Aetna and Premier Health Announce Dayton’s First Medicare Advantage Collaboration

Dec 01 2014

DAYTON, OH, December 1, 2014 — Aetna (NYSE: AET) and Premier Health today announced Dayton’s first Medicare collaboration that is designed to help control rising costs and improve the quality of Medicare Advantage members.

More than 1000 physicians and five hospitals will increase data sharing, improve care management and receive financial incentives through this collaboration. Premier Health is the second largest employer in the region and the largest health care system in Southwest Ohio.

Medicare enrollment is open until Dec. 7. During that time, any Medicare beneficiary can compare, select and enroll in the plan that best meets his or her needs. All changes made during the open enrollment period will be effective Jan. 1.

Many Medicare beneficiaries may have complex health care needs that go undetected. When care providers and insurers work together in a Medicare collaboration, information and resources can be shared to improve care and direct outreach. Aetna nurse case managers will work closely with Premier Health physicians to identify and coordinate the care of members, and promote adherence to best practices and treatment plans.

“Aetna and Premier Health are committed to helping improve the health for Medicare Advantage patients in Dayton by focusing on quality over quantity of care,” said Charles Brown, General Manager of Aetna’s Ohio Medicare Advantage business. “Patients will partner with a health care system that promotes wellness, provides better care for chronic conditions and uses economic incentives for providers to reward positive health outcomes.”

“We are pleased to work with Aetna to fulfill our mission to build healthier communities,” said Jerry Clark M.D., President and Chief Medical Officer at Premier Health Group. “We share in the commitment to improve the health of our seniors through value driven services that includes better chronic care management and centers on the wellness of the individual.   Being led by local physicians helps us better connect to our community members and we consider it a privilege to do so.”

Premier Health physicians will be rewarded for meeting these and other quality and efficiency measures.

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Note to Editor

  1. In a 2012 study published in Health Affairs, an Aetna Medicare provider collaboration with Nova Health:
  • Reduced hospital admissions by 45 percent and readmissions by 56 percent;
  • Increased preventive care with 99 percent of members seeing a doctor for preventive and follow-up care; and
  • Reduced health care costs by 16.5 percent to 33 percent for the study population compared to unmanaged Medicare.

About Aetna

Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 46 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

About Premier Health

Based in Dayton, Ohio, Premier Health (www.premierhealth.com) provides services to patients throughout a nine-county region, and its mission is to build healthier communities. The health system operates four hospitals, Miami Valley Hospital, Good Samaritan Hospital, Atrium Medical Center and Upper Valley Medical Center. In addition, the health system offers a large primary and specialty care network, along with home health services. With over 14,000 employees and 2,300 physicians, the health system is the second largest employer in the region and is the largest health care system in Southwest Ohio.

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