R-Health, a leader in innovative healthcare solutions, today announced the company has expanded its value-based healthcare delivery collaboration with Aetna.
With a recent contract to provide Direct Primary Care services to Aetna members through the New Jersey Direct Primary Care pilot program for members enrolled in the State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program (SEHBP), R-Health now has four agreements with Aetna, each focused on patient-centered care. The New Jersey program is an enhanced benefit for the SHBP and SEHBP that provides members free access to an R-Health Direct Primary Care physician with no co-pays or deductibles.
R-Health began working with Aetna in 2014, through the company’s accountable care organization, the Advanced Comprehensive Care Organization (ACCO). This started with a Medicare Advantage population and grew to include adult commercial and pediatric commercial populations. These programs deliver care to thousands of patients in Southeastern Pennsylvania.
These innovative collaborations are each focused on improving quality of care and reducing overall costs. This includes encouraging stronger patient engagement, sharing best practices across care teams, implementing evidence-based guidelines, and creating performance-based incentives.
“We are excited to deepen our collaboration with Aetna through the New Jersey Direct Primary Care program,” said Mason Reiner, R-Health’s CEO. “By offering their members who are enrolled in SHBP and SEHBP access to R-Health, members will experience primary care the way it should be. This builds on our existing patient-centered collaborations with Aetna.”
Through the collaborations between R-Health and Aetna, the 195 providers in ACCO have consistently surpassed clinical quality benchmarks in areas such as patient access, control of chronic conditions, preventive cancer screenings, and vaccinations. For example, during the most recent performance year, 86% of ACCO’s diabetic Medicare Advantage patients had HbA1c levels less than 9, and 96% of adolescents had proper immunizations.
R-Health’s Direct Primary Care program in New Jersey is an innovative offering focused on drastically improving the primary care experience by providing unlimited access to a personal physician with no co-pays or deductibles. It offers same-day and next-day appointments, little to no time in the waiting room, evening and weekend hours, phone consultations, and digital access to the patient’s personal doctor.
About R-Health: R-Health delivers more effective care and a better patient experience – all at a lower cost. We partner with employers, unions, insurance companies and TPAs to offer primary care that’s truly collaborative. This is accomplished through the traditional core values of convenient, personal primary care; our innovative data analytics and patient engagement platforms that streamline care, delivering better outcomes, lower costs and a refreshing patient experience; and the proactive management of chronic conditions. R-Health delivers value-based healthcare two ways, through R-Health Accountable Care, our commercial ACO, and R-Health Direct Primary Care, our innovative membership-based primary care model. For more information, visit www.R-Health.md.
About Aetna: Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 46.7 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, 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 http://www.aetna.com/ and learn about how Aetna is helping to build a healthier world. @AetnaNews