TRADE AND PROFESSIONAL ASSOCIATIONS
Trade associations exist to represent their members' economic
interests. Journalists covering managed care need to know
what those biases are. But many associations also have experts
on their staffs who can give reasonably objective technical
information about the particulars of legislation and other
matters. Don't hesitate to seek them out.
Academy of Managed Care Pharmacy
100 North Pitt St., Alexandria, Va. 22314, (703) 683-8416,
fax (703) 683-8417, Web site: www.amcp.org.
Communications director Marlene Bloom; executive director
Judith Cahill. Represents the views and interests of 4,500
pharmacists who work for some 600 managed care organizations
or pharmacy benefit management companies. Has information
on disease management and drug formularies (lists of drugs
managed care organization will cover).
Alliance of Community Health Plans
100 Albany St., New Brunswick, N.J. 08901, (732) 220-1388,
fax (732) 220-0298, Web site www.achp.org.
Vice president corporate communications William Rovner (732)
220-1388, ext. 28. Formerly known as The HMO Group, this
association represents twenty-six not-for-profit managed
care organizations and provider-sponsored health plans.
It publishes white papers and newsletters discussing techniques
members have used to improve health care.
American Association of Health Plans
1129 20th St. N.W., Washington, D.C. 20036, (202) 778-3200,
fax (202) 331-7487. Web site www.aahp.org.
Vice president communications Susan Pisano 202-778-3245;
president Karen Ignagni. The granddaddy of HMO trade associations,
it lobbies on behalf of 1,000 managed care organizations.
Makes available publications, including Healthplan magazine,
policy analyses, and research papers on managed care. Can
provide journalists with a list of state managed care trade
associations.
American Association of Homes and Services for the Aging
901 E St. N.W., Washington, D.C. 20004, (202) 783-2242,
fax (202) 783-2255, Web site: www.aahsa.org.
Associate director public affairs Robert Greenwood, (202)
508-9475. Represents not-for-profit nursing homes. Their
issues often intersect with managed care payment issues
for Medicare beneficiaries. The association has been advocating
return-to-home laws, which guarantee nursing home residents
the right to return to the same facility after hospitalization.
American Association of Preferred Provider Organizations
1 Bridge Plaza, Ft. Lee, N.J. 07024, (201) 947-5545, fax
(201) 947-8406, Web site: www.aappo.org.
Executive director Brad Kalish. Represents about 80 percent
of the country's 1,035 preferred provider organizations
(PPOs). Publishes an annual report on PPOs .
American Health Quality Association
1140 Connecticut Ave. N.W., Washington, D. C. 20036, (202)
331-5790, fax (202) 331-9334, Web site www.ahqa.org.
Director of public affairs Laura Kaloi. This is a trade
group of thirty-nine peer review organizations, or PROs,
that contract with the Health Care Financing Administration
to monitor the care received by Medicare beneficiaries and
Medicaid recipients in managed care organizations as well
as in fee-for-service settings.
American Hospital Association
325 Seventh St. N.W., Washington, D.C. 20004, (202) 638-1100,
fax (202) 626-2255, Web site: www.aha.org.
Communications director Etta Fielek; assistant director
of media relations Alicia Mitchell; president Richard Davidson.
Association represents 5000 hospitals and health networks.
Publishes Hospitals & Health Networks, which often carries
useful articles about managed care and the health care system.
American Medical Association
515 North State St., Chicago, Ill. 60610, (312) 464-5000,
fax (312) 464-4184. Web site: www.ama-assn.org.
Interim vice president Emerson Moran; news and information
director Linda Stepanich (312) 464-2410; executive vice
president E. Radcliffe Anderson Jr., M.D. The AMArepresents
300,000 physicians. Publishes American Medical News that
often gives clues to physicians' points of view on managed
care.
American Nurses Association
600 Maryland Ave., S.W., Washington, D.C. 20024, (202)
651-7027, fax (202) 651-7005, Web site: www.nursingworld.org.
Communications director Joan Meehan; public relations specialist
Michelle Slattery; president Beverly Malone. Represents
180,000 nurses. Has reports that assess the impact of managed
care on nursing.
Blue Cross Blue Shield Association
225 N. Michigan Ave., Chicago, Ill. 60601, (312) 297-6000,
fax (312) 297-6609, Web site: www.bluecares.com.
Director of media relations Chris Martin (312) 297-5523;
manager of special projects, media relations Laura Ryan
(312) 297-6161; president Raymond McCaskey. Represents fifty-four
organizations and offers the usual mix of fact sheets, news
releases, legislative testimony, trend reports, and in-house
experts on aspects of managed care.
Employers Managed Health Care Association
1299 Pennsylvania Ave. N.W., Washington, D.C., 20004, (202)
218-4121, fax (202) 842-0621. Executive director Pam Kalen,
(202) 218-4121. An association of more than 100 health benefits
managers from Fortune 500 companies. Members share tools
such as "An Employers Guide to Medicare+ Choice Program,"
discuss how they use Hedis data, and sponsor conferences
on quality improvement.
Health Insurance Association of America
555 13th St. N.W., Washington, D.C. 20004, (202) 824-1600,
fax (202) 824-1660. Web site: www.hiaa.org.
Communications director Richard Coorsh (202) 824-1787; president
Charles Kahn. The major lobbying arm of the insurance industry,
HIAA represents 269 insurance companies of all sizes. Has
worked with the Health Benefits Coalition to defeat patient
protection legislation and is pushing for an increase in
federal reimbursement rates for Medicare HMOs. Opposes federal
regulation of quality.
National Business Coalition on Health
1015 18th St. N.W., Washington, D.C. 20036, (202) 775-9300,
fax (202) 775-1569, Web site: www.nbch.org.
Vice president Catherine Kunkle. Founded in 1992, the group
represents ninety-one employer coalitions. Focuses on value-based
purchasing and tries to change incentives in the health
system to promote market-based reform.
Pharmaceutical Care Management Association
2300 9th St. South, Arlington, Va. 22204, (703) 920-8480,
fax (703) 920-8491. Media coordinator Kathleen Pennington;
president Delbert Konnor. Represents health insurance companies,
pharmacy benefit management companies, HMOs, PPOs, third
party administrators, pharmaceutical manufacturers, community
pharmacy networks, and drug wholesalers. Lobbies on their
behalf and promotes managed care pharmacy.
The Health Benefits Coalition
600 Maryland Ave. S.W., Washington, D.C. 20024, (202) 554-9000,
fax (202) 484-1566, Web site: www.hbcweb.com.
Chairman Dan Danner. Group was formed in early 1998 to oppose
federal health care mandates, including the patients' bill
of rights, which Congress may consider this year.