Personalizing Carefor the Chronically Ill
People suffering with chronic conditions face unique and difficult challenges when it comes to maintaining their health and managing health care costs. A new patient-centered Aetna program offers them a more promising way to achieve both.
AetnaCareSM takes a forward-thinking, customized approach to treating members with chronic conditions by developing a personalized care plan, or care map, and providing access to a range of clinical and non-clinical resources that fits their needs.
The program gives members enhanced tools and resources that empower them to better understand their health and chronic conditions. It also employs more effective ways to engage individuals in managing their own care. More complex member engagements are done in person. The timing of these in-person engagements is determined by key moments or events, such as discharge from a hospital.
“With AetnaCare, we’re answering member demand for a user-friendly, personalized health care experience,” says Dr. Harold Paz, Aetna’s chief medical officer. “We’re also helping members at highest risk for medical complications improve the quality of their health. We offer them access to an entire ecosystem of health services that includes a checklist of evidence-based activities to round out their care.”
A care map is built around three primary objectives:
- Promoting treatment adherence.
- Ensuring that critical support needs are met.
- Reinforcing healthy behaviors.
A nurse connects members to all the different resources that are needed, such as nutrition counseling or behavioral health services.
The program was launched in 2017 for members with diabetes and hypertension in Aetna’s accountable care organizations (ACOs).
“This is fundamentally a better way to engage with our at-risk members,” says Paz. “We build off patient trust in the health care system by collaborating with primary care physicians. If the doctor calls, people are more likely to take the call and listen. Integrating all of these services into a coherent and collaborative plan with the physician’s input gives the member the kind of convenience and simplicity needed to make access and compliance easy.”