Association for Community Affiliated Plans

The Association for Community Affiliated Plans (ACAP) is a national trade association representing 78 nonprofit health plans. Headquartered in Washington, D.C., ACAP advocates on behalf of its community-affiliated member health plans operating throughout the United States. ACAP's advocacy work focuses on representing publicly sponsored programs and health care providers who serve vulnerable populations. ACAP also promotes universal access to quality and cost-efficient care.

Association for Community Affiliated Plans
AbbreviationACAP
Formation2000 (2000)
TypeTrade association
PurposeTo represent and strengthen not-for-profit, safety net health plans as they work with providers and caregivers in their communities to improve the health and well being of vulnerable populations in a cost-effective manner
HeadquartersWashington, D.C.
Region served
United States
CEO
Margaret Murray (2001)
Websitewww.communityplans.net

ACAP members are Medicaid-focused health plans that serve the safety net. Collectively, ACAP plans serve more than 20 million enrollees, which is over 50 percent of individuals enrolled in Medicaid-focused health plans.[1]

History

In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose to see other providers once given a choice.

In response to these concerns, community health centers in at least 16 states banded together to establish their own managed care organizations. Often CHCs were the only sponsors, but in other cases, they joined with hospitals or other safety net providers to sponsor a health plan. These organizations were established to support both the financial viability of the CHCs and other sponsors, as well as to support the mission of care for the underserved.

In 2000, seventeen CHC-affiliated plans came together with the help of the US Health Resources and Services Administration to form the Association for Health Center Affiliated Health Plans (AHCAHP). In May 2001, the Board hired Meg Murray as its executive director. Later that year, the AHCAHP Board met in Portland, Oregon to develop a strategic plan to guide the work of the association over the next two years. AHCAHP’s vision, as developed during that meeting, was to improve the health of medically underserved populations through the development, survival, promotion and growth of CHC-affiliated health plans.

In October 2003, the Board agreed to expand full membership to like-minded, community-affiliated health plans that served a majority of members from public insurance programs and shared the same outlook as the existing AHCAHP plans. The name change to the Association for Community Affiliated Plans (ACAP) reflected the new mission and membership.

In 2007, ACAP worked with its member plans to expand their mission to include work on Medicare Special Needs Plans (SNPs.)

In 2019, ACAP began representing partner or associate plans that do not have a Medicaid contract but are nonprofit plans in the health insurance marketplace.

ACAP Member Plans
  • Arizona: Banner University Health Plans
  • California: Alameda Alliance for Health, CalOptima, CenCal Health, Central California Alliance for Health, Community Health Group, Contra Costa Health Plan, Gold Coast Health Plan, Health Plan of San Joaquin, Health Plan of San Mateo, Inland Empire Health Plan, Kern Family Health Care, L.A. Care Health Plan, Partnership HealthPlan of California, Santa Clara Family Health Plan, San Francisco Health Plan
  • Colorado: Denver Health
  • Connecticut: Community Health Network of Connecticut
  • DC: AmeriHealth Caritas District of Columbia, Health Care Services for Children with Special Needs
  • Delaware: AmeriHealth Caritas Delaware
  • Florida: Community Care Plan, Prestige Health Choice
  • Hawaii: AlohaCare
  • Illinois: CountyCare
  • Indiana: MDwise
  • Louisiana: AmeriHealth Caritas Louisiana
  • Maryland: Priority Partners, Maryland Physicians Care
  • Massachusetts: Boston Medical Center HealthNet Plan, Commonwealth Care Alliance
  • Michigan: Blue Cross Complete of Michigan, Southwest Michigan Behavioral Health
  • Minnesota: Hennepin Health
  • New Hampshire: AmeriHealth Caritas New Hampshire, Well Sense Health Plan
  • New York: Affinity Health Plan, Amida Care, Elderplan & Homefirst, Hamaspik Choice, iCircle Care, Nascentia Health, VillageCareMAX, VNSNY CHOICE Health Plans
  • North Carolina: Alliance Health, AmeriHealth Caritas North Carolina, Cardinal Innovations Healthcare, Partners Behavioral Health Management, Trillium Health Resources
  • Ohio: CareSource
  • Oregon: CareOregon
  • Pennsylvania: AmeriHealth Caritas Pennsylvania, Gateway Health Plan, Geisinger Health Plan, Health Partners Plans, UPMC for You
  • Rhode Island: Neighborhood Health Plan of Rhode Island
  • South Carolina: SelectHealth of South Carolina
  • Texas:Community First Health Plans, Community Health Choice, Cook Children's Health Plan, Driscoll Health Plan, El Paso First Health Plans, Parkland Community Health Plan, Texas Children's Health Plan
  • Utah: University of Utah Health Plans
  • Virginia: Virginia Premier Health Plan
  • Washington: Community Health Plan of Washington
  • Wisconsin: Children's Community Health Plan, My Choice Family Care

ACAP Partner/Associate Plans
  • Idaho: Mountain Health CO-OP
  • Maine: Community Health Options
  • Maryland: Maryland Community Health System
  • Montana: Montana Health CO-OP
  • Texas: Sendero Health Plans
  • Wisconsin: Common Ground Healthcare Cooperative

ACAP Staff

Margaret A. Murray - Chief Executive Officer

Jennifer McGuigan Babcock - Senior Vice President for Medicaid Policy

Enrique Martinez-Vidal - Vice President for Quality and Operations

Heather Foster - Vice President for Marketplace Policy

Christine Aguiar Lynch - Vice President for Medicare and MLTSS Policy

Sharon Gibson - Chief Administrative Officer

Jeff Van Ness - Senior Communications Director

Executive Assistant - Executive Assistant

Ezra Dulit-Greenberg - Program Associate

Elizabeth Linderbaum - Program Associate

Asfiya Mariam - Program Associate

Robin Perry - Conference and Event Manager

Caroline Rourke - Communications Associate

Selma Quarles - Administrative Assistant

Pramila Shrestha - Accounting Manager

Notes
  1. "ACAP Represents 58 Safety Net Health Plans in 24 States". communityplans.net. Archived from the original on July 16, 2014. Retrieved June 11, 2014.

References
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