CMSA Today - Issue 4, 2016 - (Page 33)
Patients Get Better Care When
Doctors, Hospitals and Insurers
Share a Common Interest
Reprinted with permission from Aetna. For more information see https://news.aetna.com.
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
Table of Contents for the Digital Edition of CMSA Today - Issue 4, 2016
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