Alliance of Community Health Plan

What Alliance of Community Health Plan does

The Alliance of Community Health Plans (ACHP) is a nonprofit trade association founded in 1984 (originally as The HMO Group, rebranded in 2001) and headquartered in Washington, D.C. It represents 30 member organizations (29 nonprofit, regional, community-based health plans) that together cover more than 24 million lives across nearly 40 U.S. states and the District of Columbia. ACHP's core function is advocacy and convening: it lobbies federal agencies and Congress on Medicare Advantage, ACA marketplaces, drug pricing, Medicaid, and digital health; issues policy briefs, comment letters, and an annual Affordability Report; and coordinates quality-improvement programs such as the Chronic Disease Pledge (diabetes, hypertension, obesity) and the multi-year Breaking Barriers to Diabetes Care CGM Innovation Pilots. Membership programs include ACHP Connect (a member-only online community) alongside flagship convenings like the Annual Symposium, CEO Retreats, and the Joint MA Summit co-hosted with the Health Plan Alliance.

Name

Alliance of Community Health Plan

Legal name

Alliance of Community Health Plans

Website

https://achp.org

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

11–50 employees

Short description

The Alliance of Community Health Plans (ACHP) is a nonprofit trade association that advocates in Washington, D.C. for 30 nonprofit regional health plans collectively covering over 24 million lives across nearly 40 states, providing policy research, member convenings, and quality-improvement initiatives.

Ownership category

akta.pro rank

Headquarters

HQ city

Washington

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Membership Dues: ACHP generates revenue through annual membership dues from Select Members (nonprofit health plans, integrated delivery networks, physician-provider groups) and Affiliate Members (consulting practices and corporations supplying goods/services to community health plans).

Go-to-market motion1 record

Distribution channels2 records

Marketing channels6 records

Core offering

ACHP is a national nonprofit trade association that represents 30 community-based, nonprofit regional health plans covering over 24 million lives across nearly 40 states. It sells Select Membership to nonprofit health plans and integrated delivery networks, and Affiliate Membership to healthcare technology vendors and service providers. ACHP delivers policy advocacy, research publications (such as the annual Affordability Report), clinical innovation programs (including the Chronic Disease Pledge and CGM Innovation Pilots), and a member collaboration platform (ACHP Connect), funded by membership dues and event sponsorships.

Product overview

The Alliance of Community Health Plans (ACHP) is a national advocacy organization representing nonprofit, regional health plans. ACHP does not offer a single unified product but rather provides a portfolio of programs, initiatives, and platforms. The core offerings include: ACHP Connect, a member-only community platform for collaboration; policy advocacy and research publications including the Affordability Report; and initiatives such as MA for Tomorrow (Medicare Advantage reform), Chronic Disease Pledge (diabetes, hypertension, obesity), Roadmap 2030, and Value-Based Care programs. ACHP Foundation supports research initiatives including the Breaking Barriers to Diabetes Care CGM Innovation Pilots. These programs work together to advance ACHP's mission of improving health care affordability and outcomes through evidence-based policy reform and member collaboration.

Differentiator

Problem solved

Functional benefit

Products and services

• Select Membership Annual membership tier for nonprofit, community-based regional health plans, integrated delivery networks, and physician-provider groups seeking federal policy advocacy, peer collaboration, and quality benchmarking.
• Affiliate Membership

Quantifiable outcome

• ACHP member plans represent nearly 25% of NCQA's top-rated commercial plans
• +3 more outcomes

Named customers8 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

13 partnerships are on record, tiered core and minor.

• AbbottcoreStrategic or Co-development PartnerAbbott is a global healthcare leader in cardiovascular care, diabetes management, and diagnostic testing. Through partnership with ACHP, Abbott raises awareness for chronic disease prevention and CGM accessibility. Main contact: Courtney Veasy, Director, Regional Accounts.
• Epic SystemscoreStrategic or Co-development PartnerEpic is a leading health-informatics firm renowned for comprehensive electronic health record systems, powering care delivery across top hospitals and handling records for over 300 million patients. Main contact: Patrick Schenk, Vice President.
• VerilyminorStrategic or Co-development PartnerVerily is a data platform and technology company purpose-built to power AI for precision health, offering AI-enabled solutions that transform multimodal health data into insights. Main contact: Jeff Marwill, Vice President.
• ZelisminorStrategic or Co-development PartnerZelis modernizes the healthcare financial experience with a connected platform serving over 700 payers, millions of providers and consumers. Main contact: Colin Hadican, Senior Vice President of Sales.
• NavitusminorStrategic or Co-development PartnerNavitus is a transparent PBM model alternative to traditional PBMs, committed to removing cost from the drug supply chain. Main contact: Kevin Engelien, Senior Director, Health Plan Strategy.
• mPulseminorStrategic or Co-development PartnermPulse combines predictive analytics and digital experience technology to improve efficiency and advance equitable health outcomes at scale, serving over 400 healthcare organizations. Main contact: Nora Cristobal, Programs Marketing Manager.
• Protera HealthminorStrategic or Co-development PartnerProtera Health provides affordable, virtual multidisciplinary care for musculoskeletal (MSK) conditions to help health plans contain rising costs while improving member health. Main contact: Eric C. Makhni, MD, Founder and CEO.
• Ikigai Venture PartnersminorStrategic or Co-development PartnerIkigai Venture Partners works with venture capital groups and entrepreneurial leadership teams to accelerate growth of innovative early-stage healthcare technology companies. Main contact: Michael Brouthers, Principal & Managing Director.
• MacroHealthminorStrategic or Co-development PartnerMacroHealth provides an Intelligent Health Market as a Service platform that helps payers, providers and market partners optimize and connect their healthcare ecosystems. Main contact: Aarti Karamchandani, Chief Growth Officer.
• EpicuredminorStrategic or Co-development PartnerEpicured is a nutrition-solutions company founded to translate medical research into high-quality nutrition delivered fresh nationwide, developing nutritional products to improve lives and lower healthcare costs. Main contact: Richard Bennet, Founder.
• Rx Savings SolutionsminorStrategic or Co-development PartnerRx Savings Solutions provides a web-based healthcare consumerism software helping employers, employees and health plans save money on prescription medications. Main contact: Sheena Desai, Marketing Manager, Health Plans.
• National Academies of Sciences, Engineering and Medicine (NASEM)coreStrategic or Co-development PartnerACHP is hosting the Paying for Obesity Care national forum in partnership with NASEM in November 2026 to examine how obesity care can move beyond medication-centric models toward sustainable, lifestyle-driven approaches.
• Health Plan AlliancecoreStrategic or Co-development PartnerACHP and Health Plan Alliance co-host the Joint MA Summit bringing together leaders from both organizations' member plans. Together they represent more than 60 nonprofit, provider-sponsored health plans.

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• AHIP (America's Health Insurance Plans): AHIP is the largest U.S. health insurance trade association, representing payers across commercial, Medicare, and Medicaid markets. ACHP is comparable as a peer health plan trade association but differentiates by focusing exclusively on nonprofit, community-based regional plans.
• Blue Cross Blue Shield Association: BCBSA is the national federation of Blue Cross and Blue Shield plans, the largest U.S. health plan network. It is a broad-incumbent peer because, like ACHP, it represents multiple regional plans and conducts federal advocacy, but it serves for-profit and nonprofit licensee plans at much greater scale.
• American Medical Group Association (AMGA): AMGA represents large multispecialty medical groups and integrated delivery systems. It overlaps with ACHP's integrated delivery network membership tier and shares the value-based care and population-health agenda.

Direct peers

• Health Plan Alliance: Health Plan Alliance is a membership organization for nonprofit, provider-sponsored health plans. ACHP explicitly co-hosts the Joint MA Summit with this organization, and both serve overlapping populations of nonprofit regional plans with comparable advocacy and collaboration mandates.
• Medicaid Health Plans of America: MHPA is a trade association representing Medicaid managed care plans. It is a direct peer to ACHP in that both advocate for health plans serving government-program populations, and several ACHP member plans are also active in Medicaid.
• America's Physician Groups: America's Physician Groups is a trade association for provider-owned, risk-bearing medical groups. It is comparable to ACHP because both serve provider-integrated organizations operating under value-based, capitated payment models in regional markets.
• National Business Group on Health: National Business Group on Health is a membership organization of large employers that purchases health benefits and advocates for value-based care. It is comparable to ACHP because both convene purchasers/plans around affordability, quality measurement, and policy reform.
• Alliance for Health Policy: Alliance for Health Policy is a nonpartisan nonprofit that convenes stakeholders on health policy issues. It is comparable to ACHP because both operate from Washington, D.C., produce health policy research, and convene payers, providers, and policymakers.

Emerging players

• National Association of ACOs (NAACOS): NAACOS is a membership organization for accountable care organizations, including many provider-sponsored entities. It is comparable to ACHP as a value-based care advocacy organization with overlapping members among ACOs and provider-led plans.
• Catalyst for Payment Reform: Catalyst for Payment Reform is a nonprofit focused on payment reform and value-based purchasing. It is comparable to ACHP because both organizations push the U.S. health system away from fee-for-service toward value-based payment models.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/_achp
• YouTubeyoutube.com/channel/UCcyEaSMV8CHiRsPTWIqfxNg
• LinkedInlinkedin.com/company/alliance-of-community-health-plans-achp-

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Funding overview

Funding rounds1 record

Investors1 record

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Alliance of Community Health Plan