Health Service Act
George Washington University. A New State Plan Option to Integrate Care and Financing for Dual Eligibles. January 2012.
Community Catalyst Letter of Support
ACAP Comments to Risk Mitigation Draft Rule
Response to Basic Health Program RFI from CMS
Response to Exchange Eligibility Draft Rule
Response to CCIIO on Establishment of Exchanges and Qualified Health Plans Draft Rule
Response to IRS on Health Insurance Premium Tax Credit Draft Rule
Response to CMS on Proposed Medicaid Eligibility Changes
Response to HHS on Summary of Benefits and Coverage (SBC)
Using the Basic Health Program to Make Coverage More Affordable to Low-Income Households
Letter to Joint Select Committee on Deficit Reduction
Letter to CMS on Draft CO-OP Regulations
Comments on Health Home Regulations
ACAP Actuarial Soundness Recommendations
Letter to Cindy Mann on Actuarial Soundness
Coalition Letter to President Obama on MOE Provisions of Medicaid and CHIP
Comments on Assuring Access to Covered Medicaid Services
ACAP, MHPA Joint Statement to the House Energy and Commerce Committee on Dual Eligibles
Comments to CMS on Proposed ACO Regulations
Comments to CCIIO on State Innovation Waivers
Comments to CMS on Basic Health Program
Comments to CMS on Temporary Increase to PCP Rates
Comments to NCQA on HEDIS 2012
Comments to CMS on 2012 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies
Comments to CCIIO on the Consumer Operated and Oriented Program (CO-OP)
Comments to CMS on the Proposed Initial Core Set of Medicaid Adult Quality Measures
NACHRI Letter of Support to ACAP
NAPH Letter of Support to ACAP
2/04/11 ACAP Letter to CMS on DRE Implementation
Comments to CMS on Proposed Changes to Medicare Prescription Drug Benefit Programs for Contract Year 2012
Families USA Letter of Support to ACAP
First Focus MCQA Letter of Support to ACAP
NCQA Letter of Support to ACAP
Comments to the OCIIO CO-OP Advisory Committee
Comments to NAIC on the November 22nd Exchange Model Draft
Response to CMS on ACO Request for Information
Comments to HHS on Proposed Rule Regarding Provider Screening and Enrollment
Comments to OCIIO on Health Benefit Exchanges
Response to CMS Request for Comments on Improving the Quality of Care for Children
Comments to CMS on Medicare Advantage Quality Bonus for 2012
Comments on Section 2718 of the Public Health Service Act, Medical Loss Ratio
4/22/10 CMS State Medicaid Letter on DRE Implementation Guidance
Comments on NCQA Medicaid Accreditation Standards, 2011
Comments on HEDIS 2011
Comments on Medicare and Medicaid EHR Incentives, March 2010
2011 CMS Call Letter Comments
Gov. Parkinson (KA) to Chairmen Baucus and Waxman
Medicaid Non-Emergency Out-of-Network Payment Study
Improving Medicaid’s Continuity and Quality of Care
NASMD Letter to Reps. Waxman and Barton
NASMD Letter to Sens. Baucus and Grassley
Sen. Merkeley (OR) to Sens. Baucus and Grassley
PerformRx Comments to the Senate Finance Committee’s Financing Reform Options Paper
Dr. Andy Allison, KA Medicaid Director, to Reps. Waxman and Barton
Office of Management and Budget to Rep. Stupak
Maryland Dept of Health and Mental Hygiene to Congressmen Waxman and Barton on DRE
Commonwealth of Pennsylvania to Rep. Thompson on DRE
Safety Net Hospitals for Pharmaceutical Access to Senator Bingaman on DRE
CareOregon to Representative Walden on DRE
Neighborhood Health Plan of RI to ACAP on DRE
Ohio Medical Care Advisory Committee to the Ohio Congressional Delegation on DRE
Maryland Dept of Health and Mental Hygiene to Senators Baucus and Grassley
Increasing Use of the Capitated Model for Dual Eligibles: Cost Savings Estimates and Public Policy Opportunities
Analysis of Drug Rebate Equalization Act’s Saving to the Medicaid Program
Analysis of Dual Eligible Pharmacy Costs Under Medicaid and Medicare Part D
CompCare to Florida House Delegation on DRE
CompCare to Florida Senators on DRE
CompCare to Senator Bingaman and Rep. Stupak on DRE
ACAP SURVEY RESULTS: The Impact of Citizenship Documentation on Safety Net Health Plans
Programmatic Assessment of Carve-In and Carve-Out Arrangements for Medicaid Prescription Drugs
MedImpact to Senator Bingaman and Rep. Stupak on DRE
Mercy Care Plan to Senator Kyl on DRE
CareOregon Letter to Senator Wyden on DRE
Molina Healthcare to Rep. Stupak on DRE
Medicaid Health Plans: A Turnkey Solution for Expanding Health Insurance Coverage, Case Studies of California and Massachusetts
MedMetrics to Senator Bingaman on DRE
ACAP Letter to Senator Bingaman on DRE
Molina Healthcare to Senator Bingaman on DRE
CareOregon to Representative Hooley on DRE
Collaboration in Medicaid Managed Care Rate Setting
Safety Net Health Plans: Critical Partners in the Health Care Safety Net
Medicaid Capitation Expansion’s Potential Cost Savings
Rate Setting and Actuarial Soundness in Medicaid Managed Care
CareOregon Letter to Senator Smith on DRE
National Association of Community Health Centers to ACAP on DRE
Kern Health Systems to Senator Boxer on DRE
Local Health Plans of America to Senator Feinstein
Medicaid Health Plans of America to ACAP on DRE
Medicaid Managed Care Perspective on Florida’s Medicaid Waiver Proposal

RESEARCH & BEST PRACTICES
Partnerships that Strengthen the Safety Net
ACAP Recognizes CHPW’s Brisa Guajardo with “Making A Difference” Award
Commonwealth Fund. “How Medicaid Enrollees Fare Compared with Privately Insured and Uninsured Adults.” 27 April 2017
Medicare Bibliography
Medicaid Managed Care Bibliography
Marketplace Bibliography
Continuous Eligibility Bibliography
Society of Actuaries: Medicaid Managed Care Organizations: Considerations in Calculating Margin in Rate Setting
Milliman: Summary of Individual Market Enrollment and Affordable Care Act Subsidies
Pathways through Medicaid to Prevention
Absence of CSR Subsidy Payments Likely to Result in Significant Losses for Marketplace Insurers
Cost-Sharing Reduction Plan Payments Under the ACA
Report Details Safety Net Health Plan Efforts to Care for Children with Special Health Care Needs
Innovations in Care Coordination and Delivery for Children with Special Health Care Needs
Overlap Between Medicaid Health Plans and QHPs in the Marketplaces: An Examination
Report: 44% of Marketplace Issuers Offer Medicaid Managed Care Coverage in Same State
The Basic Health Program: New York and Minnesota’s Experience
ACAP CEO Margaret A. Murray Elected to National Academy of Social Insurance
ACAP Value-Based Payments Toolkit
Statement of ACAP CEO Margaret A. Murray on Marketplace Open Enrollment Period
Building A Culture of Health in Childhood Obesity
New Report Highlights Best Practices in Assessing and Treating Childhood Obesity
ACAP-Member Safety Net Health Plan Earn High Grades From NCQA
ACAP Plan Collaborative to Develop Tools to Lower Risk For Substance Use Disorder Among Youth
Study Suggests Medicaid Managed Care Associated With Better Access to Care for Foster Children
Study Highlights Health Plan Innovations in Integrating Care for Medicare-Medicaid Dually Eligible Beneficiaries
ACAP Medicare-Medicaid Plans and the Financial Alignment Demonstrations
Integrating Physical and Behavioral Health Care: An Initiative Planning Toolkit for Health Plans
Study: 4 Of 10 Marketplace Issuers Offer Medicaid Managed Care Coverage In The Same State
Medicaid and Qualified Health Plan Overlap in the Marketplace
New Report Highlights Safety Net Health Plan Efforts to Promote Program Integrity in Medicaid
Program Integrity – A Priority for Safety Net Health Plans
Medicaid Managed Care Enrollment and Spending: An ACAP Analysis
Report: Outdated Privacy Regulations May Hinder Care Coordination For People With Substance Use Disorder
The Impact of 42 CFR Part 2 on Care Coordination by Health Plans for Members with Substance Use Disorder
Key Findings from a Survey of ACAP Plans on Duals Demonstrations
Community Catalyst, ACAP Release Report on Survey Findings of Plans Participating in the Dual Eligible Demonstrations
ACAP Toolkit for Implementing an Episode-of-Care Program
Findings: Levels Of “Churn” In Medicaid Show Little Improvement Since 2006, Leading To Poorer Health Outcomes
New Report Details Savings Afforded Medicaid Programs Through Managed Care
ACAP Named to National Quality Forum Measure Applications Partnership for Dual Eligibles
Dr. Melissa Bright Awarded Research Grant From Association for Community Affiliated Plans, AcademyHealth
Moms2B Recognized with ACAP Supporting the Safety Net Award for Efforts to Reduce Infant Mortality in Columbus, Ohio
ACAP Report Highlights Safety Net Health Plan Strategies for Addressing Prescription Drug Abuse
Statement Of ACAP CEO Margaret A. Murray On Senate Finance Committee Hearing To Improve Care Management For Chronically Ill Medicare Beneficiaries
ACAP Plans and the Duals Demonstrations: Early Progress, Innovations and Challenges
Strategies to Reduce Prescription Drug Abuse: Lessons Learned from the ACAP SUD Collaborative
ACAP Report Details Safety Net Plan Initiatives to Coordinate Care
Innovative Care Coordination Strategies: Four Initiatives of Safety Net Health Plans
ACAP Bundled Payments Toolkit
ACAP Brief on Qualified Health Plan (QHP) Issuers – 2015
Report: Nearly 4 in 10 Marketplace Issuers Also Offer Medicaid Plans in the Same State
Bundled Payment Recommendations
Bundled Payment Recommendations ROI Calculator
New ACAP Report Highlights Plan Initiatives, Challenges in Expanding Access Through Telemedicine
New ACAP Report Profiles Efforts to Integrate Physical, Behavioral Health Care
Safety Net Health Plans Deliver Better Care and Increase Access via Telemedicine
Working with Providers in Underserved Areas to Integrate Behavioral Health and Primary Care
Report: Four of the Top Five Medicaid Health Plans in the U.S. are ACAP-Member Safety Net Health Plans
Hennepin Health Honored for Work with High-Risk Populations
Positively Impacting Social Determinants of Health: How Safety Net Health Plans Lead the Way
Amy Vance of CareOregon Named Fifth ACAP “Making a Difference” Award Winner
Safety Net Health Plan Efforts to Reduce Avoidable Emergency Department Utilization
Analysis: Nearly 4 of 10 Issuers Participating in Marketplaces Also Offer Coverage Through a Medicaid Managed Care Plan
Ensuring Access Through Strong Provider Networks (2013 Update)
Four ACAP-Member Safety Net Health Plans Ranked Among Top Ten Medicaid Health Plans in the U.S.
Bridging the Gap: Continuity and Quality of Coverage in Medicaid
Research Update: In Medicaid Managed Care, Higher Continuity of Coverage Leads to Lower Monthly Costs
Members Of Medicaid Managed Care Plans Report Higher Levels Of Satisfaction With Their Plan Than Members Of Private Plans
ACAP to Convene Substance Abuse Collaborative With Support From The Open Society Foundations
Safety Net Health Plans Working to Improve Enrollee Wellness
Report: Medicaid Beneficiaries Covered Only Part of the Year, Exposing Patients, Taxpayers to Poorer Health, Higher Costs
The Continuity of Medicaid Coverage: An Update.
Medicaid-Focused Health Plans Continue Outsized Growth as Medicaid Trends Toward Managed Care
ACAP Brief on Qualified Health Plan (QHP) Issuers
Safety Net Health Plans Innovate to Improve the Way Care Is Delivered
How Safety Net Plans Excel on Core Measures of Pediatric Care: Four Plans’ Efforts to Boost Quality on CHIPRA Core Measures
Churning Under the ACA and State Policy Options for Mitigation
Health Insurance Status Change and Emergency Department Use Among US Adults
As Medicaid Expands, Plans Focused on Medicaid Populations Play Outsized Role
How Safety Net Health Plans Are Transforming Primary Care: Case Studies From the Field
Promoting the Integration and Coordination of Safety-Net Health Care Providers Under Health Reform: Key Issues
KCMU 50-State Medicaid Survey
Special Needs Plans: Availability and Enrollment
Implementation of Medicaid Drug Rebate Equalization
Assessing the Financial Health of Medicaid Managed Care Plans and the Quality of Patient Care They Provide
An Evaluation of Medicaid Savings from Pennsylvania’s HealthChoices Program
The Massachusetts and Utah Health Insurance Exchanges: Lessons Learned
The Basic Health Program Option under Federal Health Reform
Health Reform Across the States: Increased Insurance Coverage and Federal Spending on the Exchanges and Medicaid
Medicaid’s Role in Health Benefit Exchanges: A Road Map for States
How Changes in Eligibility May Move Millions Back and Forth Between Medicaid and Insurance Exchanges
Safety-nethealth plans: a status report
Provider Payment and Reimbursement Rates in Minnesota
12-Month Continuous Eligibility in Medicaid: Impact on Service Utilization
Health Benefit Exchange: Design Options for Safety Net Plans
Linking a comprehensive payment model to comprehensive care of frail elderly patients: a dual approach
Community-Based Nonprofit Medicaid Plans and the New Health Insurance Exchanges: Opportunities and Challenges
Medicaid-Focused Health Plans Continue Steady Enrollment Growth
Health Insurance Exchanges and the Affordable Care Act: Eight Difficult Issues
CareOregon: Transforming the Role of a Medicaid Health Plan from Payer to Partner
Enrolling Eligible Children in Medicaid and CHIP: A Research Update
2010 CMS Medicaid Managed Care Enrollment Report
Monitoring Duration of Coverage in Medicaid and CHIP to Assess Program Performance and Quality
PPACA Requirements for Offering Health Insurance Inside Versus Outside an Exchange
Expanding Medicaid Managed Care in Texas: The Right Dosage For Texas Recipients
Using State Hospital Discharge Data to Compare Readmission Rates in Medicare Advantage and Medicare’s Traditional Fee-for-Service Program
Enrollment and Disenrollment in MassHealth and Commonwealth Care
Implementing State Health Reform: Lessons for Policymakers
Medicaid and Managed Care: Key Data, Trends, and Issues
Impact of Medicaid Managed Care on Preventive Care Receipt by Child and Adolescent Minority Populations
Impact of discontinuity in health insurance on resource utilization
Supporting Integrated Care for Dual Eligibles: Policy Options
Evolution of New York’s HIV Special Needs Plan Program: Cost and Usage Impacts
Supporting Alternative Integrated Models for Dual Eligibles: A Legal Analysis of Current and Future Options
The Big Picture: Private and Public Health Insurance Markets in New York
Physician Participation in Medicaid Managed Care: The California Experience
Operational and Compliance Issues on the Horizon
AARP Integration
An Analysis of Medicaid Expenditures Before and After Implementation of Florida’s Medicaid Reform
Analysis of transition events in health insurance coverage: Final report
Survey of Healthy San Francisco Participants
Provision of Sexual Health Services to Adolescent Enrollees in Medicaid Managed Care
The effect of a Medicaid managed care program on the adequacy of prenatal care utilization in Rhode Island
Improving Medicaid’s Continuity of Coverage and Quality of Care
Medicaid Health Plans Hold the Course During Difficult Budget Times
2009 CMS Medicaid Managed Care Enrollment Report
Federal Authority for Special Needs Plans and Their Relationship to State Medicaid Programs
Medicaid Managed Care Cost Savings – A Synthese of 24 Studies
Medicaid Managed Care & Family Health Plus Quality Update
Community Giving Programs of Medicaid-Focused Health Plans
Understanding the Slow Growth in Medi-Cal
Where Does the Burden Lie? Medicaid, Medicare Spending for Dual Eligible Beneficiaries
Insurance Status and Quality of Diabetes Care in Community Health Centers
Insurance Continuity and Receipt of Diabetes Preventive Care in a Network of Federally Qualified Health Centers
The Effects of Varying Periods of Uninsurance on Children’s Access to Health Care
Dual Eligibles: Medicaid Enrollment and Spending for Medicare Beneficiaries in 2005
Reducing Enrollee Churning in Medicaid, Child Health Plus and Family Health Plus: Findings from Eight Focus Groups
Medicaid Managed Care & CMFHP: A Proven Record of Providing Value.
Comparison of Kansas & Oklahoma Medicaid Managed Care Market Conditions
Interruptions in Medicaid Coverage and Risk for Hospitalization for Ambulatory Care Sensitive Conditions
ACAP Best Practices in Specialty Provider Recruitment and Retention
Lapses in Medicaid coverage: Impact on cost and utilization among individuals with diabetes
Medicaid-Focused Health Plans Continue Growing Amid Overall Decline in Medicaid Managed Care Enrollment
Medicare Capitation Model, Functional Status, and Multiple Comorbidities: Model Accuracy
Medicaid Re-Enrollment Policies and Children’s Risk of Hospitalizations for Ambulatory Care
Loss Of Health Insurance Among Non-Elderly Adults In Medicaid
Evaluation of Medicare Advantage SNPs
2008 CMS Medicaid Managed Care Enrollment Report
Medicaid Managed Care and Actuarial Soundness
Citizenship Documentation
Impact of a Decline in Colorado Medicaid Managed Care Enrollment on Access and Quality of Preventive Primary Care Services
Stability and Churning in Medi-Cal and Healthy Families
Medicare Advantage Special Needs Plans for Dual Eligibles
Do We Know If Medicare Advantage SNPs Are Special?
Do Managed Care Plans Reduce Racial Disparities in Preventive Care?
The Impact of Medicaid Managed Care on Hospitalizations for Ambulatory Care Sensitive Conditions.
Diabetic Patient Experiences in a Medicaid Managed Care System
Comparing Asthma Care Provided to Medicaid-Enrolled Children in a Primary Care Case Manager Plan and a Staff Model HMO
Safety Net Health Plans: ACAP Focus Points for Reducing Health Disparities
Three Independent Evaluations of Healthy Kids Programs Find Dramatic Gains in Well-Being of Children and Families
Medicare Advantage Special Needs Plans: Six Plans’ Experience with Targeted Care Models to Improve Dual Eligibles Beneficiaries’ Health and Outcomes
Programmatic Assessment of Carve-In and Carve-Out Arrangements for Medicaid Prescription Drugs
Partially Capitated Managed Care Versus FFS for Special Needs
Public Reporting of Quality Information on Medicaid Health Plans
Assessment of HUSKY’s, Connecticut’s Medicaid Managed Care Program
Safety Net Health Plans: Critical Partners in the Health Care Safety Net
Medicaid Capitation Expansion’s Potential Cost Savings
Why Millions of Children Eligible for Medicaid and SCHIP are Uninsured: Poor Retention Versus Poor Take-Up
Medicaid and Health Plan Contracting for Behavioral Health Services: The Role of Carve-outs
2007 CMS Medicaid Managed Care Enrollment Report
The Impact of Community Health Centers & Community-Affiliated Health Plans on Emergency Department Use
The Impact of Community Health Centers and Community-Affiliated Health Plans on Emergency Department Use
Collaboration in Medicaid Managed Care Rate Setting
How Stable Is Medicaid Coverage For Children?
Changes in health care use and costs after a break in Medicaid coverage among persons with depression
SCHIP at 10: A Synthesis of the Evidence on Retention
Quality Measurement in Medicaid Managed Care and Fee-for-Service: The New York State Experience
The Experience of Medicaid Managed Care Programs for People with Disabilities
Coverage Gaps Undermine the Managed Care System and Continuity of Care for the Chronically Ill
Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries.
The Impact of Program Structure on Children’s Disenrollment from Medicaid and SCHIP
Insurance Gaps Among Vulnerable Children in the United States, 1999-2001
Medicaid & SCHIP Retention in Challenging Times: Strategies from Managed Care Organizations
Best Practices in Specialty Provider Recruitment and Retention: Challenges and Solutions
Medicaid Managed Care: Looking Forward, Looking Back.
Comparative Evaluation of Pennsylvania’s HealthChoices Program and Fee-for-Service Program
Utilization of Health Care Services Among the Near-Elderly: A Comparison of Managed Care and Fee-for-Service Enrollees
Michigan Medicaid: Relative Cost Effectiveness of Alternative Service Delivery Models
How Much Does Churning in Medi-Cal Cost?
Health Center Trends, 1994-2001: What Do They Portend For The Federal Growth Initiative?
Reduction in Neonatal Intensive Care Unit Admission Rates in a Medicaid Managed Care Program
From Medicaid to Uninsured: Drop-Out among Children in Public Insurance Programs
ACAP Health Plans: Identifying a Medical Home for Chronic Emergency Room Patients
Business Opportunities in the Medicare Modernization Act for Medicaid Focused Plans
Quality Oversight in Medicaid Primary Care Case Management Programs
Medicaid Managed Care Cost Savings: A Synthesis of Fourteen Studies.
The Evolution of Quality Management in Medicaid Managed Care
Do Children Receiving Supplemental Security Income Who Are Enrolled in Medicaid Fare Better Under a Fee-for-Service or Comprehensive Capitation Model?
State Medicaid Managed Care Evaluations and Reports: Themes, Variations and Lessons.
State Budget Cuts and Medicaid Managed Care: Case Studies in Four States
Medicaid Managed Care: The Last Bastion Of The HMO?
States’ Use Of Medicaid UPL And DSH Financing Mechanisms
Medicaid Managed Care and Racial Disparities in AIDS Treatment.
Costs of Enrolling Children in Medicaid and SCHIP
Medicaid Managed Care in New York: A Public-Private Partnership That Works
Promoting Disease Prevention in Health Plans: Information Systems and Technology Assessment
Rethinking Recertification: Keeping Eligible Individuals Enrolled in N.Y.’s Public Health Ins. Program.
Federal Oversight of Growing Medicaid Home and Community-Based Waivers Should Be Strengthened
Medicaid-Focused Health Plans: A Community Health Conspiracy
Extending the Federal Drug Rebate to Medicaid MCOs: Analysis of Impacts,
The Good Olde Days of Fee-for-Service Were Not So Good After All: Managed Care Has Made Things Better
Medicaid managed care payment methods and capitation rates in 2001
Participation of plans and providers in Medicaid and SCHIP managed care
Medicaid and managed care: a lasting relationship?
Honesty As Good Policy: Evaluating Maryland’s Medicaid Managed Care Program
Comparison of Medicaid Pharmacy Costs and Usage between the Fee-for-Service and Capitated Settings
Discontinuous Coverage in Medicaid and Implications for 12-Month Continuous Coverage
Trends in Health Plans Serving Medicaid: 2000
Uneasy alliances: managed care plans formed by safety-net providers
Medicaid managed care’s impact on safety-net clinics in California

EVENTS
Summer Board Meeting and Fly-In 2017
CEO Summit 2017
ACAP Call on Senate BCRA Legislation
A Transformative Approach to Unit Cost Reductions: Keeping Your Eye on the Basics
June 21: ACAP Marketplace Roundtable on CCIIO Request for Regulatory Changes
Health Plan Communications – Strategies for Document Cost Reduction and Compliance
June Fly-In Pre-Briefing Call
July 13: ACAP Quality Roundtable on Mental Health Parity
June 2017 Fly-in
Super-Utilizers, Social Security and the Social Determinants of Health
Improving Care Management via Targeted Interventions: Progress to Date & Lessons Learned
Pharmacy’s Role Managing Complex Chronic Conditions: A unique opportunity for Comprehensive Medication Review (CMR)
Surplus Management for Not-For-Profit Safety Net Health Plans
Medicaid Roundtable on Indiana HIP 2.0
Beyond Engagement: How to Truly Activate Your Consumers
Medicaid Webinar on ACAP’s Innovative Approaches in Care Coordination and Care Delivery for Children with Special Health Care Needs, by NORC
May 17: Marketplace Roundtable on Planning for 2018
June 2: ACAP Roundtable Call on Phishing and Other Scams
Chronic Care Management: 8 Must Have Components
Member Outreach and Engagement: Different Approaches for Different Populations
April 19, 2017: Marketplace Roundtable Call on Final Marketplace Stabilization Rule and Guidance
TCPA & HIPAA: Develop a Risk-managed Digital Strategy
Medical Benefit Medication Management
April 25: CMS-Mathematic Call for Public Comment on Three Dual Measure Issues
Are You Ready for a CMS Audit?
April 14: CMO/Quality Roundtable Call on Prediabetes
ACAP 101: Getting the Most from Your Plan’s Membership
The Future is Now: The “Uberization” of Non-Emergency Medical Transportation
March 29 – NCQA Proposed HPA Standards Changes
April 12th: Medicare/MLTSS Monthly Networking Call
March 28, 2017: Legal Options Given Court Decisions on Risk Corridor Payments
ACAP 2017 Spring Medicare & MLTSS Meeting – Orange County, CA
ACAP 2017 Spring Chief Financial Officers Meeting – Orange County, CA
ACAP 2017 Spring Board Meeting – Orange County, CA
March 15: HR Roundtable Call on Community-Based Job Programs
March 15: Marketplace Roundtable call on High Risk Pools and Reinsurance with Georgetown CHIR
Pharmacy Pay-For-Performance & Engagement Strategies to Improve Qualty
March 14: NCQA Proposed HEDIS Standards Changes
UPDATES – March 7: ACAP Call on American Health Care Reform Act of 2017
March 9, 2017: QRS Development- CMS Listening Session
Responding to the Opioid Epidemic
ACAP Scholarship Introductory Call
We Need to Talk About Suicide
February 28, 2017: Marketplace Roundtable Call on Marketplace Stabilization Rule
Medicaid Proposals in Republican Policy Brief and Resources
QRS Development Process – Listening Session
QRS Development Information Call
Mach 8: EDS Call Series – Getting Better Data From Providers with Milliman
February 15: Marketplace Roundtable Call
ACAP Opioid Benchmarking
February 9 – ACAP EDS Series: “Getting the Most Bang for Your Buck” with Catalyst Solutions
2017 February Fly-in
February 23: Medicare Roundtable Call on Draft Call Letter
ACAP Roundtable Call – 42 CFR Part 2 final rule and supplemental NPRM
Increasing Your Star Power with a Successful MTM Program
Architecting a High-Value Partnership: A Case Study of Sendero Health Plans
Achieving CAQH CORE Certification
Medicaid Beneficiaries Tell-All (about digital outreach)
January 12: ACAP Call on Final 2018 Notice of Benefit and Payment Parameters
ACAP Opioid Benchmarking Project Q&A Session
January 4: Marketplace Roundtable Call
2017 Meeting Dates
Transforming While Performing in a Rapidly Evolving Industry
December 15: ACAP Marketplace Roundtable Call – RADV Protocols
December 14: Managing High-Cost Specialty Drugs
December 14: Encounter Data Call Series: The Devil is in the Details–Strategies for Preparing for Submissions and Preventing Common Errors with Verscend
Changes to the NCQA Health Plan Accreditation – HEDIS measures to be scored
December 13: Medicare Policy Roundtable Call
Autism Spectrum Disorder – Opening the Black Box within the Black Box
Past Meeting Presentation Archives
December 5: Self Direction Presented by Commonwealth Medicine (UMASS)
December 1: Encounter Data Call Series: A Tisket, A Tasket, What Could Be Missing From Your Basket? Ensuring Your EDS or Submission Data Reflects Your Population with PopHealthCare
Managing the Frail Elderly: An Integrated Model of In-Home Risk Assessment and Care Management
November 30: ACAP’s New Benchmarking Project on Opioid Use
November 29: ACAP’s Next Steps After the Election
ACAP Academy: QHP Risk Adjustment and Risk Score Optimization
Moving to QRS & Identifying Trends in QIS
Risk Score Optimization for High Need Populations
An Evolving World: Maintaining Your Mission in the Marketplace
Marketing & Retention Strategies: Building Customer Loyalty
Discussion: 2018 Draft Letter to Issuers
Risk Adjustment Trends and Wakely Risk Insights Project
CEO Discussion: A Post-Election View of the Changing Marketplaces
Training Opportunities with the Medicaid Learning Center
Marketplace Committee Report
Quality and Operations Committee Report
Fall Board and Marketplace Meetings – Pittsburgh
Medicare Committee Report
RFP Trends in Medicaid Managed Care Procurements
CEO Panel: Leveraging Innovative Partnerships
Medicaid Policy Committee Report, Fall 2016
Washington Environmental Assessment, November 2016
CEO and Treasurer’s Report
Performance and Outcomes: Better Serving the Medicaid Population
November 2: Encounter Data Call Series: Tricks and Treats—Strategies for Getting Accurate Data from Providers with Dell
Auto-Adjudication: There’s a 99% Chance You’re Leaving Money on the Table.  Learn the Secret to Finding It
October 31: Leadership in Advocacy Award Call for ACAP Plans
Risk Adjustment for Medicare Populations — ACOs, SNPs, non-SNPs, and Dual Demonstrations
Responding to the Medicaid Managed Care Rule – Implications, Next Steps and Remaining Issues
Surviving Medicare Audits
Update on the Duals Demo
Preventing Opioid Abuse
Value-Based Purchasing – A Quality Perspective
Improvements in Care Coordination: The Backbone of Providing Quality Care
Clinical Innovations for Duals and MLTSS
Using Technology to Increase Member Engagement
A Health Plan’s Response to a Public Health Crisis
CAHPS, the Hardest Needle to Move
Improvements in Primary Care (Medical Home and Pre-Diabetes)
Emergency Room – What is New in Terms of Diversion?
HEDIS Improvement – A Health Plan’s Work is Never Done
Using Member Incentives to Improve Quality While Addressing Social Need
Medicaid Managed Care Regulation – What Does It Mean for Quality?
Fall Quality and Medicare Meetings – Miami
Everybody’s Talking About Value-Based Payments
October 13: Wakely Risk Insights Webinar on Risk Adjustment
October 4: Encounter Data Call Series: A Conversation with CMS
September 22: Medicare Policy Roundtable Call on MMCO’s Quality Measures
Provider Network Transparency Trends: Analysis of Marketplace QHP Machine Readable Files and Implications for Managed Care Plans
Healthcare Security: 4 ways to reduce your risk and protect your data
September 20: ACAP Marketplace Roundtable Call – Draft Notice of Benefit and Payment Parameters for 2018
Population Health Strategies for High Risk Members
September 13: Effective Outreach to Broadcast and Print Media
SUD Collaborative Meeting – Houston
September 8: ACAP 101 -Getting the Most Out of Your Plan’s Membership
September 7: RADV Networking Call
August 23: MMC Final Regulation Review – Additional Enrollee Protections
MMC Final Regulation Review–Additional Enrollee Protections
2017 Open Enrollment Season is Approaching: Are you Ready?
August 9: Impact of NCQA Scoring Changes on Medicaid Plans
August 9: Impact of NCQA Scoring Changes on Medicaid Plans
August 8: Family Planning Services and Supplies
August 4: Nondiscrimination in Health Programs Final Rule
July 27: ACAP Marketplace Roundtable Call – RADV Protocols
July 27: ACAP Marketplace Roundtable Call – RADV Protocols
Next-Generation Population Risk Management: Why Enterprise Risk Programs Drive Sustainability and Competitive Advantage
July 21: MLTSS Rate Setting
Value-Based Payment Webinar Series 2016
2016 Value-Based Payment Webinar Series
July 20: Interactive Webinar on Value-Based Payment (4 of 4)
Public Relations Training, Washington
July 13: Managing High-Cost Specialty Medications
CEO Summit 2016
CMS Audit Overview with WeiserMazars
June 22: VBP Webinar #3
June 22: ACAP Marketplace Roundtable Call – EDGE submissions and RADV
How to Conduct a NIST-based Risk Assessment to Comply with Privacy Regulations with Clearwater Compliance
Leveraging Medical Economics to Remain Viable in Today’s Market with Valence Health
Improving Outcomes through Clinical Integration: Payer-Provider Collaboration with Optimity Advisors
June 14: Medicare Roundtable Call on MMPs and Risk Adjustment
Preserving a Health Plan’s Role as MVP of a Healthcare Team with ProgenyHealth
June 9: MMC Final Regulation Review – Contract Provisions
June 8: VBP Webinar #2
Five Big Changes that Could Eat Your Lunch this Year with DeltaSigma
June 7: MMC Final Regulation Review – Rate Setting
June 20: Fly-In Meeting Lobbying Briefing Call
June 1: MMC Final Regulation Review – Program Integrity
May 27: MMC Final Regulation Review – Marketing and Enrollee Protections
Using Population Management to Control Specialty Drug Costs with MedImpact Health Systems
May 26: ACAP Exchange Roundtable Call – CCIIO Guidance and RADV
May 24: MMC Final Regulation Review – Managed Long-Term Services and Supports
Clinical Pathways that Mitigate Over- and Mis-Utilization of Health Resources with Care to Care
Non-Emergency Medical Transportation Best Practices with Coordinated Transportation Solutions
May 17 – MMC Final Regulation Review: Provider Networks
May 12: Medicare Roundtable Call on MACRA and MIPS
May 10: MMC Final Regulation Review – Quality
Specialty Strategies for Clinical Management of Hepatitis C with Diplomat Specialty Pharmacy
May 24 – CPC+ Initiative
May 10 – MMC Final Regulation Review: Quality
May 9: MMC Final Regulation – Overview
Medicare Independence at Home Demonstration with PPSV
Leveraging DSRIP for Medicaid Payment Transformation: Strategies for Success with Value-Based Payment with COPE Health Solutions
April 21: Call on Mental Health Parity Final Rule
The Collaborative Care Model: Making Integration Real for All Populations with Beacon Health Options
April 19: Medicare Roundtable Call on Final Notice
April 13 – Partnership HealthPlan on Opioid Prescribing
April 20: ACAP Exchange Roundtable Call – ACAP Draft Comment Letter on CCIIO Risk Adjustment White Paper
Telemedicine: Another Tool in the Integration Toolbox
Engaging Stakeholders
Integration at the Plan Level
Exploring Integration Payment Methodologies
Evaluating Integration Projects, Including Demonstrating ROIs
Addressing Social Determinants as Part of Integrated Care
Using Stratification to Focus the Integration Intervention
Working with Community Health Workers
An Environmental Scan of How Policy is Evolving on Integrated Care
Behavioral Health Integration Meeting: Philadelphia
April 1: ACAP Exchange and Quality Roundtable Call – QIS Requirements
March 31: MLTSS Roundtable Call on Provider Networks
March 30: SUD Collaborative Networking Call
March 29 – High Cost Meds Call
March 29: ACAP Exchange Roundtable Call – CCIIO Risk Adjustment White Paper
2016 Medication Pipeline – Hot Topics with Solid Benefit Guidance
March 23: ACAP Exchange Roundtable Call – Recent Guidance
The Future of Medicaid Member Communications with HealthCrowd
Care Management for People Experiencing Homelessness
How to Improve Your Star Ratings – Takeaways from ACAP Plans
Telehealth
Contracting with High-Quality Community-Based Organizations
Coordinating Care Coordinators
Value-Based Contracting Strategies
Checklist for Getting Started with MLTSS
Social Determinants of Health
Medicare and MLTC Committee Discussion
States Movement to DSRIP and ACOs: What Does It Mean for ACAP Plans?
Medicaid Policy Committee Discussion
Lessons Learned Leading a Plan Through a Major Transition
Marketplace Committee Discussion
Quality Management and Operations Committee Discussion
Washington Update, March 2016
CEO and Treasurer’s Report; Enrivonmental Scan
Provider Data: Accuracy and the Spreading Requirement for Machine Readable Format
Use of Mobile Technology to Improve Care
Single Credentialing: The Next Frontier
HIPAA: Where Are We Today and Where Are We Heading?
Optimizing Use of Provider and Member Portals
Dealing with Explosive Growth and Unexpected Declines
Improving Member Services to Improve CAHPS
Reducing Operational Costs Through Better Program Monitoring
ACAP Spring Board, COO and Medicare Meetings: Berkeley, CA
Medicare Compliance and Quality Overview with MedHOK
March 10: Networking Call on Measuring Outcome
March 9 – Opioid Prescribing – Networking
March 9: NCQA Proposed Accreditation Standards
March 2: Review of 42 CFR Part 2 SUD Privacy Proposed Rule
March 1: Proposed 2017 HEDIS Changes
February 26: Medicare Roundtable Call on Advance Notice
Scholarship Kickoff Call
February 17: CMCS Opioid Prescribing Bulletin
February 2016 Fly-In: Washington
The Impact of Falls and Strategies for Prevention with Philips Lifeline
February 2: Fly-In Meeting Lobbying Briefing Call
January 29: NCQA Discussion Items
Digital Member Engagement with Healthx
January 27: Nurse Family Partnership Collaboration
Integrated Care Projects – Measuring Quality and Other Outcomes
January 20: Networking Call on Working with Stakeholders and Value-Based Payment
Connecting the Dots: Mental Health and the Rest of Health Care with Health Integrated
January 14: Medicare Roundtable Call
January 11: ACAP Exchange Roundtable Call – Draft Letter to Issuers
January 8: Review of CDC Opioid Guidelines
Using Value-Based Payment Models to Improve Integration of Physical and Behavioral Care
December 17: Medicaid Access Rule and RFI on Core Access Measures
December 17: Medicare/MLTC Networking Call
Biosimilars with Navitus – December 17, 2015
December 16: CMO Call on Primary Immunodeficiencies
Healthcare Fraud – Investigating Aberrant Behaviors with Verisk Health
December 9: Networking Call on the Notice of Benefit & Payment Parameters for 2017
December 8: Managing High-Cost Specialty Medications
December 1: Discussion of ACHP’s Star Rating Gap Analysis for ACAP Plans
November 30: Medicare/MLTC Networking Call on CMS’ MA Star Rating Proposa
November 12: Medicare/MLTC Networking Call on CMS’ MMP Quality Rating Proposal
Tackling Specialty Pharmacy Challenges with MedImpact
Emerging Trends In Medicaid Payment Claim Accuracy with Cotiviti
November 5: Integration Model Selection Networking Call
Stargazing with Health Integrated
November 4: Medicare/MLTC Networking Call on CMS’ Full Duals RA Proposal
Why Real-Time Clinical Data Is Essential with Halfpenny
November 2: Continuity of Medicaid Coverage in an Era of Transition
October 30: SUD Collaborative – The Houston Sobering Center
Substance Use Disorder Collaborative
October 30: ACAP Leadership in Advocacy Award Information Call
HEDIS 2016 with Verisk Health
October 28: Super-Utilizer Developer Challenge Results
October 28: ACAP Exchange Monthly Roundtable Call
October 27: ACAP Salary Survey Informational Call
October 27: SUD Collaborative Networking Call
Quality Measures and Care Management with Altruista
October 26: Medicare/MLTC Networking Call
October 23: Non-Discrimination Notice of Proposed Rulemaking
Asthma Management with PerformRx
October 21: Proposed 340B Omnibus Guidance Review
Data Security with CommonWealth Purchasing Group
Austin Medicare Meeting Agenda
Austin Medicare Meeting Background Materials
Findings from the ACAP-Community Catalyst Evaluation of Consumer Protections in the Financial Alignment Demonstration
Results from the CHCS Promoting Integrated Care for Dual Eligibles (PRIDE) Initiative
Strategies for Working with Long-Term Care Providers
NCQA: Moving From Process to Outcomes
Austin Quality Meeting Agenda
Austin Quality Meeting Background Materials
Welcome to Austin and Introductions
Bridging the Gap Between Health and Health Care
How to Divert New Enrollees from Using the ER
Health@Home
Improving Diabetes Care
Better Behavioral Health Care–Biggest Impact for All Lines of Business?
New Strategies for Addressing Palliative Care
Austin Exchange Meeting Agenda
Austin Exchange Meeting Background Materials
Levers for Profitability & Sustainability
90 Day Grace Period – Working with Your Patients & Providers
High Cost Specialty Drugs and Special Populations
Strategies For Effectively Managing the 3 Rs
Working With Your Local FQHCs to Serve the Safety Net
October 9: EDGE Server Fixes Brainstorming Call
October 8: Health Plans Promoting and Supporting Co-Location
Risk Adjustment and Encounter Data Changes with MedHOK
October 7: Conducting a Behavioral Health Parity Analysis
High-Cost Medications in Medicaid with The Menges Group
October 1: CCIIO’s Monthly ACAP , MHPA, ACHP, NASCHO Marketplace Issuer Engagement Call
September 24: Medicare/MLTC Networking Call
Managing New Populations with Milliman
September 23: ACAP Exchange Monthly Roundtable Call
September 22: To Build or to Buy Risk Adjustment Capabilities Part II
September 22: Key Attributes of Successful Physical-Behavioral Health Integration Sites
Optimize the Member Experience with Innovative Specialty Solutions with CVS Health
Healthcare Fraud – Trends with Verisk Health
September 16: NAIC Network Adequacy Model Act Review
September 15: Utilizing Screening Tools to Integrate Behavioral and Physical Health
Fall Fly-In Meeting Materials
Fall Fly-In: Welcome and Introductions
Legislative Update and Lobbying Briefing
Request of Congress: Stabilize Medicaid and CHIP Enrollment Act
Request of Congress: Medicaid Continuous Quality Improvement Act
Request of Congress: Support SNP Sustainability
Talking Points on Issues of Note
Transforming Medicaid Member Communications with HealthCrowd
September 1: Defining the Problem and Population Networking Call
Using Smart Technology and Analytics to Improve HEDIS Scores and Quality Measures with Altegra Health
August 27: CCIIO’s Monthly ACAP , MHPA, ACHP, NASCHO Marketplace Issuer Engagement Call
August 26: ACAP Exchange Monthly Roundtable Call
August 11: Call with NCQA on Health Plan Ratings
August 11: High Cost Specialty Medications Networking Call
July 30: CCIIO’s Monthly ACAP , MHPA, ACHP, NASCHO Marketplace Issuer Engagement Call
MTM: Beyond Part D with OutcomesMTM
July 29: SUD Collaborative Q5 Networking Call
July 28: To Build or to Buy Risk Adjustment Capabilities
July 27: Behavioral Health Integration: Who Can Benefit Most?
July 21: Health Plan Identifiers
Multi-Channel Digital Engagement with MedTouch
July 16: MMC Proposed Regulation Review – Draft ACAP Comment Letter
Evolving Provider Market Dynamics Under Medicare Bundled Payment Initiatives with Dobson | DaVanzo
July 15: NCQA Issues – HEDIS and MEM Standards
MMC Proposed Regulation Review – Standard Contract Provisions, Miscellaneous Items
July 10: Behavioral and Physical Health Integration Collaborative Informational Call
MMC Proposed Regulation Review – Quality
June 30: MMC Proposed Regulation Review – Program Integrity and Encounter Data
CMS and Other Resources on Proposed Medicaid Managed Care Regulation (“Mega-Reg”)
June 30: Medicare/MLTC Networking Call
June 29: King v Burwell Supreme Court Decision Call
MMC Proposed Regulation Review – Marketing and Beneficiary Protections
MMC Proposed Regulation Review – Managed LTSS
June 25: CCIIO’s Monthly ACAP , MHPA, ACHP, NASCHO Marketplace Issuer Engagement Call
MMC Proposed Regulation Review – Network Adequacy
June 24: QHP Enrollee Surveys
MMC Proposed Regulation Review – Actuarial Soundness and MLR
June 23: SUD Collaborative Call: Action Plan Presentations from NHP and Affinity
How One ACAP Member Overcame Challenges and Achieved Success on the Federally Facilitated Marketplace Hosted by Softheon
June 12: Best Practices for Coverage of Autism Services
Increasing Federal Oversight of Medicaid Plans with Cody Consulting
June 10: Fly-In Briefing Call
Turmoil on the Horizon in 2015 – Strategies to Respond with DeltaSigma
Managing a Dual Eligible Population with TriZetto
Bolstering ACAP Plans through Care Management Innovations from the ACAP-Health Integrated Strategic Alliance with Health Integrated
May 28: ACAP Risk Adjustment Series: The Effect of the Medicare Advantage Risk Adjustment Model on Dual Eligibles
May 28: Medicare/MLTC Networking Call
May 28: CCIIO’s Monthly ACAP , MHPA, ACHP, NASCHO Marketplace Issuer Engagement Call
Medicaid Expansion puts the Spotlight on NICU Population Management with Progeny Health
May 27: Call on Mental Health Parity Proposed Rule
May 27: Preparing a Response to the King v. Burwell Ruling
The Newest Dimensions of Value-Based Care with Valence Health
Getting Close Enough to the Member to Affect Health Quality, Outcomes and Costs with ComplexCare Solutions
May 8: Call on Mental Health Parity Proposed Rule
Radiation Oncology Benefit Management (ROBM) – State of the Art with Care to Care
Key Factors to Include in Your Specialty Pharmacy Strategy with TPG Healthcare Consulting
May 4: Call on New Actuarial Standard of Practice for MMC Rate Setting
May 1: Machine-Readable Provider Directory and Annual Redeterminations Call
2014 Medical Loss Ratio and Risk Corridor Reporting – Overview of Plan Requirements with Milliman
April 28: High Cost Specialty Medications Networking Call
Managed Care for Individuals with SMI: Update on State Policy Initiatives and Considerations for Program Design with Beacon Health Options
April 23: Workgroup Call on Medicaid Flexibility
April 22: EDGE Server Biweekly Networking Call
April 22: King v. Burwell Contingency Planning Call
April 17: Marketplace Quality Rating System Call
Integrating High-Risk Member Care with Risk Adjusted Revenue for Medicaid Members and Dual Eligibles with PopHealthCare
April 13: Call on ACE Kids Act
Nutritional Support Services in a Care Transitions Program with Independent Living Systems
April 8: EDGE Server Biweekly Networking Call
Temporary and Proposed Regulations on the Health Insurer Excise Tax
Adherence with Oral Oncology Medications with Avella Specialty Pharmacy
April 6: Call with NCQA to Discuss LTSS Accreditation Measures
April 3: Call on Medicaid Encounter Data
April 2: Call on Proposed Changes to NCQA Health Plan Accreditation Standards
April 2: Monthly Medicare, MLTC Roundtable Call
April 2: Informational Webinar on Second ACAP Bundled Payments Collaborative
A Roadmap for Medicaid Plans to Enter the Commercial Market Hosted by NFP Health
March 31: SUD Collaborative Q4 Call
Program Audits and Validation Audits for 2015 Hosted by Solid Benefit Guidance
March 30: ACAP Ad Hoc Call on NAIC Draft Network Adequacy Model Act
March 27: ACAP Monthly Networking Call for Marketplace Plans: CSR Reconciliation
March 26: CCIIO Monthly ACAP, MHPA, ACHP, NASHCO Marketplace Issuer Engagement Meeting
Non-Emergency Medical Transportation Best Practices Hosted by Coordinated Transportation Solutions
March 25: EDGE Server Biweekly Networking Call
March 24: Exchange Initial EDGE Server Networking Call
The Transition from Pediatric to Adult Health Care
March 11: ACAP Exchange Roundtable Call on Final Notice of Benefit & Payment Parameters & Final FFM Issuer Letter
March 10: Ensuring An Accurate Risk Adjustment Score
CMO 2015
March 9: ACAP Call on NCQA Proposed New and Revised HEDIS Measures
Balancing Priorities in a Changing EnvironmentHosted by Gorman Health Group
March 4: Working with Hospitals to Reduce Medicaid Readmissions
Building Trust Through Social Media -by Dell Healthcare
February 26: Monthly Medicare, MLTC Roundtable Call
February 26: ACAP Call on ACA Subsidies and the Supreme Court
February 24: Provide Input on Proposed CMS Maternity Payments
February 23: Medicaid Managed Care Marketing in the Marketplace
February 17: Workgroup Call on Medicaid Waiver Flexibility
February 10: Genetic Testing Networking Call
February 6: Selecting an Initial Validation Auditor for your Qualified Health Plan
February 6: Health Centers & Managed Care Organizations: Homelessness
February 5: CCIIO Monthly ACAP, MHPA, ACHP, NASHCO Marketplace Issuer Engagement Meeting
February 4: Getting Clinical: Tying Pharmacy Services to the Medication Synchronization Process
Improving Care Delivery for Individuals with Sickle Cell Disease
January 29: ACAP Monthly Networking Call for Marketplace plans on the Proposed Summary of Benefits and Coverage Regulation
January 28: Networking Call on Appropriate Management of High Cost Hepatitis C Drugs
January 27: Workgroup Call on Medicaid Waiver Flexibility
Understanding The 340B Program And 340B-Related Opportunities For Expanding Access and Lowering CostsHosted by PPSV
January 22 Commercial Risk Adjustment
January 20: ACAP Call on Lobbying Compliance
January 7: A Look at the Numbers: Real World Impact of Med Sync on the CMS Star Ratings
January 6: ACAP Call on Draft 2016 Letter to Issuers in the FFM
Managed Long Term Care – Transforming the Care Delivery Model with Independent Living Systems
Opportunities for Medicaid Plans in the Commercial Market with NFP Health
December 10: Q3 Action Plan Update Networking Call
Best Practices for Medicaid Payment Integrity with Connolly
December 9: Painkillers Do More Harm than Good, Opioid Use for Chronic, Noncancer Pain
January 28: Substance Abuse Collaborative Call
Integrated Health Care – Physical and Behavioral Care Delivery Models with Deloitte
Effectively Managing Vulnerable Populations with Precision Care Management with Health Integrated
Demonstrating ROI: Examples for Value-Based Care with Valence Health
From Preparation to Completion: Stress-Free Delegation Audit Tips with Navitus Health Systems
Next-Generation Subrogation Solutions with Discovery Health Partners
Improving Outcomes by Better Coordinating Multi-disciplinary Teams Through Integrated Care Management with Casenet
Managed Medicaid and Medicare Part-D Common PBM Contracting Errors with Solid Benefits Guidance
October 3: Bundled Payments – Selecting and Contracting with Providers
October 17: Q2 Action Plan Update Networking Call
September 26: Bundled Payments – Integrating Quality Measures into Payment Models
It’s Flu Season: Immunize Your Health Plan with Dell Services
September 10: Bundled Payments – Payment Models for Episodes of Care
August 27: Webinar – Substance Abuse and Privacy Regulations: 42 CFR Part 2
The Future is NOW in Specialty Pharmacy: Lessons Learned From Sovaldi with Excelsior Solutions
Preparing for 2015 HEDIS Success: Strategies and Insights for Medicaid Plans with Verisk Health
August 18: Bundled Payments – Administration of a Bundled Payment
August 12: Bundled Payments – Building an Episode
August 6: Bundled Payments – What’s in Your Report
Hepatitis C Management and Cost-saving Strategies with MedImpact
July 17: Going Beyond the Lock-In Process
Improving Medicaid Program Performance Using Data with Milliman
Positioning for an Upcoming Procurement with The Menges Group
Effective Administration of Dual Eligibles with TriZetto
Be the Disrupter, or Six Ways ACAP Plans can become the Southwest Airlines of Healthcare with Delta Sigma
June 10: Drug Abuse and Pregnant Women Networking Call
May 22: SUD Collaborative Quarterly Networking Call
Innovations in Technology with Care to Care
May 14: Neonatal Abstinence Syndrome
Reducing Medical Spend through High-Risk Population Care with PopHealthCare
NICU Population Health in the 21st Century: Case Study on Neonatal Abstinence Syndrome with ProgenyHealth
May 6: NICU Population Health in the 21st Century: Case Study on NAS (Neonatal Abstinence Syndrome)
Integrating Care for Medicaid-Medicare Duals with Altruista Health
April 22: Data Submission Webinar
Transitional Care Management with SummitRe
Autism Benefits in Medicaid Hosted by Beacon Health Strategies
Health Insurance Exchanges with HTMS
Public and Private Exchanges – How Insurers Are Embracing Consumerism and Multiple Sales Channels Hosted by Softheon
Member Engagement and Education with Altegra Health
February 28: Working with Community Based Organizations on Issues of Substance Use Disorder
December 19: Substance Abuse Collaborative Networking Call
Managing Pharmacy Benefits In A Post Healthcare Reform World with Catamaran
Generic Drug Pricing Management: You Don’t Know What You Don’t Know with TPG
Strategies to Succeed Under the New Commercial Payment Rules with Altegra Health
Say “Aloha” to Technology-Enabled, Inter-Disciplinary Coordinate Care between a Plan and Providers to Meet New Medicaid Mandates with Altruista Health
December 3: Science and Research Behind Addiction
Addressing Medication Adherence through Patient Education with Amber Pharmacy
Sales is NOT a Dirty Word – Surviving in a World Where Your Members Will Choose a Health Plan with Delta Sigma
The Critical Difference: HIPAA Security Evaluation vs. HIPAA Security Risk Analysis with Clearwater Compliance
Member Engagement In a Post-ACA World with HTMS
Medicare Advantage Risk Adjustment and Health Insurance Exchanges: What you should be thinking about for 2014 with PopHealthMan
Can Open Access Health Savings Programs Provide a Safety Net for Medicaid Enrollees? with WellDyne
Navigating Commercial Risk Adjustment: Is Your Health Plan Set for Success? with Verisk Health
The Value of PBM Oversight with Solid Benefit Guidance
October SUD Collaborative Kickoff Meeting – Dallas Materials
October SUD Collaborative Kickoff Meeting – Dallas (Header)
Chronic Care Opportunities and Challenges for Medicaid Managed Care Under The Affordable Care Act with PPSV
HEDIS and Patient Satisfaction Scores – A Case Study In Maximizing Results with Health Integrated
The Value of Aligned Interests–Managing the Total Cost of Care with Navitus
Population Health Management and Compliance In the Era of Health Reform with EBG
Are Your Stars Aligned? Navigate CMS’ Five-Star Quality Rating System: Learn What You Need To Do Today To Ensure Future Success with TriZetto
The Growth of Specialty Drugs: The Trend Is Not Your Friend with CDMI
Pharmacy Management Program Impacts Opioid Abuse with MedImpact
Hiding in Plain Sight: ‘Common Cents’ Next Steps for Pharmacy Management with Excelsior Solutions
Lessons Learned from Claims and Medical Data Analytics with CTG
ACAP Preferred Vendor Program 101
Medical Management for Medicaid and Special Populations
Meeting the Challenges of Managed Medicaid – Analytic Strategies that Drive Mission-Critical Results with Verisk Health
Ulcerative Colitis – An Overview for the Health Care Professional with Accordant, a CVS Caremark Company

PLAN RESOURCES
Florida Medicaid: Prior Authorization Criteria – Harvoni
Florida Medicaid: Prior Authorization Criteria – Sovaldi
Florida Medicaid: Prior Authorization Criteria – Olysio
ACAP Plan Reserves Policies
University of Arizona Health Plan (Before and After Banner Health Acquisition)
ACAP Plan Integration Models
Department of Veterans Affairs: Chronic HCV Infection: Treatment Considerations from the Department of Veterans Affairs
Physican and Mental Health Integration Bibliography
California Department of Health Care Services: Treatment Policy for the Management of Chronic Hepatitis C
The Campaign for Sustainable Rx Pricing (CSRxP)
Community Health Choice Marketplace Plan Description
Community Health Choice Marketing Materials
Florida: MCO Kick Payment Request Form for Sovaldi
PREP- The Psychosocial Readiness Evaluation and Preparation for Hepatitis C Treatment
L.A. Care Marketing Materials
Texas Medicaid: Hepatitis C Treatment Guidance
University of Arizona Health Plans Marketplace Plan Description
University of Arizona Health Off-Marketplace Marketing Materials
Community Health Plan of Washington Marketing Materials
University of Arizona Health Plans Hard-Copy Provider Directory
CareSource Marketing Materials (OH, KY, IN)
Sendero Health Plan Marketing Materials
Neighborhood Health Plan of Rhode Island Marketing Materials
Neighborhood Health Plan of Rhode Island Marketplace Plan Description
Neighborhood Health Plan of Rhode Island SHOP Marketing Materials
Neighborhood Health Plan of Rhode Island Request for Proposal: Initial Validation Auditor
Texas FFS Medicaid: Prior Authorization Criteria and Policy for Antiviral Agents for Hepatitis C Virus
Oregon Medicaid: Fee-For-Service Prior Authorization Approval Criteria
Maryland Department of Health and Mental Hygiene: Clinical Criteria for Hepatitis C Therapy
Pennsylvania Medicaid FFS: HCV Prior Authorization Guidelines
OIG Reports on Access in MMC Programs
Community Health Group “Staying Healthy” Newsletter (member reminder to complete CAHPS survey)
American Academy of Actuaries: Comments to CMS on Sovaldi and Breakthrough Therapy Designation Medications
Priority Partners PEC Check Note Pad
PCORI- Summary of Recently Published Studies on Treatments for Hepatitis C
New York State FFS Medicaid: Hepatitis C Virus Pharmacy Prior Authorization Update
Network Health (MA): Pharmacy Medical Necessity Guidelines – Sovaldi (sofosbuvir)
Specialty Pharmaceutical Spending & Policy
ACAP 2014 CAHPS Report
Viohl & Associates for MHPA-The Sovaldi Squeeze: High Costs Force Tough State Decisions – State Medicaid Coverage Decisions and Restrictions
Massachusetts Medicaid Working Group: DRAFT Hepatitis C Management Principles
AASLD and IDSA: Recommendations for Testing, Managing, and Treating Hepatitis C
2012 ACAP Care Coordination Survey Results
California Department of Health Care Services: Hepatitis C Supplemental Payment Methodology
Milliman- The Impact of New Hepatitis C Drug Therapy on Individual Medicare Part D Spending
Florida: Kick Payment for Course of Hepatitis C Treatment Drugs – Reporting
Sample Talking Points – GAO Report on Medicaid Program Integrity
Talking Points – Ctr for Public Integrity Report on Medicare Advantage Risk Scores
Florida: Kick Payment for Course of Hepatitis C Treatment Drugs
Excellus (NY): Chronic Hepatitis C Drug Coverage Criteria
CMS Decision Memo for Screening for Hepatitis C Virus (HCV) in Adults
Federal Bureau of Prisons: Interim Guidance for the Management of Chronic Hepatitis C Infection
Colorado Access Request for Information: Broker Appointment Profile Management System
Health Plan of San Mateo (CA): Sovaldi Authorization Requirements
Sample Talking Points: Sovaldi, High-Cost Drugs
OHSU Center for Evidence-Based Policy: Sofosbuvir for the Treatment of Hepatitis C and Evaluation of the 2014 AASLD Treatment Guidelines
Arkansas Medicaid: HCV Addendum to the DUR Board Meeting Information Packet for April 16, 2014 Meeting
Massachusetts Association of Health Plans: Letter to the State about Hepatitis C Treatments
Health Plan of San Joaquin (CA): Criteria for Hepatitis C Drugs
California Association of Health Plans: Sovaldi and the Hepatitis C Virus: A Case for a Carve-Out
Sample Talking Points: 2014 GAO Report on SNP MLRs
Milliman- Health Care Reform and Hepatitis C: A Convergence of Risk and Opportunity
Survey of ACAP Plans on Actuarial Soundness
Sample Talking Points – Federal Government Shutdown
Myth: Medicaid Has No Effect on Health Outcomes
Myth: No Coverage is Better Than Medicaid
Truth: Medicaid Managed Care Includes Significant Consumer Protections
ACAP 2013 CAHPS Report
Credit Assessment of ACAP-Member Safety Net Health Plans
U.S. Preventive Services Task Force- Screening for Hepatitis C Virus Infection in Adults
NHP – Policy Creation, Maintenance and Review
UAHP Response to AHCCCS – University Family Care
UAHP Response to AHCCCS – Maricopa
ACAP Care Coordination Survey Results (November 2012)
Synthesis of Promising Practices from MCOs Serving Dual Eligibles
Dual Eligibles Summary Data: Arizona
Dual Eligibles Summary Data: California
Dual Eligibles Summary Data: Colorado
Dual Eligibles Summary Data: Florida
Dual Eligibles Summary Data: Illinois
Dual Eligibles Summary Data: Indiana
Dual Eligibles Summary Data: Maine
Dual Eligibles Summary Data: Maryland
Dual Eligibles Summary Data: Massachusetts
Dual Eligibles Summary Data: Minnesota
Dual Eligibles Summary Data: New Jersey
Governance Survey (November 2012)
Dual Eligibles Summary Data: New York
Dual Eligibles Summary Data: Ohio
Dual Eligibles Summary Data: Oregon
Dual Eligibles Summary Data: Pennsylvania
Dual Eligibles Summary Data: Texas
Dual Eligibles Summary Data: Vermont
Dual Eligibles Summary Data: Virginia
Dual Eligibles Summary Data: Washington
Sunflower – Passport Member Magazine for Dual Eligibles
Conflict of Interest Code
CEO/Plan Leader Performance Evaluation
Board Roles and Responsibilities
Board Assessment Questionnaire
Board Self-Evaluation
Bylaws
Organization Performance Evaluation
Responsibilities of the Chair
Code of Conduct
Priority Partners/JHHC HRA
IEHP Training Guide – Disability Etiquette Guide
IEHP Training Guide – Making Office Space Accessible
IEHP Training Guide – Accessibility Checklist
IEHP Training Guide – Disability Resources
Inland Empire Health Plan Annual Vist Document
Cook Children’s Health Plan – CHIP Complaint and Appeal Process
UPMC Final Contract with PA
MIPPA State Contracting Options, CMS Booklet
Partnership HealthPlan Telehealth Policy
MMP Application: Contra Costa Health Plan
MMP Application: Community Health Group
MMP Application: Alameda Alliance for Health
MMP Application: CalOptima
MMP Application: Health Plan of San Mateo
Children’s Community Health Plan
Inland Empire Health Plan
Health Plan of San Mateo
Texas Children’s Health Plan
ACAP 2011 CAHPS Report
CMS Basic Health Program RFI
BMC HealthNet Plan HRA
ACAP HEDIS 2010 Analysis
ACAP Plan Quality Sharing Document
Driscoll Children’s Health Services Staffing with Workload Detail
CareOregon CareSupport Provider Brochure
CareOregon CareSupport CHF Program Brochure
CareOregon CareSupport Transition Program Brochure
Children’s Mercy FHP Automated Messaging Script for members with diabetes
Children’s Mercy FHP Postcard for members with diabetes
Medicare Advantage Benchmarks as a Percent of 2010 Local FFS Rates
Medicare Advantage Benchmarks in $PMPM
2009 IT Benchmark Survey
ACAP Complex Case Management Survey
UPMC Complex Case Management Criteria
Complex Case Management Admin Criteria
IT org Chart – L.A. Care Health Plan
IT Org Chart – University Physicians Health Plans (AZ)
IT Org Chaft – Network Health
IT Org Chart – Community Health Choice
IT Org Chart – Colorado Access
IT Org Chart – Community Health Network of CT
IT Org Chart – Children’s Mercy FHP
2009 ACAP CAHPS Sponsor Report
Affinity Health Plan Identity Theft Prevention Program August 2009
Health Plan of San Mateo Annual Visit Assessment
ACAP Memo: FERA Updates to FCA
DRA Complaince Template (updated to reflect FERA changes to FCA)
CMS Audit Managed Care Entity Module
Compliance Plan Benchmarking Report
AlohaCare Provider Quick Tips
VA Premier New Employee Checklist Set Up
VA Premier New Employee Orientation Checklist
VA Premier – New Employee Welcome Letter
Monroe Plan Service & Recognition Award Program Description
Monroe Plan Employee Recognition Nomination Form
Monroe Plan Recognition Program Award Certificate
Privacy Policy CHNCT
Privacy Policy Explanation for Members – CHNCT
Member Authorization to Release Personal Health Information (PHI) – CHNCT
PHI Uses and Disclosures Required by Law – CHNCT
Privacy Policy on Minimum Necessary Level of Disclosure – CHNCT
Privacy Policy and Security Audits – CHNCT
Privacy Policy – Colorado Access
Notice of Privacy Practices – Colorado Access
Notice of Privacy Practices English — NHPRI
Notice of Privacy Practices Spanish — NHPRI
Code of Ethics — CommunityChoice Michigan
Code of Conduct — CHCNT
Code of Ethics — NHP of Mass
Role of the Board Member — Colorado Access
Board Member Self-Evaluation — Colorado Access
Provider Satisfaction Survey Template –CareOregon
Colorado Access Employee Satisfaction
Community Health Plan Employee Satisfaction
HealthPlus Employee Satisfaction
Neighborhood Health Plan of MA Employee Satisfaction
Affinity Health Plan Finance Committee Charter
Community Health Plan Finance Committee Charter
Neighborhood Health Plan of RI Finance Committee Charter
Neighborhood Health Plan of RI Nominating Committee Charter
Neighborhood Health Plan of RI Audit Committee Charter
Alameda Alliance
Colorado Access
Community Health Network of Connecticut
Community Health Plan of Washington
Network Health
Hudson Health Plan
Alameda Alliance Compliance Program Draft
AlohaCare Compliance Work Plan
AlohaCare Compliance Department Orientation
Colorado Access Corporate Compliance Committee Charter
Colorado Access Compliance Policies
CHCNT Compliance Audit Plan Sample
CHCNT Fraud and Abuse Policy
CHCNT Reporting to Finance Committee
CHNCT Employee Retaliation
CHNCT Compliance Training and Education
Audit Protocol B
Audit Protocol C
Conducting an Internal Audit Presentation, Adam Falk
CHNCT Compliance Audit Plan Sample
CHNCT Audit Plan
Community Health Plan of Washington Compliance Charter
Community Health Network of Connecticut Compliance Charter
Colorado Access Compliance Charter
NHP Audit Committee Charter
CHNCT Employee Compliance Acknowledgement Form
Attendance Sheet
Compliance Exit Interview
CHNCT Audit Committee Compliance Report
NHP Compliance Report
CHPW Print Ad 1
CHPW Print Ad 2
BMC Health Net Consumer Brochure
NHPRI Member Handbook (English and Spanish versions)
NHPRI Beating Asthma (English and Spanish versions)
NHPRI Call Us Brochure (English)
NHPRI Call Us Brochure (Spanish)
BMCHP Introduction and Business Continuity
Summary Response Matrix
Hazards & Impacts
Business Continuity Plan Overview
Business Continuity Plan Diagram
HHS Pandemic Flu Information
FEMA Incident Command System Course Material
BMCHP Table of Contents
CMS Guidance March 07 Part 1
CMS Guidance March 07 Part 2
CMS Guidance March 07 Part 3
Governance Questionnaire (March 2007)
Template Employee Education language
CMS State Plan Preprint
CHPW Presentation DRA and Changes in Compliance 2006
CMS State Medicaid Letter about the False Claims Act
Hudson Health Plan Compliance Committee Charter
University Physicians HP Compliance Plan
Health Plan San Mateo Compliance Plan
CareOregon Compliance Plan
Sample Audit Plan
NHP Brochure
NHP Cover Letter
Annual Board Report
Compliance Committee Charter

PREFERRED VENDORS
Advance Health
Peak Risk Adjustment Solutions
Safety Net Connect
Command Direct
Cyft
Syrtis Solutions
mPulse Mobile
UPMC Benefit Management Services, Inc.
Cavulus
Community Care Behavioral Health Org – CCBH
Health Management Associates – HMA
Avesis
Commonwealth Medicine (UMass)
Medicaid Learning Center
Health Integrated
NTT DATA
Catalyst Solutions
Cognizant
CareEnroll
TMG Health
Evolent Health
Cody Consulting
CaseTrakker
MedHOK
Optum
ComplexCare Solutions
Lucina Health
Altruista Health
LIBERTY Dental Plan
CVS Health
Sellers Dorsey
The Menges Group
Commonwealth Purchasing Group
Morgan Consulting Resources
PopHealthCare
Philips Home Monitoring
Dubraski and Associates
PPSV
Change Healthcare Consulting
DeltaSigma
Solid Benefit Guidance
Healthx
HealthCrowd
Wellpass
Mazars USA LLP
Coordinated Transportation Solutions
Excelsior Solutions
The Pharmacy Group
EnvisionRx
MedImpact Healthcare Systems
Navitus Health Solutions
PerformRx
Care to Care
Summit Re
RBS Re
Amber Pharmacy
HFI
First Recovery Group
Superior Vision
Softheon
NORC at the University of Chicago
Wakely Consulting Group
Cirdan Health Systems and Consulting
Milliman
PQS – Pharmacy Quality Solutions
Beacon Health Options
PerformCare

JOBS
Customer Escalation Manager
Senior Director, Health Services
Chief Operating Officer
Controller
External Care Coordination Specialist
Director, Case Management/UM Services
Director, Information Systems
Medicare Compliance Officer
Senior Healthcare Analyst
Program Manager/Senior Project Manager – Managed Care
Outpatient Utitlization Management Nurse
Compliance Manager
Director, Medicare Strategy
Health Home Clinical Liaison
Medical Management Manager
Chief Financial Officer
Manager, Behavioral Health
Utilization Management Program Director
Director, Utilization Management
Senior Director, Health Services
Manager of Telephonic Care Coordination
Data Analyst, Risk Adjustment

NEWS
Medicaid is US: ACAP’s Media Campaign to Fight Safety Net Cuts
Christine Aguiar Lynch Returns to ACAP as VP, Medicare and MLTSS
ACAP Alumni Directory 2016
New President, New Path Forward for Managed Care Plans
ACAP Press Releases
Medicaid Expansion Could Continue Under Trump
CMS To Formally Propose RA Changes For High-Cost Members, Spars With Insurers On Risk Pool Data
Dale Villani: Health Plan Committed to Innovation, Quality Care
Stakeholders Raise Concerns Over CMS Risk Adjustment Pooling Idea
Long-Awaited Medicaid Managed Care Rule Out; Stakeholders Await 340B Guide, Nondiscrimination Rule
Neighborhood Health Plan’s Conway Wins ‘Making a Difference’ Award
Medicaid Managed Care Rule Adds MLRs, Phases Out Pass-Through Payments
Overlapping Coverage Can Help Mitigate Churn
40% Health Plans Sold via Health Insurance Marketplace Overlap
Many QHP Sellers Also Participate in Medicaid, ACAP Finds
CMS Phases In Pay Cuts To Medicare Advantage Plans For Retirees
CMS finalizes 2017 Medicare Advantage rates: 8 things to know
Medicare Advantage Plans to Get 0.85 Percent Raise in 2017
Fixing Risk Adjustment In Medicare Advantage to Serve Vulnerable Seniors
Connecticut Moves Away from Private Insurers to Administer Medicaid Program
MA Plans, Employers Protest CMS Proposal On EGWPs, Say It Could Destabilize Market
Insurers Take a Stake in Curbing Opioid Addiction
Corporate-Owned Medicaid Clinics Come to Iowa
Medicare Advantage Policies Draw Mixed Reviews
Obama Seeks to Add Teeth to MLR in managed Medicaid Overhaul
Community Health Plans Fly Into Washington
Opioid addiction treatment argued as ‘essential’ insurance benefit
Insurers Offer Praise, Criticism for Medicare Advantage Proposals
Health execs predict top 2016 challenges
MedPAC to CMS: Options to factor socioeconomics in star ratings not good enough