Sutter Health and Aetna to Establish New Health Plan in Northern California
June 13 2017 - 3:00PM
Business Wire
Sutter Health, a not-for-profit health care system in Northern
California, and Aetna (NYSE: AET) today announced plans to
launch a jointly owned health plan. This new collaboration, the
first of its kind in Northern California, will bring together
Sutter Health’s network of nationally recognized, high-quality
doctors and hospitals with Aetna’s leading health plan expertise,
cutting-edge data, analytics and health information technology, and
shared care management capabilities.
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This joint venture will deliver a differentiated, personalized
experience for members and is designed to help lower the cost of
care, resulting in competitively priced products. Sutter Health and
Aetna anticipate offering self-insured commercial products starting
mid-2018 in the greater Sacramento, Central Valley and Bay Area
communities, as well as fully insured PPO products to follow in
early 2019, pending regulatory approval.
This new company will complement Sutter Health’s and Aetna’s
current products by providing more choices to Northern California’s
commercially and self-insured populations.
By equally sharing ownership and accountability, Sutter Health
and Aetna aim to integrate the continuum of care delivery, from
wellness to disease management, care coordination, and access. The
joint venture will also streamline administrative services for
members.
This new approach to care management will focus on enhancing
member engagement through combined data analytics that identify
at-risk patients sooner and provides them with earlier access to
care by expanding access to alternative sites of care, and using
advanced population health technology to help members better manage
chronic and other health conditions.
“We are excited to partner with Sutter Health on this joint
venture,” said Mike Bahr, Aetna’s senior vice president of local
markets and territories. “With Sutter Health, we believe we have
found a strong partner that shares our vision to transform health
care in Northern California by providing members with a simpler,
more personal experience.”
Through this new relationship, Sutter Health and Aetna will work
together to integrate health care and insurance coverage that
provides members with the services they need as quickly and
efficiently as possible.
“Patients benefit when providers and health plans share
resources and work together,” says Phil Jackson, Sutter Health’s
CEO of Health Plan Products. “Our Sutter Health and Aetna insurance
product offerings will provide employers with new self-funded and
fully insured PPO options in Northern California.”
Currently, Sutter Health-affiliated providers care for more than
three million Northern California residents. Aetna provides health
care benefits to approximately 415,000 members in Northern
California.
Aetna projects to have at least 75 percent of its claim payments
in value-based models by 2020.
About AetnaAetna is one of the nation's leading
diversified health care benefits companies, serving an estimated
44.9 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, Medicaid
health care management services, workers' compensation
administrative services and health information technology products
and services. Aetna's customers include employer groups,
individuals, college students, part-time and hourly workers, health
plans, health care providers, governmental units,
government-sponsored plans, labor groups and expatriates. For more
information, see www.aetna.com and learn about how Aetna is helping
to build a healthier world. @AetnaNews
About Sutter HealthSutter Health is a nationally
recognized leader in health care for quality outcomes, exceptional
patient care and safety and was named one of the top performing
health systems in the country by Truven in 2016. Rooted in Sutter
Health’s not-for-profit mission, these team members partner to
deliver exceptional care that feels personal. From physician
offices to hospitals to outpatient care centers and home services,
they proudly support and learn from the more than 3 million people
in their care—nearly 1 percent of the U.S. population, in one of
the most diverse and innovative regions in the world. Sutter
pioneers adopt new technologies, make novel discoveries and embrace
creative thinking to help patients and communities achieve their
best health. From its street nurse program that provides check-ups
for homeless people, to telemedicine-aided specialist
consultations, to walk-in care clinics, to smart glass technology,
the Sutter Health team goes beyond traditional models to make care
more convenient and to nurture and empower people throughout their
medical journey.
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Sutter HealthSy Neilson,
916-292-0666neilsor@sutterhealth.orgorAetnaAnjie Coplin,
214-200-8056coplina@aetna.com
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