Hartford health insurer Aetna has formed its latest accountable care organization with the New Haven Community Medical Group (NHCMG).
The agreement is designed to improve the quality of care for Aetna members and lower overall health care costs. Nearly 5,800 Aetna members covered under fully insured plans in the Greater New Haven area are included. This new care model will extend to, and include, other Aetna fully insured members who visit a NHCMG physician going forward.
This new agreement rewards physicians for quality, efficiency and patient satisfaction via specified measures such as:
- The percentage of Aetna members who receive recommended preventive care and screenings;
- Better management of patients with chronic conditions such as diabetes and heart failure;
- Reductions in avoidable hospital readmissions;
- Reductions in avoidable emergency room visits by improving primary care access hours and care coordination.