Connecting Communities: The Importance of Private Sector Partners

The AHCCCS mandatory managed care program was founded upon a competitive, public/private partnership model where all members (except American Indians/Alaska Natives) are enrolled in private health plans for acute care, long term care and behavioral health (known as Regional Behavioral Health Authorities or RBHAs).

These contractors do far more than simply pay claims. Today’s health plans use sophisticated data analytics tools to assess member risk and develop innovative intervention protocols. In addition, health plans engage their members in person-centered approaches.

This often means engaging families and communities too, so that members have the tools they need to manage their own health. This level of engagement also assists the health plan in developing strategies that respond to community needs.

To learn more about health plan initiatives, from community engagement to value based purchasing, data analytics and more, click on a health plan logo below (health plans are listed in alphabetical order).

Care 1st
Health Choice
Health Net
Maricopa Health Plan
Mercy Care Plan
Mercy Maricopa Integrated Care
Phoenix Health Plan
United Healthcare
University of Arizona Health Plan
Today there are:
  • 3 Regional Behavioral Health Authorities (RBHAs), beginning October 1, 2015:
    • (Cenpatico Integrated Care, Health Choice Integrated Care, and Mercy Maricopa Integrated Care);
    • 9 AHCCCS acute care health plans
      • (Care 1st, CMDP, Health Choice, Health Net Access, Maricopa Health Plan, Mercy Care Plan, Phoenix Health Plan, United Healthcare Community Plan, University Family Care);
    • 3 Arizona Long Term Care System (ALTCS) health plans serving the elderly and physically disabled;
      • (Banner-University Family Care, Mercy Care Plan, United Healthcare Community Plan-EPD);
    • 1 statewide ALTCS health plan serving persons with intellectual or cognitive disabilities
      • (DES Division of Developmental Disabilities);
    • 1 statewide health plan for children with CRS-qualifying conditions
      • (United Healthcare Community Plan-CRS)