The promise of the new insurance plans, according to a news release from the companies, is improved beneficiary health through Aetna's patient information tools and Carilion's accountable medical group, which includes the use of an integrated electronic medical record.
The plan will use reduced copays to encourage beneficiary use of “designated network providers” who have received recognition or are in the process of receiving recognition from the National Committee for Quality Assurance for meeting efficiency and quality standards.
The new insurance policies are based on the combined experience of Aetna and Carilion with the care coordination they established in their private-sector version of an accountable care organization, which they launched in March.
“Aetna is using the experience we've gained to design patient-centered, accountable-care models for large hospital systems and integrated delivery networks around the country,” said Dr. Charles Kennedy, CEO of Accountable Care Solutions at Aetna, said in a news release.
Kennedy said that so-called collaborative-care models like those in the Virginia insurance program have improved quality and reduced costs.