HARRISBURG, Pa. — Aetna has begun offering individual health plans built around its accountable care arrangements with PinnacleHealth System and Valley Preferred, a preferred provider organization affiliated with Lehigh Valley Health Network.
These are two separate health plans with coverage that takes effect Jan. 1, 2016 and are being offered to individuals both on and off the health care exchange. Aetna Whole Health™ – PinnacleHealth is offered in the Harrisburg area, and Aetna Whole Health™ – Valley Preferred is offered in the Lehigh Valley area.
The plans will use PinnacleHealth's and Valley Preferred's comprehensive, integrated system of physicians, hospitals and ambulatory services to:
- Create a more coordinated patient experience;
- Save members money when they use providers aligned with PinnacleHealth or Valley Preferred; and
- Improve health care outcomes.
The plans provide enhanced benefits when members receive care from providers at PinnacleHealth or Valley Preferred. They are priced to be among the most affordable options available on or off the health care exchange.
Aetna has been offering plans linked to the two accountable care arrangements to employer groups. The agreements feature a new payment model that rewards physicians for meeting certain measures designed to improve quality, lower costs and improve patient satisfaction.
"Aetna is very excited to provide high-quality, affordable options to individuals. These new plans offer consumers access to a more coordinated health care experience through our accountable care collaborations with PinnacleHealth and Valley Preferred ," said Laurie Brubaker, president of Aetna's operations in Pennsylvania, Delaware and West Virginia.
Aetna provides health benefits to more than 1.6 million members in Pennsylvania.
Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 46.5 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.
About PinnacleHealth System
PinnacleHealth is a not-for-profit healthcare system dedicated to improving the health and quality of life for the people of Central Pennsylvania since 1873. A proven leader in medical innovation, PinnacleHealth offers a wide range of services from primary care to the most complex surgeries and Magnet recognition for nursing excellence. The healthcare network includes four campuses (Community, West Shore, Harrisburg and Polyclinic) with two acute care hospitals, the Helen M. Simpson Rehab Hospital and PinnacleHealth Cancer Center, including a second West Shore location to open summer of 2014. The five-story, 108-bed West Shore Hospital will open in Hampden Township in 2014, bringing emergency, medical/surgical, cardiology, orthopedics, chronic disease management to the West Shore. Medical services, including family practice, imaging, outpatient surgery and oncology are offered at multiple locations throughout the region. For a complete list of services, visit our website at www.pinnaclehealth.org.
About Valley Preferred
Valley Preferred, a provider-owned, preferred provider organization aligned with Lehigh Valley Health Network, is dedicated to Achieving Clinical Excellence® through the development and implementation of innovative programs to improve health care delivery and value in the community. Valley Preferred's corporate philosophy is reflected in its performance promise of Care Beyond the Coverage. Among these is Valley Preferred's BeneFITSM Corporate Wellness program provided to employers to promote healthier lifestyles for company employees and a culture of wellness in the workplace. This includes providing a wellness assessment, health workshops and seminars, tobacco cessation resources, corporate health fairs and screenings, and disease management programs. Valley Preferred also offers BeneFIT consultation and the award-winning BeneFIT Toolkit, which is a step-by-step guide designed to assist companies with improving employee wellness. BeneFITSM Corporate Wellness is accredited by the National Committee for Quality Assurance (NCQA) for Wellness and Health Promotion. For more information, visit www.valleypreferred.com and www.benefitcorporatewellness.com.
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