Aetna Enters Accountable Care Collaboration with Banner Health Network, Introduces Aetna Whole Health to Employers in Phoenix...
November 21 2011 - 8:30AM
Business Wire
Aetna (NYSE: AET) today announced an accountable care
collaboration with Banner Health Network and the introduction of
Aetna Whole HealthSM, a new commercial health care product that
provides members access to highly coordinated care from physicians
and facilities in the Banner Health Network. The Banner Health
Network model is focused on wellness and improving patient care
outcomes through better coordination and access to patient
information. The new product will be available later this month to
Maricopa County and some Pinal County employers with two-100
eligible employees.
The Banner Health Network is comprised of Banner employed and
affiliated physicians and hospitals in Arizona, and is a new
accountable care organization (ACO). An ACO uses technology and a
team-based approach to care for a population of patients. Doctors
and hospitals assume accountability for the outcomes and are
rewarded financially for achieving higher quality, greater
efficiency and an overall better patient experience.
“We’re proud and excited that the Banner Health Network has been
selected by Aetna to serve the members of Aetna Whole Health,” said
Banner’s President and Chief Executive Officer Peter S. Fine.
“These kinds of products and networks that rely on population
health management to enhance care and control costs through an
emphasis on wellness and a close coordination of care for members
are going to become increasingly preferred by consumers,” added
Fine.
Integrated care model for Aetna members
Banner Health Network is able to serve Aetna Whole Health
members in a highly coordinated fashion because it is a fully
integrated delivery system. The “back-bone” of this integrated
system is an enhanced electronic medical records system that
connects the patients and Banner Health Network physicians and
providers into a single record or data-base in real-time.
Aetna Whole Health members within the Banner Health Network
will:
- pay less out of pocket;
- benefit from a focus on wellness;
- receive more coordinated care and
greater assistance with managing their chronic conditions; and
- have access to Aetna’s online
tools.
Aetna and Banner Health Network are implementing a risk-sharing
agreement that compensates and rewards Banner Health based on
achieving certain quality, efficiency and patient satisfaction
measures, in line with the measures prescribed in the triple aims
of:
- improving the patient’s health care
experience through greater care coordination and patient
engagement;
- improving the health of populations;
and
- reducing the per capita costs of health
care by alignment payment with quality, patient outcomes and
value.
The measures include, but are not limited to, the following:
- the percentage of Aetna members who
receive recommended preventive care and screenings;
- reductions in hospital readmission
rates; and
- expanded access to primary care
physicians.
“Aetna is pleased to be working with Banner Health and the
Banner Health Network to transform patient care and build a more
effective, sustainable health care delivery model for Maricopa and
Pinal counties,” said Charles D. Kennedy, M.D., Aetna chief
executive of Accountable Care Solutions. “Aetna’s agreement with
Banner is another example of how we are working with large hospital
systems to give our members access to a better quality health care
experience for their money. We have more than three years of
evidence showing how collaborative care models can improve care and
reduce costs,” Dr. Kennedy said. “We are using our experience in
collaboration with Banner Health to truly transform health care
delivery by using new technologies, incentives and care management
approaches to improve quality and efficiency.”
About Banner Health Network
Banner Health Network is an Arizona patient care and business
partnership between Arizona Integrated Physicians, the Banner
Medical Group, the Banner Physician Hospital Organization (BPHO),
and Banner Health. The Banner Health Network currently has more
than 2,000 employed and private practice physicians located in the
Phoenix metro area serving 4 million residents. Phoenix-based
Banner Health is one of the largest, nonprofit health care
systems in the country. The system owns or manages 23 acute-care
hospitals, long-term care centers, outpatient surgery centers and
an array of other services located in seven states: Alaska,
Arizona, California, Colorado, Nebraska, Nevada and Wyoming.
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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