Aetna Collaborates with ProHealth Physicians to Achieve Triple Aims for Patient Care

Mon Mar 11, 2013 11:39am EDT

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From the primary care physician`s office to specialists and facilities, patients
will enjoy a more coordinated health care experience
HARTFORD, Conn.--(Business Wire)--
Aetna (NYSE: AET) and ProHealth Physicians, Inc. (ProHealth) today announced
details of a new accountable care collaboration in Connecticut that will support
Medicare and privately insured patients. The collaboration with ProHealth is
powered by the Healthagen integrated suite of technology and services.
Healthagen is a division of Aetna that offers population health management
solutions and health information technologies. ProHealth is one of the largest
primary care systems in the Northeast, caring for more than 350,000 active
patients in Connecticut. 

Coordinating Care for Medicare Patients

The collaboration will support ProHealth`s participation in the Medicare Shared
Savings Program (MSSP) and ProHealth`s agreements with its commercial managed
care partners and plan sponsors. Together, Aetna and ProHealth will enhance the
coordination of care for ProHealth`s 30,000 Medicare patients throughout
Connecticut. 

Patients who need care and support for emerging and chronic health issues will
be identified through proactive collaborative care management and sophisticated
analytics provided by Healthagen. By identifying the patients who may benefit,
the appropriate clinical programs and health interventions can be delivered to
them. Together, care management technology, care managers, clinical staff and
providers will form a care team to help prevent avoidable health issues,
effectively manage those that exist and minimize the progression of chronic
disease. The combined collaboration will have a significant focus on patient
engagement and compliance to help ensure the long-term success of the overall
effort. 

The new accountable care agreement is designed to improve the quality of care
for ProHealth`s patients while lowering overall health care costs. Over the next
twelve months, ProHealth will apply Healthagen`s payer-neutral population
management and integrated solutions among its broader patient population,
including Aetna fully insured commercial members and Medicare Advantage members
who receive their care from ProHealth. 

"Working together, Healthagen and ProHealth are bringing the future of health
care into reality today. We are forging new ground characterized by innovation
and collaboration," said Martha Temple, president of Aetna`s New England health
plan operations. "Healthagen`s integrated technology will provide ProHealth`s
physicians with greater access to the broad spectrum of information they need to
more effectively manage patient care and make the patient experience simpler and
more effective." 

Focus on Quality

C. Todd Staub, MD, chairman of ProHealth, stated, "ProHealth is committed to
achieving the triple aims of improved patient outcomes, increased patient
satisfaction and improved cost-effectiveness. We look forward to collaborating
with Aetna in support of these efforts." 

Jack Reed, president and CEO of ProHealth, stated that this relationship will
align the process improvements that the health care system requires to ensure
that patients and their families are better able to manage the value and cost of
health care services. 

Aetna is working with health care organizations across the country to develop
products and services that support value-driven, patient-centered care. Aetna`s
solutions help all types of patients, regardless of payer. Information about
Accountable Care Solutions from Aetna is available at www.aetnaacs.com. 

About ProHealth Physicians

ProHealth is the state`s largest physician-owned delivery system and has a
successful history of meeting key clinical and cost performance targets for plan
sponsors and payers. As of January, 2013, ProHealth was awarded a MSSP
designation by Medicare allowing ProHealth to participate in the Medicare Shared
Savings Program. ProHealth is based in Farmington, Connecticut and has 80
locations within the State. Formed in 1997, ProHealth has grown to include more
than 300 primary care providers and offers select specialty and
diagnostic/therapeutic services such as ENT, pediatric and adult
gastroenterology, plastic surgery, imaging, physical therapy, sleep medicine
centers, ADHD expertise, a hearing center, and six extended-hours locations to
meet patients` needs for access and convenience. Since 2003, ProHealth`s
clinical performance program has enabled its providers to identify patients who
are due for specific healthcare screenings and tests based on the clinical
guidelines relevant to the individual patient`s condition. ProHealth currently
serves about 10% of Connecticut`s population and is expanding throughout the
State. 

About Healthagen

Healthagen is a division of Aetna that offers health and technology services to
providers, payers, employers and consumers. Healthagen brings together a wide
range of payer-neutral population health management solutions and health
information technology capabilities from its businesses that include
ActiveHealth Management, Medicity and iTriage. Our solutions are designed to
improve care quality, control health care costs and engage consumers in their
health care. Learn more at www.healthagen.com. 

About Aetna

Aetna is one of the nation's leading diversified health care benefits companies,
serving approximately 37.3 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,
Medicaid health care management services and health information technology
services. Our 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.

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Aetna
Susan Millerick, 860-673-0683
MillerickS@Aetna.com
or
ProHealth Physicians
Bethany Kieley, 860-284-5352
bkieley@prohealthmd.com

Copyright Business Wire 2013