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Aetna

Greater Philadelphia Comprehensive Primary Care Plus

The Greater Philadelphia Region was one of 14 locations selected to participate in round one of the Comprehensive Primary Care Plus (CPC+) initiative launched by CMS. The coverage areas include Bucks County, Chester County, Delaware County, Montgomery Country, and the Philadelphia County. CPC+ is an advanced five-year initiative designed to strengthen primary care delivery, promote better health outcomes, and control overall health care costs.

Louisiana Comprehensive Primary Care Plus

Starting in 2018, CMS has expanded Comprehensive Primary Care Plus (CPC+) into 4 new regions including the state of Louisiana. This allows payers to partner with CMS and practices to participate in CPC+ until 2022. CPC+ is an advanced primary care medical home model that rewards value and quality through innovative payments that support comprehensive care. The CPC+ initiative developed by CMS, transitions Medicare fee-for service to value-based payments in collaboration with Medicaid and commercial payers in selected regions.

Ohio & Northern Kentucky Comprehensive Primary Care Plus

The state of Ohio and regions of Northern Kentucky were selected as one of 18 regions nationwide to participate in Comprehensive Primary Care Plus (CPC+).

Aetna Whole Health - Colorado

The combined Aetna Whole Health – Colorado Front Range network will launch in January 2015 and provide Aetna members access to more than 800 primary care physicians, 4,000 specialists and 31 hospitals throughout the Colorado Front Range. The accountable care collaboration gives employers better health care options for their employees, and will feature a new model of health care delivery designed to offer:

Aetna Patient-Centered Medical Home Program - New Jersey

The program recognizes primary care physicians (PCPs) who more actively coordinate and manage their patients’ care across the health care system. By strengthening the role of PCPs, the PCMH program aims to improve patient health outcomes.

The NCQA-recognized PCMH practices are recognized for providing a number of services, including:

Aetna Patient-Centered Medical Home (PCMH) - Cornerstone Health Care

Cornerstone Health Care began participating with Aetna in the health benefits company’s national Patient-Centered Medical Home (PCMH) program in 2012. The program recognizes primary care physicians who more actively coordinate and manage their patients’ care across the health care system. By strengthening the role of primary care doctors, the PCMH program aims to improve patient health outcomes.

Aetna Patient-Centered Medical Home (PCMH) - Massachusetts

Aetna launched its Patient-Centered Medical Home (PCMH) program in Massachusetts in July of 2013. The program recognizes primary care physicians (PCPs) who more actively coordinate and manage their patients’ care across the health care system. By strengthening the role of PCPs, the PCMH program aims to improve patient health outcomes.

Integrated Care Delivery System (ICDS)- Ohio

Ohio signed a Memorandum of Understanding with CMS on 12/11/2012. In collaboration with CMS, Ohio will extend coordinated care to its dual eligible population through an Integrated Care Delivery System (ICDS).

Maine Patient-Centered Medical Home Pilot

The Maine Patient-Centered Medical Home Pilot was launched in January of 2010 and is led by the Dirigo Health Agency’s Maine Quality Forum (MQF), Maine Quality Counts, and the Maine Health Management Coalition with additional funding from an RWJ Foundation Aligning Forces for Quality grant. The Pilot includes 26 primary care practices from around the state that are working to implement the PCMH model as a first step in ultimately achieving the goal of statewide implementation of a patient centered medical home model.

Aetna-Wellspan ACO

Aetna and WellSpan Health (WellSpan) have established an accountable care organization (ACO) agreement that is designed to improve the quality of care and lower overall health care costs for Aetna commercial plan members and for communities WellSpan serves. The contract is Aetna’s first ACO agreement in Pennsylvania. Using WellSpan’s comprehensive, integrated system of physicians, hospitals and ambulatory services, the collaboration will give area employers better health care options for their employees by:

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