Who We Are

In every community, health plans are working to improve the health of more than 200 million Americans, while providing peace of mind and financial protection from the high cost of medical care.  Health plans employ or contract with tens of thousands of physicians, hospitals, laboratories and other health care providers to offer Americans wide choice and access to quality care.

Because they partner or interact with every other part of the system, health plans are best able to see how the system is performing from the ground up. This gives health plans a unique view across the entire system – what works and what needs improvement.

Here are just a few real-world examples of how health plans are making a difference.

  • Giving consumers more information to make better decisions about their health.  Health plans are providing understandable information and user-friendly tools – such as information on the safety records of medical devices and the costs of various medical products and procedures – that help patients and doctors make the most informed choices, while also assisting patients in navigating the complex health care system.
  • Supporting innovations that facilitate patient-centered care.  Health plans play a pivotal role in helping doctors, nurses and others meet their patients’ needs by providing an infrastructure that facilitates outreach to patients in need of medical services, highlights health risks in different patient populations, coordinates care among providers, and tracks outcomes.
  • Helping patients to stay on their treatment plans.  Patients with chronic conditions may find it overwhelming to follow complex treatment regimens and make the necessary lifestyle changes to improve their health. Health plans are helping by designing and implementing innovative programs that are improving patient adherence and patient self-management.
  •  Promoting patient safety and patient-centered use of medical services.  Health plans’ infrastructure and information technologies are reducing risks to patients through targeted initiatives that focus on reducing medical errors, preventing health care acquired infections, preventing avoidable hospital readmissions, and addressing the problems of underuse, misuse and overuse of medical services.
  • Changing financial incentives to promote better health.  Working together with physicians and hospitals, health plans are changing reimbursement models to improve patient safety and the quality of care while promoting accountability to patients throughout the system. By rewarding physicians and hospitals for the quality of care provided—rather than the volume of services provided—health plans are helping ensure that patients receive care that best meets their individual needs. 
  • Collaborating on quality improvement.  Researchers agree that the quality of patient care varies widely based on location.  To address geographic and other variations in care, health plans are participating in coalitions with private and public health care stakeholders to improve provider performance and drive quality improvement.
  • Addressing disparities in health care.  The U.S. health care system faces new challenges and opportunities in its efforts to better serve the needs of its increasingly diverse population. Health plans are assessing and reducing these “gaps” in health care with linguistically appropriate and culturally sensitive programs targeting preventive services, health and wellness, access to qualified providers, and specific efforts focused on chronic conditions that disproportionately impact disadvantaged or underserved populations.

Contact Us 
America’s Health Insurance Plans
601 Pennsylvania Avenue, NW
South Building
Suite 500
Washington, DC 20004
(202) 778-3200
(202) 331-7487 fax
ahip@ahip.org