Two leading organizations join forces to
offer high-quality, affordable health care coverage in North
Texas
Aetna (NYSE: AET) and Texas Health Resources today
announced the creation of a jointly owned health plan company that
will focus on improving quality, affordability and the overall
consumer experience. By combining Texas Health’s high-quality
providers and investment in population health management with
Aetna’s health plan expertise, care management capabilities and
analytical insights, employers and consumers in North Texas will
benefit from more affordable, high-quality and better-coordinated
care.
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The partnership between Aetna and Texas Health is the first of
its kind in North Texas to fully align the incentives and
capabilities of a national insurer and major health system. By
sharing ownership and accountability equally, the new health plan
will focus on the consumer experience by combining fully integrated
care teams, health insurance benefits and administrative services
to eliminate redundancies of care and to reduce administrative
hassles.
“Our joint venture with Texas Health represents two leading
health care organizations coming together to fundamentally improve
and streamline the health care experience for individuals and
employers in the Dallas-Fort Worth Metroplex,” said Gary Loveman,
Ph.D., executive vice president of Aetna and president of Consumer
Health and Services. “We will drive a focus on better health and
wellness through coordinated care, proactive outreach and
evidence-based clinical approaches for members.”
“Over the past several years, the American health care landscape
has begun to change, with increasing costs and quality pressures
creating demand from employers and consumers for a new health care
economy,” said Barclay E. Berdan, FACHE, chief executive officer of
Texas Health Resources. “This partnership aligns our two
organizations’ commitment to build more sustainable value-based
models of care, which will help to deliver better outcomes and
lower costs, while providing an unmatched patient and provider
experience. It’s what consumers expect of us in this new economy
and, frankly, what we expect of ourselves.”
New fully-insured and self-insured commercial products will be
offered to employers and consumers in 14 counties in the
Dallas-Fort Worth Metroplex, including Collin, Cooke, Dallas,
Denton, Ellis, Hood, Hunt, Johnson, Kaufman, Parker, Rockwall,
Somervell, Tarrant and Wise counties, and are anticipated to be
available on Jan. 1, 2017, pending regulatory approval.
The new partnership will feature the Southwestern Health
Resources network as its core, which includes more than 500
physicians in Texas Health’s employed physician group, Texas Health
Physicians Group (THPG). Texas Health’s 69 outpatient facilities
include surgery centers, fitness centers, imaging centers and more
than 250 other community access points. Its hospitals include 16
acute-care facilities, along with six short-stay, one transitional
care and two rehabilitation hospitals.
“Our relationship with Aetna is about providing access to a
high-performing network that is consumer-focused and consumer
friendly, with care coordination done on the physician side of the
care model,” said Dan Varga, M.D., Texas Health’s chief clinical
officer who is leading the physician network that will drive the
partnership’s performance. “This allows us to care for patients
more effectively and efficiently.”
“We are excited to work with Texas Health on a new, innovative
partnership that will improve the health and well-being of the
diverse communities throughout North Texas,” said Michael Nelson,
Aetna’s market president for Texas. “By sharing accountability
equally, Aetna and Texas Health will be able to streamline
processes and eliminate inefficiencies that will lead to health
care savings for consumers and employers in the form of more
affordable premiums.”
The partnership with Texas Health is Aetna’s second joint
venture with a nonprofit health system, as Aetna moves 75 percent
of its contracts to value-based care models by 2020.
Texas Health had nearly 162,000 inpatient stays and more than
1.5 million outpatient encounters (excluding physician office
visits) in North Texas last year. Aetna provides health care
benefits to approximately 700,000 commercial members in the
14-county area in the Dallas-Fort Worth Metroplex.
About Texas Health Resources
Texas Health Resources is one of the largest faith-based,
nonprofit health systems in the United States. The health system,
which along with UT Southwestern founded Southwestern Health
Resources in 2016 to make it easier for North Texans to access the
highest quality care consistently in a responsive and coordinated
manner, includes 27 acute care and short-stay hospitals that are
owned, operated, joint-ventured or affiliated with Texas Health
Resources. It includes Texas Health Presbyterian Dallas, Texas
Health Arlington Memorial, Texas Health Harris Methodist and Texas
Health Huguley Hospitals, Texas Health Physicians Group, outpatient
facilities, behavioral health and home health, preventive and
fitness services, and an organization for medical research and
education. For more information about Texas Health Resources, call
1-877-THR-WELL, or visit www.TexasHealth.org.
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/20160526005305/en/
AetnaAnjie Coplin, 214-200-8056coplina@aetna.comorTexas Health
ResourcesStephen O’Brien,
214-693-3050stephenobrien@texashealth.org
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