HOUSTON, Texas — Aetna announced today that it has signed a new contract with Kelsey-Seybold Medical Group, one of the largest physician-owned multispecialty group practice in the Greater Houston area. The new contract, which takes effect on July 1, returns Kelsey-Seybold to Aetna’s broad network.
Aetna commercial members enrolled in a standard PPO, POS Choice II and EPO health plan who receive care from Kelsey-Seybold will be covered at the in-network level of benefits and will have access to 227 primary care physicians and 235 specialists at 19 clinic locations and a Sleep Center in the Houston area.
“This agreement is good news for our members in the Houston area,” said Michael Nelson, president of Aetna in Texas. “We developed a value-based care insurance product anchored by Kelsey-Seybold in 2016 and we look forward to building upon our successes and strengthening our relationship with Kelsey-Seybold, while offering our members expanded access to their high-quality physicians and facilities.”
“Kelsey-Seybold Clinic doctors and staff are delighted to welcome Aetna PPO, POS II, and EPO plan members. For almost two years, Kelsey-Seybold and Aetna have partnered to deliver KelseyCare Aetna, a high-performance network plan offered through Kelsey-Seybold’s NCQA-accredited Accountable Care Organization,” said Tony Lin, M.D., F.H.M., chairman and managing director of Kelsey-Seybold Clinic. “This collaboration to deliver value has led us to expand our participation as an in-network provider, giving members access to some of the unique resources Kelsey-Seybold has built as an Accountable Care Organization with the goal of improving the patient experience, improving health outcomes, and lowering the total cost of care.”
Kelsey-Seybold Clinic delivers care to 500,000 patients in the Greater Houston area. Aetna provides health benefits to more than 2.3 million Commercial members in Texas.
Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 37.9 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 and behavioral health plans, 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 Kelsey Seybold
Kelsey-Seybold Clinic is Houston’s premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey in Houston’s famous Texas Medical Center. More than 400 physicians and allied health professionals practice at 19 locations and an accredited Sleep Center in the Greater Houston area. Medical services offered by Kelsey-Seybold include medical care in 55 medical specialties including primary care and specialty care, outpatient surgery centers, an accredited Sleep Center, a Radiation Therapy Center, laboratory services, advanced radiology services and other diagnostic services, 15 onsite Kelsey pharmacies and a secure web portal for patients to communicate with their Kelsey-Seybold doctors, get test results and schedule appointments.
Kelsey-Seybold has been recognized by the National Committee for Quality Assurance (NCQA) as the nation’s first accredited Accountable Care Organization and a Level 3 (highest) Patient-Centered Medical Home. Kelsey-Seybold has many physicians in the Greater Houston area certified for excellence in diabetes, heart and stroke care by the NCQA. In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited Breast Diagnostic Center, Endoscopy Center, Infusion Center and Cancer Center.