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Tag: Aetna

Vital Decisions and Aetna Better Health Team Up to Support Members and Families Facing Advanced Illness and End-of-Life Care Decisions

October 13, 2020
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| Better Health

EDISON, N.J., Oct. 13, 2020 /PRNewswire/ — Vital Decisions today announced a collaboration with Aetna Better Health of Virginia to extend support for seriously ill individuals and their families. The organizations will provide a telehealth program to engage health plan members in discussions about their care preferences and goals as they endure an advanced illness.

Vital Decisions
Vital Decisions

For over a decade, Vital Decisions’ clinical specialists have helped people explore, define, document and communicate their care wishes to loved ones and healthcare providers.  The result: individuals and their families feel empowered, informed and in control of their care decisions, leading to improved health outcomes, reduced stress for all parties involved and a higher quality of life experience.

“Our goal at Aetna Better Health of Virginia is to best serve our members at every stage of their lives, and to do so with compassion in trying times for individuals and their

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Aetna 2021 Medicare plans focus on total health and making care more affordable and convenient

October 5, 2020
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| Health And Fitness

HARTFORD, Conn., Oct. 5, 2020 /PRNewswire/ — Aetna®, a CVS Health® company (NYSE: CVS), announced its 2021 Medicare offerings, featuring increased integration with CVS Health; expanded and differentiated Medicare Advantage plan options, including HMO and Dual Eligible Special Needs Plan offerings in new states; new Aetna Medicare Eagle™ plans designed especially for Veterans; and the lowest premium standalone prescription drug plan product in all 50 states and D.C.

A pioneer in the Medicare industry, Aetna has served Medicare beneficiaries since 1966, when it paid the nation’s first Medicare claim. Aetna now serves nearly 9.2 million Medicare members nationwide, as of June 30, 2020.

“Now more than ever, it’s important for older adults to focus on their total health — body, mind and spirit,” said Christopher Ciano, president of Aetna Medicare. “To help members improve their health, we expanded our Aetna Medicare Solutions portfolio of products to include

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Multi-billion-dollar Medicaid contract at stake in legal filing by Aetna Better Health. Insurer asks for review of DHHS selection process. | Local News

September 28, 2020
| No Comments
| Better Health

“The state also has failed to fulfill its own well-documented commitments to the federal government and the public.”

Moving ahead

The main launch challenge is getting the four statewide PHPs operational by the enrollment date.

Managed care is a system under which people agree to see only certain doctors or go to certain hospitals, as in a health maintenance organization, or HMO, or a preferred provider organization, or PPO, health-insurance plan.

Under the current Medicaid system, providers are paid on a fee-for-service model administered by DHHS.

By contrast, the PHPs will pay health-care providers a set amount per month for each patient’s costs. There will be a limited number of special-needs individuals who will remain with fee-for-service providers.

The next big rollout step for DHHS is formulating the per-patient rates for providers by November and submitting them to CMS.

DHHS will reimburse the PHPs, and people will be able to

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