Aetna Introduces New, Zero-Plan Premium Medicare Advantage Offering with Northern New Jersey Health Systems
October 01 2014 - 3:34PM
Business Wire
-- Featuring three leading Northern New
Jersey health systems, the “Aetna Medicare NNJ Prime Plan” offers
access to high-quality, coordinated care --
Aetna (NYSE: AET) today announced a new Medicare Advantage plan
that will be available this October in 10 counties in Northern New
Jersey. The Aetna Medicare NNJ Prime Plan is a Medicare Advantage
HMO based on a network of three Northern New Jersey health systems
and their affiliated physicians and other health care
providers.
The health systems -- Atlantic Health System, Hackensack
University Health Network (HackensackUHN) and Hunterdon Healthcare
-- as well as the providers affiliated with each of them, will
coordinate to provide high quality, efficient, convenient and
affordable care to New Jersey Medicare beneficiaries.
“When we set out to build this plan, we wanted to offer care
from some of the most well-known names in acute and ambulatory care
in Northern New Jersey, and we are pleased to be able to offer a
plan and network based on some of the best in the nation,” said
John Lawrence, Aetna president, New Jersey. “These highly regarded
hospital systems and doctors will work closely with us to help
provide each member with a top quality, personalized health care
experience, without having to pay a monthly plan premium, which is
an incredible value. We are proud to lead the way in New Jersey and
nationally with this innovative offering.”
“The NNJ Prime Plan’s focus on quality mirrors many of the
initiatives implemented by Atlantic Health System to provide the
highest level of patient care while also reducing costs and
readmissions,” said Joseph A. Trunfio, president and CEO of
Atlantic Health System. “By collaborating with all three health
systems, Aetna is ensuring that Medicare members throughout the
region have access to this shared approach to quality.”
“All hospitals help people who require medical care, but at
HackensackUHN we recognize the importance of keeping people
healthy.” said Robert C. Garrett, president and CEO of the
HackensackUHN . “That’s why we are eager to join with programs like
Aetna’s Medicare NNJ Prime Plan that place new incentives on
long-term health and wellness. At HackensackUHN, we have earned
national recognition for our experience in coordinated care and now
with Aetna we will be able to bring this expertise to an even
larger portion of our region.”
“Being selected by Aetna to participate in the Aetna Medicare
Prime Plan, along with two nationally recognized health care
organizations, demonstrates the outstanding medical care
available within the Hunterdon Healthcare System,” stated Robert P.
Wise, President and CEO, Hunterdon Healthcare.
Many Medicare members have complex health care needs that go
undetected. The Aetna Medicare NNJ Prime Plan is an intensive
collaboration model involving Aetna nurse case managers who will
work within the hospitals and larger physician practices to assist
in complex disease management of Aetna’s NNJ Prime Plan members
alongside their primary care physician. The plan will allow Aetna
and the participating health systems to act on shared information
and resources in a manner that is designed to help improve care and
direct outreach. Similar to other Medicare collaborations in place
in New Jersey and elsewhere, Aetna nurse case managers will work
closely with physicians to identify and coordinate care and help
increase adherence to best practices and treatment plans.
In a study published in Health Affairs in 2012, an Aetna
Medicare provider collaboration program:
- Significantly reduced hospital
admissions and readmissions;
- Increased preventive care; and
- Reduced health care costs for the study
population compared to unmanaged Medicare.
“The careful tracking of quality metrics is a critical part of
why collaborative agreements, such as Medicare provider
collaborations and accountable care organizations (ACOs), are
successful at improving patient care and are fundamental to the
incentive structure,” said Lawrence.
The Aetna Medicare NNJ Prime Plan takes Aetna’s Medicare
Collaboration model to the next level by completely aligning
incentives across Aetna and the participating health systems.
The metrics to be tracked include:
- The percentage of members receiving
recommended preventive care and screenings;
- Management of patients with chronic
conditions, such as diabetes and heart failure;
- Reductions in avoidable hospital
readmission rates; and
- Reductions in unnecessary emergency
room visits.
This plan will be available during Medicare Advantage open
enrollment this fall for January 2015 effective dates in Bergen,
Essex, Hudson, Hunterdon, Morris, Passaic, Union, Somerset, Sussex
and Warren counties.
Aetna is working with health care organizations across the
country to develop products and services that support value-driven,
patient-centered care for all health care consumers. Aetna’s goal
is to serve 20 percent of its New Jersey membership through
value-based collaborative arrangements, including ACOs, by
year-end. Nationally, more than 2.3 million Aetna members are
served by this health care model.
About Aetna
Aetna is one of the nation's leading diversified health care
benefits companies, serving an estimated 45 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. @aetna
Media Contact:AetnaSusan G. Millerick,
860-273-0536MillerickS@aetna.com
Aetna (NYSE:AET)
Historical Stock Chart
From Apr 2024 to May 2024
Aetna (NYSE:AET)
Historical Stock Chart
From May 2023 to May 2024