CMSA Today - Issue 4, 2016 - (Page 33)

Innovation Update Patients Get Better Care When Doctors, Hospitals and Insurers Share a Common Interest Reprinted with permission from Aetna. For more information see T hree years ago, a major health insurance company and Northern Virginia's largest healthcare network decided to try something radical: Instead of hammering out an agreement that was more about the fine print than the people in the community, they built a new business around their patients. Two years ago, Aetna and Inova launched their joint venture, which resulted in the creation of Innovation Health. the number of services tallied on a claim. Technology is changing the way people engage with their doctors, their care and their own health, and there is a growing recognition that health is bigger than healthcare. New joint ventures like Innovation Health, now with 170,000 members, are bringing together many of these elements to transform healthcare in their communities and beyond. TrANSfOrMiNg The lANDSCAPe BreAkiNg The MOlD, reDefiNiNg iNTegrATeD CAre Innovation Health was an early player in the national trend of insurers, hospitals and doctors looking for ways to work together, not against one another, to improve the overall health of the people in the local community. Accountable care organizations, even now still in their early days, are working to improve care while lowering costs. Doctors are beginning to be paid according to their patients' outcomes, rather than Built by an insurance company and a healthcare delivery network, Innovation Health offers health plans to employers and individuals. The plans are administered by Aetna and built around an integrated network of hospitals and doctors chosen for both the quality of care they deliver and their efficiency. Issue 4 * 2016 CMSA TODAY 33

Table of Contents for the Digital Edition of CMSA Today - Issue 4, 2016

President’s Letter
Association News
CMSA Corporate Partners
Triple Aim Requires Case Management “Target” Practice
Finding the “Right” Care Management System: “Must Have” Requirements + Structured Demonstration Process
Understanding the Health Insurance Appeals Process for Case Managers
Keeping the “Professional” in Professional Case Management
Patients Get Better Care When Doctors, Hospitals and Insurers Share a Common Interest
Index of Advertisers

CMSA Today - Issue 4, 2016