American Association of Payers, Administrators and Networks

Name

American Association of Payers, Administrators and Networks

Legal name

American Association of Payers, Administrators and Networks

Website

https://aapan.org

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

Healthcare Trade Association Services

NAICS

Business Associations (813910), Professional Organizations (81392)

SIC

Services-Membership Organizations (8600)

akta.pro primary industry

Workers’ Compensation & Occupational Health TPA (HLAEALAL)

Keywords

• Healthcare trade association
• Legislative advocacy services
• Workers compensation advocacy
• Administrative simplification services
• Provider credentialing alliance

Headquarters

HQ city

Tucker

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, Technology or R&D, Others

Revenue model

1. Membership Dues: AAPAN generates revenue through membership dues at various corporate levels (Premier, Gold, Silver, Bronze, Corporate Plus) and individual memberships. Higher membership levels receive additional benefits including voting seats on Board, logo placement, event sponsorship credits, and advertising access.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels10 records

Core offering

The American Association of Payers, Administrators and Networks is a national nonprofit trade association that delivers tiered corporate and individual memberships to payers, third party administrators, provider networks, care management organizations, and pharmacy benefit managers across commercial/government health and workers' compensation markets. Its core offerings include federal and state legislative advocacy, administrative simplification initiatives (most notably the HNA Credentialing Alliance credentialing over 7,500 hearing healthcare providers), the StateLink Portal for state legislation tracking, weekly and monthly policy publications, and signature member events including the annual Innovations Retreat and Capitol Caucus.

Product overview

AAPAN is a national not-for-profit trade association providing a unified voice for payers, third party administrators (TPAs), provider networks, care management organizations (CMOs), and pharmacy benefit managers (PBMs) operating in commercial/government health and workers' compensation markets. The association offers membership with benefits including legislative/regulatory updates, access to the StateLink Portal for state legislation tracking, the Credentialing Alliance for streamlining provider credentialing, and the AAPAN Pulse Newsletter. AAPAN operates three core focus areas: Advocacy (federal and state), Administrative Simplification, and Collaboration. The association also hosts the annual Innovations Retreat and Capitol Caucus events. Specialty-specific alliances include the Hearing Network Alliance (HNA), Physical Medicine Management Alliance (PMMA), and NAVCP (vision care plans).

Differentiator

Problem solved

Functional benefit

Products and services

• AAPAN Membership Program Tiered individual and corporate membership (Premier, Gold, Silver, Bronze, Corporate Plus) for healthcare payers, TPAs, provider networks, CMOs, and PBMs in commercial/government health and workers' compensation markets. Membership includes legislative/regulatory updates, webinars, committee eligibility, Board voting rights at higher tiers, StateLink Portal access, event discounts, newsletter access, and AAPAN event sponsorship credits.
• AAPAN Credentialing Alliance Streamlines the provider credentialing process by aligning credentialing dates across multiple networks, reducing redundant primary source verification costs and administrative workload for payers, networks, and providers. The HNA Credentialing Alliance currently credentials over 7,500 hearing healthcare providers.
• StateLink Portal Web-based portal providing members with access to state legislation and regulatory tracking across all 50 states plus the District of Columbia.
• AAPAN Innovations Retreat Annual member-only industry event bringing together leaders from commercial health and workers' comp plans, networks, administrators, and care management organizations to engage with subject-matter experts and explore industry solutions.
• Capitol Caucus Signature AAPAN event on Capitol Hill featuring face-to-face discussions with policymakers, legislators, and Washington insiders, building AAPAN's brand presence and strengthening its industry advocacy voice.
• Hearing Network Alliance (HNA) AAPAN Alliance bringing together senior leaders of hearing healthcare networks to increase access to hearing health benefits and services, with a credentialing alliance currently credentialing over 7,500 hearing healthcare providers.
• Physical Medicine Management Alliance (PMMA) AAPAN Alliance consisting of care management organizations specializing in physical medicine, musculoskeletal care and wellness, focusing on Physical Therapy, Occupational Therapy, Chiropractic Care, Podiatry, Speech Therapy and Integrative Care.
• National Association of Vision Care Plans (NAVCP) AAPAN Alliance serving as the unified voice for the managed vision care industry, collaborating with other specialty networks to advocate for increased access and consumer choice in healthcare.
• Weekly Federal Health Policy Report Weekly report providing members with updates on federal health policy developments and advocacy activities.
• AAPAN Pulse Newsletter Monthly newsletter including federal and state legislative and policy updates for members.

Quantifiable outcome

• HNA Credentialing Alliance credentialing over 7,500 hearing healthcare providers with shared cost model reducing administrative burden
• +2 more outcomes

Named customers10 records

Segments5 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Nine partnerships are on record, tiered core and minor.

• Hearing Network Alliance (HNA)coreStrategic or Co-development Partner · 1 January 2011HNA was established in 2011 and brings together senior leaders of hearing health care networks. HNA members share a common belief that hearing services are essential to good health and consumer quality of life. The alliance advocates for hearing health care networks at state and federal level, provides administrative simplification initiatives, and promotes the value of hearing health care networks. HNA has developed a credentialing alliance that credentialed over 7,500 hearing healthcare providers as of October 2020.
• Physical Medicine Management Alliance (PMMA)coreStrategic or Co-development PartnerPMMA is an AAPAN Alliance consisting of organizations representing care management companies specializing in physical medicine, musculoskeletal care and wellness. These organizations focus on partnering with provider specialists for Physical Therapy, Occupational Therapy, Chiropractic Care, Podiatry, Speech Therapy and Integrative Care. PMMA advocates for physical medicine at federal and state legislative/regulatory levels and drives administrative simplification initiatives.
• National Association of Vision Care Plans (NAVCP)coreStrategic or Co-development PartnerNAVCP is the unified voice for the managed vision care industry. As an AAPAN Alliance, NAVCP collaborates with other specialty networks to ensure maximum benefit and strengthen the association's voice in advocating for increased access and consumer choice in healthcare.
• National Council on Insurance Legislators (NCOIL)minorStrategic or Co-development PartnerAAPAN actively participates in NCOIL, a national and state-level policy-oriented organization. Attended NCOIL summer meeting July 13-16 addressing health insurance issues, long-term care, medical coverage for obesity, rate review, workers' compensation issues, and federal priorities.
• National Association of Insurance Commissioners (NAIC)minorStrategic or Co-development PartnerAAPAN participates in NAIC activities. Brian Webb, Director of Health Policy & Affairs presented at 2024 Capitol Caucus on NAIC priorities related to life and health policy and legislation.
• Women in GovernmentminorStrategic or Co-development PartnerAAPAN actively participates in Women in Government, a national policy-oriented organization, to amplify the industry's voice through engagement with women legislators and policymakers.
• International Association of Industrial Accident Boards and Commissions (IAIABC)minorStrategic or Co-development PartnerAAPAN PBM Council presented webinar to IAIABC titled 'Five Things To Know About Workers' Compensation Pharmacy Services.' Also published article 'The Essential Role Pharmacy Benefit Managers (PBMs) Play' in IAIABC Perspectives February 2022 issue.
• One CallminorGTM or Marketing PartnerAAPAN member and event sponsor. Kent Spafford of One Call provided testimonial emphasizing AAPAN's role in tracking workers' comp regulation changes across states.
• Mitchell (Enlyte)minorGTM or Marketing PartnerAAPAN member and Premier sponsor. Erika James of Mitchell/Enlyte noted collaborative impact on workers' compensation legislation and regulations benefiting customers and clients.

Scale indicators4 records

Recent moves10 records

Expansion highlights5 records

Regional players

• Case Management Society of America (CMSA): Professional association for case managers across healthcare settings. Comparable to AAPAN's care management organization (CMO) member segment, though focused on individual case managers rather than payer/TPA advocacy.

Others

• National Council on Insurance Legislators (NCOIL): National legislator-led organization focused on state insurance regulation. AAPAN actively participates in NCOIL meetings as an industry voice; it functions as an enabling policy forum rather than a competing association.
• International Association of Industrial Accident Boards and Commissions (IAIABC): International association of government workers' compensation regulators. Comparable because AAPAN actively presents to IAIABC on workers' comp PBM topics and engages on regulatory harmonization, making it an adjacent rather than competing body.

Broad incumbents

• Council of Insurance Agents & Brokers (CIAB): Trade association for commercial insurance and benefits brokers. Comparable in the sense of representing intermediaries in commercial health and workers' compensation, though focused on brokerage rather than payer/TPA operations.
• National Association of Mutual Insurance Companies (NAMIC): Larger property/casualty insurance industry trade association with significant workers' compensation carrier representation. Comparable to AAPAN in workers' comp advocacy, but operates across all lines of P&C insurance.

Direct peers

• National Association of Benefits and Insurance Professionals (NABIP): Formerly NAHU, this association represents health insurance and employee benefits professionals. Comparable to AAPAN as a payer/benefits advocacy body at the federal and state level, though broader in scope and not focused on workers' compensation.
• Pharmaceutical Care Management Association (PCMA): National association representing pharmacy benefit managers. Comparable to AAPAN as a PBM-focused trade association; AAPAN's PBM Council operates a similar advocacy function within the workers' compensation niche.
• Self-Insurance Institute of America (SIIA): Trade association serving self-insured employers, TPAs, and stop-loss carriers. Comparable to AAPAN's TPA and workers' compensation advocacy focus, though SIIA is more focused on self-funded group health than workers' compensation.
• America's Health Insurance Plans (AHIP): National trade association representing health insurance payers. Comparable to AAPAN as the dominant payer advocacy body in commercial, Medicare, and Medicaid markets, though AAPAN uniquely extends into workers' compensation and TPAs.
• National Association of Specialty Health Organizations (NASHO): Trade association for specialty health organizations including vision, dental, and hearing networks. Comparable through its overlap with AAPAN's NAVCP (vision) and HNA (hearing) alliances.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/american-association-of-payers-networks-and-administrators
• Xx.com/AAPANSpeaks
• Facebookfacebook.com/American-Association-of-Payers-Administrators-and-Networks-1353124638114520

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries3 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about American Association of Payers, Administrators and Networks