Medicaid managed care plans are charged with providing care to lower-income and vulnerable populations, operate under capitation and are highly incentivized to provide access to high-quality care and operate as efficiently as possible. Many plans have identified technology- or service-based solutions as core in their efforts to support these goals. To date, however, many of the innovative solutions that are focused on the transformation and improvement of care delivery have been primarily focused on private and commercial markets.
The Association for Community Affiliated Plans (ACAP), in partnership with the California Health Care Foundation (CHCF) and Village Capital, is hosting the ACAP Medicaid Innovation Challenge to connect ACAP members (59 Medicaid managed care plans covering over 17 million lives in Medicaid, Medicare and the Marketplaces) with emerging young companies or solutions that enable health plans to offer a better way for Medicaid recipients to access needed care and resources.
The ACAP Medicaid Innovation Challenge will offer three finalists the opportunity to present and receive feedback from a group of ACAP members via a webinar in the Fall of 2017. Following the webinar, ACAP and CHCF will select one winner to receive $100,000 to conduct a pilot at an ACAP member site.
All ventures with a tech-enabled solution that give safety net health plans the ability to promote better health outcomes for Medicaid recipients are encouraged to apply. We are especially interested in those that do the following:
- Combat substance use disorder: It is estimated roughly 12% of adult Medicaid recipients are afflicted with a substance abuse disorder. Tools are needed to help physicians better identify needed care, engage in harm reduction, integrate physical and behavioral treatments, and connect individuals involved with the criminal justice system with the appropriate care through their health plan.
- Address the social determinants of health (SDoH): Relative to other factors, SDoH have a disproportionate level of influence on an individual’s health outcome. SDoH, such as stable housing and a nutritious diet, affect a host of traditionally non-clinical issues that profoundly affect an individual’s health prognosis. Solutions are needed to help ACAP members identify these risk factors for their enrollees, evaluate the most cost-effective intervention, and coordinate care for members across medical and social services.
- Reduce Medicaid churn: Cycling in and out of Medicaid coverage has profound effects on patients. With a lapse in benefits, individuals lose the ability to seek needed health care, interrupting the continuum of care. ACAP members seek solutions that better gauge the cost of churn, motivate beneficiaries to maintain coverage, and establish a continuity of care for recipients.
In addition to mission fit, to be eligible for consideration in the ACAP Medicaid Innovation Challenge, applicants must have the following qualifications:
- A solution that is ready for immediate deployment in a Medicaid health plan setting;
- At least one paying customer;
- A desire to work with ACAP and its members, but no more than three existing ACAP health plan customers; and
- The ability to remain a sustainable, ongoing entity for the foreseeable future, including sound financials and a robust team.
Applications closed June 1st. To see a list of the semifinalists, scroll down or click on the “Companies” tab at the top of this page.
About the Association for Community Affiliated Plans
The Association for Community Affiliated Plans (ACAP) is a national trade association which represents 59 not-for-profit Safety Net Health Plans. Collectively, ACAP plans serve more than seventeen million enrollees, representing nearly half of all individuals enrolled in Medicaid managed care plans.
About the California Health Care Foundation Innovation Fund
The CHCF Health Innovation Fund supports health care technology and service companies with the potential to significantly improve the quality of care, lower the total cost of care, and/or improve access to care for low-income Californians.
About Village Capital
Village Capital finds, trains, and funds entrepreneurs solving major global challenges. Village Capital builds communities around entrepreneurs to improve business success. Over 550 entrepreneurs have gained access to opportunity through over 45 Village Capital programs, and graduates have leveraged initial capital 15:1, created over 10,800 jobs, and served over 5 million customers.