Ban­ner Health, Aetna to en­roll em­ploy­ers into ACO, and other news

Modern Healthcare - - MODERN HEALTHCARE -

Ban­ner Health and in­surer Aetna, Hart­ford, Conn., will be­gin in Jan­uary to en­roll small em­ploy­ers into a health plan for a newly cre­ated ac­count­able care or­ga­ni­za­tion. The health plan will of­fer Ban­ner Health fi­nan­cial in­cen­tives to man­age costs and reach qual­ity and pa­tient sat­is­fac­tion tar­gets, said Dr. Charles Kennedy, CEO for Aetna’s ac­count­able-care so­lu­tions. Mem­bers will have in­cen­tives to use Ban­ner Health and af­fil­i­ated physi­cians in the health plan’s lim­ited net­work. How­ever, mem­bers may seek care out­side of Ban­ner Health, Kennedy said. Some qual­ity mea­sures in­cluded in Aetna’s ac­count­able-care con­tract with Ban­ner over­lap with those pro­posed for the Medi­care shared sav­ings pro­gram, he said. The Medi­care shared-sav­ings pro­gram, which will launch April 1, uses fi­nan­cial in­cen­tives to pro­mote cost-con­trol and qual­ity per­for­mance. Aetna seeks to align its qual­ity goals as much as pos­si­ble with Medi­care, he said. The in­sur­ance com­pany also has ac­count­able-care agree­ments with the Car­il­ion Clinic and Heart­land Health.

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