Aetna Collaborates with Community Care Of North Carolina to Deliver Integrated Care to State Medicaid Beneficiaries
January 10 2018 - 10:00AM
Business Wire
Aetna (NYSE: AET) and Community Care of North Carolina. Inc.
(CCNC) today announced a new agreement to combine Aetna’s expertise
in Medicaid managed health care services with CCNC’s medical home
and care management services, Community Care Physician Network, LLC
(CCPN), and Community Pharmacy Enhanced Services Network (CPESN)
USA.
A Request for Proposal (RFP) is expected to be released as early
as spring 2018 by the North Carolina Department of Health and Human
Services as the state works to transform the state Medicaid and
North Carolina Health Choice programs to a managed care system.
Aetna will participate in the RFP.
In this value-based agreement, CCNC will perform care management
and coordination services for Aetna. Aetna’s Medicaid members will
have full access to the vast array of network providers in the
CCPN.
This unique delivery model will allow Aetna, CCNC, CCPN and
CPESN Networks to provide enhanced services and will support
complex patients with medication use support, care management and
coordination of community services to address social determinants
of health.
“We are excited about our collaboration with Aetna as it allows
us to blend the best of both organizations to create a best in
class service delivery model that will further improve outcomes for
Medicaid recipients,” said L. Allen Dobson, Jr., MD, president and
CEO of Community Care of North Carolina. “Both Aetna and CCNC
understand that local, community-embedded health professionals and
a national carrier working together can help North Carolinians live
healthier lives. CCNC is ready to partner with Aetna, a health plan
committed to improving quality and access to care and to build on
CCNC’s strong provider infrastructure.”
“This agreement aligns with the changes taking place in health
care right now both in North Carolina and nationwide,” said Laurie
Brubaker, president and CEO of Aetna Medicaid. ”We look forward to
working with CCPN, CCNC and CPESN to develop an integrated health
care delivery system that builds on existing care management
programs, provides a holistic approach to health and expands the
provider/payer collaborative to improve health for the Medicaid and
North Carolina Health Choice populations.”
Additionally, Aetna and CCNC will collaborate to develop a
physician-driven, patient-focused approach that will transform the
way health care services are provided statewide, with the unique
ability to support health in rural communities. The agreement
builds on an existing relationship between the organizations that
focuses on developing innovative ways to deliver health care to
Aetna’s Medicare Advantage members in rural areas of North
Carolina.
About AetnaAetna is one of the nation’s leading
diversified health care benefits companies, serving an estimated
44.6 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 CCNCCCNC is a national leader in transforming
health care, joining community-based care managers with local
primary care physicians and diverse teams of health professionals
to develop whole-person plans of care. Informed by statewide data
and predictive analytics, the CCNC program builds patient-centered
practice models, connects people to the right local resources, and
leads collaborations with health systems and public health. This
proven population health management approach delivers better health
outcomes at lower costs. For more information, visit
https://www.communitycarenc.org.
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version on businesswire.com: http://www.businesswire.com/news/home/20180110005156/en/
Aetna Media Contact:Sheridan Watson,
212-457-0633WatsonS1@aetna.comorCCNC Media Contact:Paul
Mahoney, 919-745-2434pmahoney@n3cn.org
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