Today, the evidence is clear: Medicare Advantage is working, providing exceptional coverage and care for nearly 23 million seniors.
Evidence-Based Care
Strong payer-provider relationships foster evidence-based care
Nonprofit, community health plans are uniquely positioned to accelerate the delivery of medical knowledge and the adoption of evidence-based interventions. Their collaborative efforts with provider partners, health systems and local stakeholder are reducing costs and improving health outcomes for patients nationwide.
To the Point
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06/19/2019
COLUMN: New Research Shows How Payer-Provider Partnerships Can Accelerate Adoption of Evidence-Based Care (NEJM Catalyst)
In an effort to accelerate the delivery of medical knowledge and the adoptionRead more -
11/14/2018
FACT SHEET — Accelerating Adoption of Evidence-Based Care
ACHP shows that close collaboration among health plans, physicians and communities can accelerate the adoption of evidence-based care. -
04/10/2019
COLUMN: Patients Win When Payers and Providers Speak the Same Language
Discouraging headlines remind us daily of the ugly battles between payers and providers. FightingRead more -
11/14/2018
INFOGRAPHIC — Foster Safer Opioid Prescribing
Kaiser Permanente implemented safer opioid prescribing practices in 2012 and has greatly reduced opioid prescribing across all regions. -
11/14/2018
INFOGRAPHIC — Eliminate Inappropriate Early Inductions
Working together, Intermountain Healthcare and SelectHealth were able to eliminate medically-unnecessary early inductions.
Deep Dive
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11/14/2018
REPORT — Accelerating the Adoption of Evidence-Based Care: Payer Provider Partnerships
Research by ACHP shows collaboration between high-performing health plans, health systems and communities boosts evidence-based care. -
11/14/2018
CASE STUDY — Collaborate to Improve Substance Use Disorder Treatment
Presbyterian Healthcare Services created a task force to develop a multi-faceted plan to improve the system’s approach to substance use disorder treatment. -
11/14/2018
CASE STUDY — Optimize Hepatitis C Treatment
Clinical and health plan leaders at Geisinger Health Plan created a robust protocol for the diagnosis and treatment of hepatitis C. -
11/14/2018
CASE STUDY — Prevent Unnecessary Surgeries
Research shows that patients with frailty characteristics often have a harder time recovering from surgery. To ensure patients are healthy enough to undergo surgery, UPMC launched a frailty assessment tool. -
09/14/2020
PODCAST — The Power of the Payer-Provider Aligned Model (Ep. 3)
Amidst the COVID-19 crisis, the health care industry has begun to develop rapid, off-the-cuff innovations in American health care.
Accelerating Adoption of Evidence-Based Care
New health care innovations are occurring at a breakneck speed, leaving many clinicians unable to keep up with the latest treatments or interventions. However, research shows that nonprofit, community-based health plans can enable more effective data sharing, improve care coordination, provide resources for training and enhance transparency — fostering an environment where evidence-based care can thrive.
Resource Library Search
FACT SHEET — Medicare Advantage: Higher Standards, Quality Coverage
Medicare Advantage prioritizes quality over volume of care by encouraging more effective, coordinated and managed health care.
RELEASE — Statement on Medicare Proposal to Limit Aduhelm Coverage
ACHP’s responds to Medicare’s proposal to sharply limit coverage of the controversial Alzheimer’s drug Aduhelm.