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Minnesota Association of County Health Plans (MACHP) is a Minnesota nonprofit which is an association of County-Based Purchasing (CBP) plans that have come together to strengthen and promote this successful Minnesota-grown model. CBP is a successful model for delivering Minnesota Health Care Programs (MHCP) that has delivered strong results for 40 years. A bipartisan coalition of legislators passed landmark legislation enacting CBP into Minnesota law in 1997, and giving counties special authority to choose this model to care for MHCP enrollees.

CBP plans are a county or group of counties that elect to utilize CBP to deliver health care services primarily to people who qualify for Minnesota's publicly subsidized health care programs for low income individuals (Minnesota Health Care Programs or MHCP). CBP plans are fundamentally different from HMOs and other managed care models, primarily in that they are owned and operated by the local counties they serve. CBP plans add unique value to MHCP by providing enrollees with dependable access to care, enhancing health care quality, supporting health care innovation in rural areas, and coordinating with county social and health care services for more efficient and effective outcomes.

MACHP works to educate policy makers about and improve the conditions for member CBP plans in Minnesota, helping ensure counties have local control and self-determination in utilizing CBP and forming CBP organizations.

MACHP promotes CBP organizations in the following ways:

  • Supporting legislation that ensures and protects local control and self-determination of counties in electing to utilize CBP and in forming CBP organizations. (See: Minnesota Statutes 256B.69, 256B.692, 256B.694)
  • Working for stronger public policy supporting local county authority and the CBP model.
  • Facilitating communication and sharing of information among CBP plans and partners to improve dependable, consistent access to quality, cost-effective care for the people they serve. CBP plans coordinate closely with the Minnesota Department of Human Services (DHS).
  • Promoting the development of new CBP organizations by engaging counties with interest in CBP, supporting the advancement of the CBP model, and strengthening local counties' roles in the procurement and administration of Minnesota's public health care programs.