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March 12, 2013updated 13 Apr 2017 8:40am

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

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.

By Verdict Staff

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."

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