Press release from Business Wire
Aetna, NAMM Form Accountable Care Collaboration and Introduce New Health Plans in San Bernardino and Riverside Counties
Tuesday, October 16, 2012
Aetna, NAMM Form Accountable Care Collaboration and Introduce New Health Plans in San Bernardino and Riverside Counties19:00 EDT Tuesday, October 16, 2012
ONTARIO, Calif. (Business Wire) -- Aetna (NYSE: AET)
and North American Medical Management, California, Inc. (NAMM), a member
of the Aveta Inc. family of companies, today announced an accountable
care collaboration and the introduction of PrimeCare Physicians Plans,
an Aetna Whole HealthSM product. The health plans are
designed for small and mid-sized businesses with employees who reside in
Riverside and San Bernardino counties, and will be offered through
NAMM's affiliate, PrimeCare Medical Network, Inc. (PrimeCare), an
organization comprised of independent practice associations. The
PrimeCare Physicians Plans will be effective beginning December 1, 2012.
The plans feature a new model of health care delivery designed to offer:
A more coordinated, personalized experience for patients;
Lower co-pays for seeing designated providers; and
Better health care outcomes.
“Companies are struggling to provide affordable, comprehensive health
benefits to their employees in this current economic environment,” said
Brian Ternan, Aetna's president for Southern California. “This
collaboration with PrimeCare enables us to offer improved quality and
more cost-effective products to our plan sponsors in the Inland Empire.”
The hospitals and providers in the PrimeCare Physicians Plans Network
will use information technology to assist in coordinating care,
delivering NAMM clinical decision support and actively engaging people
in their overall health. Members will receive:
Same-day appointments in most cases;
Conveniently located private practice provider offices throughout the
Inland Empire;
Outreach to help make sure members receive recommended preventative
care (i.e. screenings, physicals, labs);
Personalized care management and support for patients with chronic
health conditions; and
Reminders, counseling and educational services to foster wellness.
“Working with Aetna to develop PrimeCare Physicians Plans will enable us
to extend our care model to employer groups seeking affordable, quality
coverage for their employees,” stated Leigh Hutchins, president and COO
of NAMM and PrimeCare. “Our physician network has provided a high level
of care coordination to the communities of the Inland Empire for over 17
years to support patient satisfaction and health, and lower cost. We
expect that our close working relationship with Aetna will continue to
result in joint development of new programs and products for the benefit
of patients.”
Aetna and PrimeCare implemented a risk-sharing agreement designed to
compensate and reward PrimeCare physicians based on achieving certain
quality, efficiency and patient satisfaction measures, with the triple
aims of:
1. Improving the patient's health care experience through greater care
coordination and patient engagement;
2. Improving quality of care of the health of populations; and
3. Reducing the per capita costs of health care by aligning payment with
quality, patient outcomes and value.
“Aetna is excited to be working with PrimeCare and the physicians and
hospital in the PrimeCare Network to transform patient care and build a
more effective, sustainable health care delivery model for Riverside and
San Bernardino counties,” said Charles D. Kennedy, M.D., Aetna chief
executive of Accountable Care Solutions. “Aetna's agreement with
PrimeCare is another example of how we are working with physician groups
to give our members access to a better quality health care experience
for their money.
PrimeCare Physicians Plans offers a variety of Aetna Whole Health plans
to give businesses the flexibility and choice to best meet their
needs—health maintenance organization (HMO), Open Access Managed Choice
(MC) and PPO plans.
About NAMM and PrimeCare
NAMM develops and manages provider networks, offering a full range of
services in Southern California to assist physicians and other provider
organizations in patient care coordination and business operations. NAMM
brings together 16 physician organizations including the independent
practice associations under PrimeCare, Mercy Physicians Medical Group,
Coachella Valley Physicians, and Primary Care Associates – a network
that includes over 575 primary care physicians and 9,000 specialists
serving more than 49,000 senior members and 183,000 commercial members.
Additionally, PrimeCare is one of 32 organizations selected by the
Centers for Medicare and Medicaid Services to participate in the Pioneer
ACO model. For more information, visit www.nammonline.com.
NAMM is part of the Aveta Inc. family of companies – one of the largest
providers of managed healthcare services in the United States.
Redefining healthcare management to meet the challenges of today's
complex healthcare environment, Aveta develops innovative models that
coordinate care for more than 280,000 Medicare beneficiaries and more
than 275,000 commercial members, Aveta builds provider networks and
Medicare Advantage programs that are sustainable, cost-effective and
utilize advanced technologies. The company is headquartered in Fort Lee,
New Jersey, and currently has operating subsidiaries in California,
Illinois, Arizona, Kansas City, East Tennessee and Puerto Rico. For more
information, visit www.aveta.com.
About Aetna
Aetna is one of the nation's leading diversified health care benefits
companies, serving approximately 36.7 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 and health information technology services. Our
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.
AetnaAnjie Coplin, 214-200-8056coplina@aetna.com
