Aetna (NYSE: AET) and Brown & Toland Physicians (BTP) today announced a new accountable care organization (ACO) model of health care that is designed to improve the quality of care for Aetna members and lower health care costs. Members in an Aetna preferred provider organization (PPO) and Managed Choice (MC) plan and who receive care from Brown & Toland primary care doctors became part of this program on January 1, 2013. “We look forward to working with Brown & Toland to provide a new level of coordinated care for our members,” said Mark Reynolds, Aetna’s local president for Northern California. “This program is another example of how Aetna is working with health care providers to promote higher quality care, greater coordination, a better patient experience and lower health care costs.” As part of the program, Aetna and Brown & Toland agreed to a new payment model that supports doctors in assuming greater accountability for the quality and cost of Aetna members’ overall health care experience. Aetna will reward Brown & Toland doctors for achieving quality and efficiency measures, including:
- The percentage of Aetna members who received recommended preventive care and screenings;
- Improved management of members with chronic health conditions;
- Reductions in hospital readmission rates; and
- Reductions in emergency room visits.