Patients Will Benefit from Patient-Centered Medical Home Arrangement
CHARLOTTE, N.C. – Aetna (NYSE: AET) and Novant Health announced that they have reached agreement on a multi-year contract that ensures Novant’s continued participation in the Aetna network. Physicians and facilities affiliated with Novant Health will continue their participation without interruption.
Under the new agreement, Aetna and Novant have created a new value-based agreement for Novant’s certified Patient Centered Medical Homes (PCMH). Novant’s PCMH-certified practices will receive a care-management fee for providing a coordinated care approach for their attributed members. Additional compensation will be tied to meeting certain targets for improved quality and cost efficiency.
“We’re pleased to be working with Aetna to deliver care around a primary care patient-centered medical home approach. We’ve seen quality of care, patient experiences, care coordination and access are much better for patients with this model and we’re excited Aetna patients will continue to have access to this level of high-quality and cost-efficient care,” said Bob Seehausen, senior vice president for Novant Health.
“Aetna is delighted to reach an agreement that enables our members to continue receiving care from Novant facilities and physicians on an in-network basis,” said Margie Maxwell, president of Aetna’s North Carolina, South Carolina and Tennessee markets. “Under the PCMH approach, we’re strengthening our commitment to quality, and rewarding physicians who deliver it more consistently.”
Aetna provides health benefits to more than 377,000 members in North and South Carolina. Those members have access to networks including 177 hospitals and 22,030 contracted primary care and specialist physicians.
Aetna is one of the nation’s leading diversified health care benefits companies, serving approximately 36.7 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 and health information technology services. Our 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.
About Novant Health
Novant Health is a not-for-profit integrated group of 13 hospitals and a medical group consisting of 1,124 physicians in 355 clinic locations, caring for patients and communities in North Carolina, Virginia, South Carolina and Georgia. Hospitals include the following: Presbyterian Hospital, Presbyterian Orthopaedic Hospital, Presbyterian Hospital Matthews and Presbyterian Hospital Huntersville in the Charlotte, NC area; Forsyth Medical Center and Medical Park Hospital in Winston-Salem, NC; Kernersville Medical Center, Kernersville, NC; Thomasville Medical Center, Thomasville, NC; Brunswick Novant Medical Center, Bolivia, NC; Rowan Regional Medical Center, Salisbury, NC; Franklin Regional Medical Center, Louisburg, NC; Upstate Carolina Medical Center, Gaffney, SC; and Prince William Hospital, Manassas, VA. Other Novant facilities and programs include outpatient surgery centers, medical plazas, rehabilitation programs, diagnostic imaging centers and community health outreach programs. Novant Health is ranked 21st nationally among the 2012 Top 100 Integrated Healthcare Networks, according to an analysis by the IMS health informatics company.
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