Alliance of Community Health Plans (ACHP)
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The Alliance of Community Health Plans (ACHP) represents the nation’s top-performing nonprofit health plans to improve affordability and outcomes in the health care system. ACHP member companies are provider-aligned health organizations that provide high-quality coverage and care to tens of millions of Americans. They are leading the industry in practical, proven reforms around primary care delivery, value-based payment and data-driven systems improvement.
ACHP advocates on behalf of its members and a unique approach to health care today, one that puts the patient at the center with health plans and clinical teams collaborating to improve health outcomes and reduce costs. Our advocacy focuses on providing policymakers with tested solutions being realized in communities nationwide and rooted in a model that is proven to deliver better value for patients, employers and taxpayers.
We realize our mission by:
Providing a forum to solve our members’ most pressing challenges
Advocating for better health and health care
Building the evidence base for health care improvement through clinical innovation
Enhancing our plan’s competitiveness by developing quantitative and qualitative tools to improve performance and meet marketplace challenges Source
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Media Outlet details
| Scope | National, Consumer |
|---|---|
| Language | English |
| Country | United States of America |
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Recent Articles
Search ArticlesACHP Urges Good-Faith Period for CMS-0057 Implementation
ACHP is urging the Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology to pair the January 1, 2027 compliance date for the CMS Interoperability and Prior Authorization Final Rule (CMS-0057) with a 12-month good-faith validation period. Regional, nonprofit health plans are investing to meet the rule, but compliant processes in 2027 will not equal operational readiness.
Medicare Advantage Disruption Reshapes Seniors’ Choice
ACHP released the following one-pager examining how national insurer retrenchment disrupted Medicare Advantage coverage for 4.6 million beneficiaries in 2026 and how regional, nonprofit health plans stepped in to preserve access.
ACHP Comments on Senate Finance Drug Pricing RFI
ACHP submitted the following comments in response to the Senate Finance Committee’s Request for Information on commonsense policy options to lower drug prices for patients. ACHP urges Congress to prioritize market-based reforms that lower the underlying price of medicines rather than shifting costs from the pharmacy counter to premiums—including pharmacy benefit manager transparency, expanded biosimilar competition and building on Medicare Drug Price Negotiation.
The Cost of Inadequate Medicaid Rates
When Medicaid payment rates fail to reflect the cost of care, all consumers pay the price. This one-pager outlines how inadequate rates destabilize Medicaid markets, strain providers and regional nonprofit health plans and reduce access, and why timely data, transparent rate setting and state-plan collaboration are essential.
ACHP Comments on Medicare Drug Price Negotiation Rule
ACHP has long championed meaningful drug pricing reform, including Medicare price negotiation for drugs without generic or biosimilar competition. We support efforts to strengthen the program while preserving health plans’ flexibility to manage formularies based on clinical evidence and value.
An Expanding Voice for Nonprofit, Local Health Plans
Washington, D.C. (August 13, 2026) – Local, nonprofit health plans’ unique perspectives are essential in today’s debate about affordability and access to high-quality coverage. The Alliance of Community Health Plans (ACHP) represents the leading nonprofit plans nationwide and today announces three additions – for a total of six new members in 2026 – to its growing roster of members, underscoring the importance of a unified voice representing these regional organizations.
Better Care, Lower Costs: How Provider-Aligned Health Plans Deliver Value
Health care doesn’t have to be a trade-off between quality and cost. ACHP member plans prove that every day by connecting coverage and care into one coordinated experience and the results speak for themselves. ACHP’s 2026 Report on Affordability in Health Care shows that when health plans and providers work as partners, patients get better outcomes and the whole system spends less doing it.
ACHP Comments on CMS PBM Compensation & Data RFI
ACHP supports CMS’ implementation of the pharmacy benefit manager (PBM) reforms enacted in the Consolidated Appropriations Act of 2026; reforms that increase transparency, strengthen accountability and tie PBM compensation to bona fide services rather than drug prices, rebates, spread pricing or other misaligned incentives.
ACHP Urges CMS to Apply 2026 Hold Harmless Methodology to 2027 MA Star Ratings
ACHP submitted comments to CMS on the interim final rule implementing Medicaid community engagement requirements under the One Big Beautiful Bill Act (CMS-2454-IFC). ACHP supports efforts to promote workforce participation and urged CMS to measure the rule’s success by whether implementation preserves coverage for eligible beneficiaries.
ACHP Comments on Medicaid Community Engagement Rule
On July 31, ACHP submitted comments to CMS on the interim final rule implementing Medicaid community engagement requirements under the One Big Beautiful Bill Act (CMS-2454-IFC). ACHP supports efforts to promote workforce participation and urged CMS to measure the rule’s success by whether implementation preserves coverage for eligible beneficiaries.