Embedded nurse case managers help Aetna lower costs

Aetna said it has been successfully improving care and cutting medical costs because of its accountable care program that embeds nurse case managers in doctor offices, the Hartford Courant reported. More than 50,000 of Aetna's Medicare Advantage members receive care from about 70 doctor offices and clinics, each of which has a nurse manager working directly with the providers. Aetna's accountable care program with NovaHealth, a doctor group in Portland, Maine, led to a 50 percent reduction in inpatient hospital days, a 45 percent drop in hospital admissions and 56 percent fewer readmissions than other Medicare recipients in the state. Article

Suggested Articles

While Republicans are blasting Nancy Pelosi's drug plan as socialist, hospitals and insurers are finding a lot to like.

MA plans want to offer supplemental benefits but warn that the additional flexibilities offered by the feds may not be enough to really target beneficiaries.…

Insurance company Oscar hired former Uber talent as its chief executive officer, Jonathan Bush gets a new gig at Firefly Health and more.