The 2027 Star Ratings preview is open, but CMS still hasn't said which measures it's using after Clover. Plans are redesigning for 2027 right now, in the dark. Run both calculations, assign the higher score & tell us the rules up front, says ACHP's Michael Bagel.

MA plans need certainty ahead of the 2027 Star Ratings. ACHP President & CEO Ceci Connolly urges CMS to run both calculations & award the higher rating. More by @nonatc.bsky.social in @modernhealthcare.bsky.social: www.modernhealthcare.com/politics-reg...

What the latest Star Ratings turmoil says about the program

The Medicare Advantage Star Ratings program is rife with drama.

modernhealthcare.com

“There is still a phenomenal amount of work” ahead before #Medicaid work requirements go live on Jan 1st, ACHP’s Ceci Connolly told @modernhealthcare.bsky.social. States, plans & providers need clear guidance to get implementation right. More here: www.modernhealthcare.com/politics-reg...

The Administration says it wants #Medicaid verification built on data states already have, so people aren't buried in paperwork. That's exactly what ACHP has called for. Whether it works comes down to how states build it and the plans closest to patients can help them get it right.

Most Americans on #Medicaid already work or are in school. The new work requirements rule piles on documentation & tightens exemptions, making it harder for eligible people to keep the coverage they qualify for. The program's success should be measured by health outcomes, not coverage losses.

When Mythos dropped, Treasury & the Fed Reserve convened bank CEOs to coordinate a response. Health care got no such call. The AI cyber threat is here and "it's a much bigger threat on the health care side," ACHP's Dan Jones told @rebeccaadamsdc.bsky.social. Full article: achp.pub/4ur3RYQ

New AI models raise alarms among health care leaders - WP Intelligence

Cybersecurity challenges from models including Anthropic’s Mythos require stronger defenses

achp.pub

A year after the industry's pledge, patients are still waiting months for prescriptions. ACHP has been clear: prior authorization should be moving toward zero. President & CEO Ceci Connolly laid out the path forward in @nejm.org: catalyst.nejm.org/doi/full/10....

Reed Abelson@reedabelson.bsky.social · 6mo ago

My latest: www.nytimes.com/2026/05/18/b...

CMS Admin. Dr. Oz tells @achp-org.bsky.social this morning that he wants CMS to improve efficiency and “be the best payer out there.” But adds that “we have to move the ship in a very precise way” because with rising costs “we’re basically becoming one big healthcare system with a small country.”

We’re thrilled to welcome the Alliance of Community Health Plans (@achp-org.bsky.social) to the CivicaScript Ambassador Program! Ambassadors help promote awareness and use of CivicaScript’s low-cost generic medicines among their customers and other stakeholders. Read more at tinyurl.com/2jpfmc66

In 2025, health care leaders will focus on collaboration, empathy & innovation. Several executives from ACHP member plans shared the ways they’re driving and empowering teams: achp.pub/40OVyZt

How 23 payer executives are becoming better leaders this year

achp.pub

ACHP urges #Congress to extend the #ACA tax credits...or millions could lose coverage very soon. More in our letter: achp.org/letter-2024-...

ACHP Letter to Congress on Year-End Priorities

ACHP sent a letter encouraging Congress to act on key health care policies before the end of the 118th Congress.

achp.org

Evan McMurry@evanmcmurry.theatlantic.com · 2y ago

Ronald Brownstein: “The effects will test whether anything can loosen the GOP’s grip on small-town America during the Trump era, or whether the fervor of his rural supporters provides Trump nearly unlimited leeway to work against their economic interests without paying any political price.”

We are so proud of ACHP President Ceci Connolly for being named one of Modern Healthcare’s 100 Most Influential People in Healthcare for 2024. Her commitment to improving health care & to the payer-provider aligned model is definitely worthy of celebration. Congrats, Ceci! 🎉 achp.pub/3BxpqAK

We support a comprehensive #Medicare program, but the proposed coverage of weight-loss drugs is deeply concerning—policymakers need to focus on the exorbitant costs & appropriate utilization.

The Washington Post@washingtonpost.com · 2y ago

The Biden administration Tuesday will propose expanding coverage of weight-loss medications for millions of Medicare and Medicaid beneficiaries, a late-term proposal that officials said would boost public health and which puts pressure on the incoming Trump administration to finalize the benefit.