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The Medicaid ContinuousQuality Act:

One Step Toward Health Reform

Press & Policy Briefing Friday, July 9th, 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

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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 MemberPlans 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

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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 Pool7

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