Aetna and New Haven Community Medical Group Offer Accountable Care to Aetna Members

Wed Jul 3, 2013 11:06am EDT

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Aetna and New Haven Community Medical Group Offer Accountable Care to Aetna Members

-- From the primary care physician’s office to specialists and facilities, patients will enjoy a more coordinated health care experience --

Aetna (NYSE: AET) and New Haven Community Medical Group (NHCMG) today announced a new accountable care agreement in Connecticut. The agreement is designed to improve the quality of care for Aetna members and lower overall health care costs. Nearly 5,800 Aetna members covered under fully insured plans in the Greater New Haven area are included. This new care model will extend to and include other Aetna fully insured members who visit a NHCMG physician going forward.

Joseph L. Quaranta, M.D., president of NHCMG noted, “The Aetna Accountable Care Solutions program is designed to improve patient outreach and care coordination for our Aetna fully-insured patients across the Greater New Haven service area. With this physician-led service working with our care coordinators and patient navigators, we believe the quality of care, the overall patient experience, and the cost effectiveness of care will be improved. One of our strengths is our combined network of integrated specialists collaborating with our primary care physicians with a long-term focus on continually improving the quality of care.”

Martha Temple, president of Aetna’s New England operations, said, “We are excited about this new collaborative agreement with New Haven Community Medical Group to make the health experience better for our Connecticut members. New Haven Community Medical Group physicians will help ensure that no matter what their health care needs may be, our members will receive more outreach and coordination to make the entire experience simpler and more effective.”

New agreement rewards improvements in quality and cost of care

This new agreement rewards physicians for quality, efficiency and patient satisfaction via specified measures such as:

  • The percentage of Aetna members who receive recommended preventive care and screenings;
  • Better management of patients with chronic conditions such as diabetes and heart failure;
  • Reductions in avoidable hospital readmissions; and
  • Reductions in avoidable emergency room visits by improving primary care access hours and care coordination.

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 New Haven Community Medical Group

New Haven Community Medical Group, Inc. is an integrated network of physicians, podiatrists, dentists and midlevel practitioners dedicated to providing the communities we serve with appropriate access to care, clinical services excellence, and the prudent use of resources. Founded in 1987, New Haven Community Medical Group includes 591 providers in over 200 practices located throughout New Haven County. New Haven Community Medical Group is a Connecticut corporation governed by an elected Physician Board of Directors that is responsible for the governance and management of the company. The goal has been to connect the physician community, build programs to help manage patients more efficiently, develop group recognition, and have a voice in directing the health care delivery system. A significant number of providers within NHCMG are actively involved in specific clinical integration committees including pediatrics, internal medicine, surgery and obstetrics/gynecology. The physician committee members are focused on developing office based process improvement programs and chronic disease management tools and the group is deeply involved in collaborative efforts to bridge the gap between outpatient care and care delivered during hospitalizations. Information about New Haven Community Medical Group, Inc. is available at www.nhcmg.org.

About Aetna

Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 44 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 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.

Aetna
Susan Millerick, 860-273-0536
MillerickS@Aetna.com
or
NHCMG
Thomas Thetford, 888-304-1054 ext. 110
Tthetford@NHCMG.org

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