New Plans Provide More Personalized, Coordinated Health Care Built on an Accountable Care Organization Approach
ROANOKE, Va.--(BUSINESS WIRE)-- Aetna (NYSE: AET) and Carilion Clinic have launched a suite of new health benefit plans – called Aetna Whole Health™ – now available to Virginia employers with two to 100 eligible employees. Aetna Whole Health plans create a unique opportunity for Roanoke-area businesses to help their employees optimize their health and get healthier faster. The plans feature a new model of health care delivery designed to offer:
- a more coordinated, personalized experience for patients;
- lower co-pays for seeing designated providers; and
- better health care outcomes.
Aetna Whole Health plans unite Aetna’s network of contracted providers and small-group plans with doctors, hospitals and outpatient specialty centers from Carilion Clinic and LewisGale Regional Health System. The plans are priced to reflect the cost and quality benefits of the Aetna-Carilion collaboration. Members can benefit from a low co-pay differential by using “designated network providers” who have been recognized or are in the process of being recognized by the National Committee for Quality Assurance (NCQA) for meeting stringent efficiency and quality measures. Providers will help to create healthier communities by sharing information as patients pass through different health care settings and using personalized care and patient engagement to improve quality.
These new products are based on Carilion’s and Aetna’s accountable care organization (ACO) relationship, announced in March. ACOs are alliances of physicians, hospitals and other providers that offer a more coordinated approach to care for their patients with the goal of improving quality and reducing costs. ACOs emphasize preventive care and better care coordination among various providers to improve quality and efficiency. Aetna Whole Health features payment models that encourage providers to share accountability for health care quality and affordability.
“Aetna is very happy to launch new commercial products in collaboration with Carilion as we transform patient care and build a more effective, sustainable health care delivery system to serve the Roanoke area,” said Charles D. Kennedy, M.D., Aetna’s chief executive officer of Accountable Care Solutions. “Collaborative care models have been shown to improve quality and reduce costs. Aetna is using the experience we’ve gained to design patient-centered, accountable care models for large hospital systems and integrated delivery networks around the country.” For more information on Aetna’s Accountable Care Solutions, visit the company’s dedicated website at www.aetnaacs.com.
“This is an exciting time for Aetna,” said Thomas Grote, Aetna’s market president for Maryland, Virginia and Washington, D.C. “We’re looking to greatly expand our presence in the Roanoke area. This new approach enables us to offer improved quality and more cost-effective products for small employers, who are struggling in these difficult times to provide affordable, comprehensive health benefits to their workers.”
The initiative combines Aetna’s innovative tools, designed to empower consumers by providing more control over health decisions, with Carilion’s accountable medical group, featuring a fully integrated electronic medical record and a comprehensive network of primary care physicians, specialists, hospitals and outpatient facilities.
“This is part of our commitment to our patients and our community”, said Carilion Clinic President and CEO Nancy Howell Agee. “Our focus on advancing quality in health care, and our relationship with Aetna, makes it possible to establish this new partnership with patients. It is a significant step in our mission to inspire better health and wellness.”
Aetna provides health benefits to more than 550,000 members in Virginia. Those members have access to a contracted network of 92 hospitals and more than 14,000 primary care and specialist physicians.
Aetna is one of the nation’s leading diversified health care benefits companies, serving approximately 36.5 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities and health care management services for Medicaid plans. Our customers include employer groups, individuals, college students, part-time and hourly workers, health plans, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see www.aetna.com.
About Carilion Clinic
Carilion Clinic is a not-for-profit health care organization serving nearly one million people in Virginia through hospitals, outpatient specialty centers and advance primary care practices. Led by multi-specialty physician teams with a shared philosophy that puts the patient first, Carilion is committed to improving outcomes for every patient while advancing the quality of care through medical education and research. For more information, visit www.carilionclinic.org/about.
KEYWORDS: United States North America Virginia
INDUSTRY KEYWORDS: Practice Management Health Hospitals Professional Services Insurance General Health Managed Care