Aetna and Meridian Health Create Co-Branded Product-Based Accountable Care Organization
February 03 2016 - 9:02AM
Business Wire
Aetna (NYSE: AET) and Meridian Health today announced a
co-branded, commercial, product-based accountable care organization
agreement, which is through Meridian Health Partners, Meridian’s
clinically integrated network. It offers employers in Monmouth and
Ocean counties a health care model designed to improve quality,
efficiency and the patient experience.
The ACO includes doctors who are part of Meridian Health
Partners, doctors at Meridian hospitals, and affiliated ancillary
providers and independent physicians from across Monmouth and Ocean
counties.
The new commercial health care plan, known as Aetna Whole
HealthSM – Meridian Health, gives Aetna members access to highly
coordinated care through the physicians of Meridian Health
Partners. Health care savings will vary by employer group.
The plans will be available in Monmouth and Ocean counties for
self-insured businesses and fully insured customers beginning July
1. Aetna plans to expand the network into other New Jersey counties
in the near future.
The Aetna Whole HealthSM – Meridian Health network includes over
200 primary care physicians, 700 specialists and six hospitals.
“Meridian Health and Aetna are helping to shift the health care
industry from one focused on quantity of services to one that
focuses on quality of care,” said Michael Costa, executive director
of Aetna’s New Jersey operations. “We want our members to enjoy
more healthy days, with reduced costs and improved efficiency.”
Aetna Whole HealthSM – Meridian Health network plans are
designed to give employers better health care options for their
employees. The value-based, patient-centric model of health care
focuses on keeping people healthy rather than just treating them
when they become sick.
The plans feature a new model of health care delivery designed
to offer:
- More coordinated, team-based care among
doctors and other care providers;
- Enhanced patient experience through
best-in-class care management programs and technology that delivers
actionable information to providers;
- Lower overall out-of-pocket costs for
members who see providers that are part of the Aetna Whole HealthSM
– Meridian Health network; and
- Better health care outcomes.
”At Meridian, we’ve maintained a keen focus on growing Meridian
Health Partners and our population health strategy to better
integrate patient care, reduce costs and increase quality,” said
Patrick R. Young, executive vice president of Meridian Health
Solutions. “Innovative partnerships like this one with Aetna are
helping us maintain this focus and transform the way care is
delivered.”
“As a physician of Meridian Health Partners, this agreement with
Aetna will enable us to better integrate care, said Raymond
Masterson, M.D. “Our mission is to provide the best health care
experience with the patient at the center of it all.”
“Members of Aetna Whole HealthSM – Meridian Health will have
access to some of the region’s finest physicians,” added Young.
“Meridian Health Partners includes more than 1,000 physicians and
clinicians who are all focused on delivering exceptional care and
keeping patients healthy.”
Aetna is working with health care organizations nationwide to
develop products and services that support value-driven,
patient-centered care for health care consumers. Nationally, about
3.2 million Aetna members receive care from doctors committed to
the value-based approach, with 30 percent of Aetna claims payments
going to doctors and providers who practice value-based care. Aetna
has committed to increasing that number to 50 percent by 2018 and
75 percent by 2020. Information about Accountable Care Solutions
from Aetna is available at www.aetnaacs.com.
Aetna provides health benefits to more than 1.2 million people
in New Jersey.
About Meridian Health
Meridian Health is a leading not-for-profit health care
organization in New Jersey, comprising Jersey Shore University
Medical Center and K. Hovnanian Children’s Hospital in Neptune,
Ocean Medical Center in Brick, Riverview Medical Center in Red
Bank, Southern Ocean Medical Center in Manahawkin, Bayshore
Community Hospital in Holmdel, Raritan Bay Medical Center in Old
Bridge and Perth Amboy, and Meridian Partner Companies that include
home care and hospice services, skilled nursing and rehabilitation
centers, ambulatory care, ambulance services, fitness and wellness
centers, and outpatient centers that allow the full continuum of
health care services to be offered locally. In May 2015, Meridian
Health and Hackensack University Health Network signed a definitive
agreement to merge. Meridian Health has consistently been rated
among the top performing health systems in NJ for clinical quality
and nationally is the recipient of the John M. Eisenberg Award for
Patient Safety and Quality from The Joint Commission and the
National Quality Forum. Meridian is one of the FORTUNE “100 Best
Companies to Work For” for six consecutive years. Earlier in 2015,
Great Place to Work® and Fortune recognized Meridian Health as one
of the 20 Best Workplaces in Health Care in the nation and the
number one Best Place to Work for Women. Meridian is recognized for
patient care and nursing excellence, including being the first
health system in the country to achieve Magnet recognition from the
American Nurses Credentialing Center at all of its original
hospitals. Additionally, Meridian’s mission of training the next
generation of health care professionals is vital to providing a
foundation for sound health in our community. In 2008, Meridian
Health launched a four-year nursing program in partnership with
Georgian Court University. Hospitals and Health Networks Magazine
has also honored Meridian as one of the nation’s 100 Most Wired
Health Systems for 16 consecutive years. Meridian Health is a
member of AllSpire Health Partners, an interstate consortium of
leading health systems, to focus on the sharing of best practices
in clinical care and achieving efficiencies. For more information,
visit www.MeridianHealth.com.
About Aetna
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 and learn
about how Aetna is helping to build a healthier world.
@AetnaNews
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version on businesswire.com: http://www.businesswire.com/news/home/20160203005889/en/
Media Contact:AetnaWalt Cherniak,
410-401-9490cherniakjrw@aetna.comorMeridian HealthRobert Cavanaugh,
732-751-3451rcavanaugh@meridianhealth.com
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