Aetna Whole Health - Baptist Memorial Health Care

Program Location: 
Memphis, TN
Payer Type: 
Commercial
Payers: 
Aetna
Description: 

This collaboration will give employers and their workers access to highly coordinated care from physicians and facilities in the Baptist Select Health Alliance. The Baptist Select Health Alliance is a clinically integrated group of physicians focused on tracking outcomes, sharing data and measuring clinical standards to improve quality and efficiency.

Aetna Whole Health plans feature a new model of health care delivery designed to offer: 

  • A more coordinated, personalized experience for patients.
  • Lower co-pays for seeing providers that are part of the accountable care network.
  • The likelihood of better health care outcomes.

 Select Health Alliance physicians, along with Baptist hospital facilities, will use information technology to assist in coordinating care and in actively engaging Aetna members in maintaining their overall health. Members will receive:

  • Outreach to inform members of recommended preventive services.
  • Personalized care management and support for patients with chronic conditions.
  • Reminders, counseling and education to foster wellness.
Payment Model: 

The agreement between Aetna and Baptist features a new payment model to reward Baptist Select Health Alliance physicians for meeting quality, efficiency and patient satisfaction measures. The agreement between Aetna and Baptist features a new payment model to reward Baptist Select Health Alliance physicians for meeting quality, efficiency and patient satisfaction measures, including:

  • The percentage of Aetna members who get recommended preventive care and screenings
  • Better management of patients with chronic conditions such as diabetes and heart failure
  • Reductions in avoidable hospital readmission rates
  • Reductions in emergency room visits.
Last updated June 2015
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