Nearly 90 percent of annual health care spending in the U.S. is directed at managing conditions including diabetes, hypertension and obesity. Despite this spending, however, chronic conditions are responsible for a majority of deaths every year. To address this, the Alliance of Community Health Plans (ACHP) and its local, nonprofit health plan members launched the Chronic Disease Pledge, a long-term commitment to making progress toward reducing the incidence of chronic disease. Participating health plans determined which specific chronic disease outcomes they would target over the next decade – from reducing blood sugar to improving blood pressure management. They also identified specific populations within their communities to focus on and specific social determinants of health driving higher rates of chronic disease. HealthPartners, a Minnesota-based integrated health system, is committed to addressing the incidence of diabetes and hypertension across various lines of business throughout their community. New York-based Independent Health has pledged to reduce the incidence of diabetes across all lines of business and increase the percentage of Medicare Advantage members using diabetes medications. These health plans are making meaningful, lasting impacts throughout their communities. By collaborating with provider partners, leveraging smart data insights and partnering with community stakeholders, these plans are challenging the status quo of chronic disease management and creating healthier communities. The Chronic Disease Pledge is a component of Health Care 2030: ACHP’s Roadmap to Reform, which outlines a path from the current sick care model to one designed for wellbeing. In addition to the pledge, the roadmap highlights opportunities to improve health care affordability, expand the payer-provider-aligned model of care, incentivize high-quality care and more. This session showcases how individual health plans utilize technology and local partnerships to create lasting change and healthier communities across the country.