The joint Aetna Whole Health – Cleveland Clinic plan, available in NE Ohio, utilizes Cleveland Clinic’s providers to provide a coordinated care model that will reward Cleveland Clinic for meeting targets on quality and cost. Depending on segment and group size, fully and self-insured employers will be able to opt into the plan.
“We have continued to build on those opportunities to jointly deliver new solutions to that community with the line of sight to, ‘How do we change healthcare from just this widget management to really, truly impacting the cost of healthcare and underlying quality?'” Angie Meoli, senior vice president of network strategy and provider experience at Aetna, told Fierce Healthcare.
The joint venture also includes some national components, such as a new cardiac center of excellence at Cleveland Clinic accessible to Aetna plan sponsors across the country. Aetna members will also have access to a dedicated referral line for virtual second opinions for certain conditions from Cleveland Clinic providers. Read more here.
(Source: Paige Minemyer, Fierce Healthcare, Aug 19, 2020)