1 The Medicaid Continuous Quality Act: One Step Toward Health Reform Press & Policy Briefing Friday, July 9 th, 10 a.m.

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Presentation transcript:

1 The Medicaid Continuous Quality Act: One Step Toward Health Reform Press & Policy Briefing Friday, July 9 th, 10 a.m.

Agenda  Welcome. Meg Murray, ACAP CEO  MCQA and Health Reform. Jennifer McGuigan Babcock, ACAP Director for Policy  Explanation of MCQA Study and Introduction of Policy. Dr. Leighton Ku, The George Washington University Health Policy Research Center Director  Churn, Continuous Eligibility and Medicaid from the Safety Net Health Plan Perspective. Christina Severin, Network Health Plan CEO  Questions and Answers. Deborah Kilstein, Patricia McTaggart, Leighton Ku, Jennifer McGuigan Babcock 2

Mission Statement  To represent and strengthen not-for- profit, safety net health plans as they work in their communities to improve the health and well-being of vulnerable populations.

42 Current ACAP Members In 23 States as of April 2009; 6 M lives Affinity Health Plan (NY) Alameda Alliance for Health (CA) AmeriHealth Mercy Health Plan (PA) Boston Medical Center HealthNet (MA) CalOptima (CA) CareOregon (OR) CareSource Michigan (MI) CareSource (OH) Carolina Crescent Health Plan (SC) Children’s Community Health Plan (WI) Children’s Mercy Family Health Plan (KS) Children’s Mercy Family Health Plan (MO) Colorado Access (CO) Commonwealth Care Alliance (MA) Community Health Network of Connecticut (CT) Community Health Plan (WA) Contra Costa Health Plan (CA) Denver Health Medical Plan (CO) Health Plan of San Mateo (CA) Health Plus (NY) Health Right, Inc (DC) Health Services for Children with Special Needs (DC) Horizon NJ Health (NJ) Hudson Health Plan (NY) Inland Empire Health Plan (CA) LA Care Health Plan (CA) Maricopa Health Plan (AZ) Maryland Community Health Systems* (MD) MDwise (IN) Metropolitan Health Plan (MN) Monroe Plan for Medical Care, Inc. (NY) Neighborhood Health Plan (MA) Neighborhood Health Plan of Rhode Island (RI) Network Health (MA) Prestige Health Choice (FL) San Francisco Health Plan (CA) Santa Clara Family Health Plan (CA) Total Care (NY) University Family Care (AZ) UPMC For You (PA) Virginia Premier Health Plan, Inc (VA) VNS NY * Associate Member Plans in Italics are original CHC plans

MCQA & Health Care Reform  ACAP Health Reform Policy Positions Drug Rebate Equalization Act Medicaid Populations & the Exchange Standard for Plans Serving Low- Income Populations in Exchange Safety Net Health Plans & the Public Plan Medicaid Continuous Quality Act 6

ACAP & Health Care Reform  Capitol Hill & the White House  Update on ACAP & Member Health Plan Work  House of Representatives Health Reform Bill Drug Rebate Equalization Act Medicaid & the Exchange SNHPs & the Public Plan 85% MLR for Medicaid plans ACAP Position on bill & letter to House  ACAP Health Reform Pool 7

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