Aetna Launches National Patient-Centered Medical Home Program in Connecticut and New Jersey
January 30 2012 - 10:05AM
Business Wire
Aetna (NYSE: AET) announced today a national Patient-Centered
Medical Home (PCMH) program that will begin in Connecticut and New
Jersey. The program recognizes primary care physicians (PCPs) who
more actively coordinate and manage their patients’ care across the
health care system. By strengthening the role of PCPs, the PCMH
program aims to improve patient health outcomes.
“Patient-centered care is something Aetna has always advocated.
Our PCMH program rewards PCPs who focus on the patient’s entire
health needs, not just a single condition,” said Elizabeth Curran,
head of National Network Strategy and Program Development for
Aetna. “As a result, members may experience better health, fewer
hospitalizations, improvements in transitions of care, and greater
engagement. The PCMH program is one more way we are moving from a
system that rewards the quantity of procedures to a system that
rewards quality outcomes.”
Primary care providers who participate in Aetna’s networks, who
have been recognized by the National Committee for Quality
Assurance (NCQA)* as a PCMH, and who are not participating in other
quality incentive programs with Aetna will receive a quarterly
Coordination of Care payment for each commercial (non-Medicare)
Aetna member in their care. The NCQA-recognized PCMH practices are
recognized for providing a number of services, including:
- Improved access to care, such as the
ability to reach health professionals outside normal business
hours
- Proactive and planned preventive care
(screenings, physicals, labs)
- Improved access through
non-face-to-face visits (e-mail, web, phone)
- Access to nurses and other health care
professionals, allowing more focused physician visits
Aetna serves 460,000 commercial members in Connecticut, and 1.2
million commercial members in New Jersey. More than 400 physicians
are currently part of the growing program. The company expects to
expand the PCMH program nationally during 2012.
* For multi-site physician groups, at least half of the
locations must receive NCQA recognition for the groups’ physicians
to qualify for the PCHM payment.
About Aetna
Aetna is one of the nation's leading diversified health care
benefits companies, serving approximately 36.3 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.
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