Aetna has partnered with Cleveland Clinic to form an Accountable Care Organization (ACO) model and offer new plans and programs featuring Cleveland Clinic providers.
Cleveland Clinic and Aetna participating employers could save as much as 10 percent in health care spending by choosing the new plan over a current Aetna broad network plan. Quotes released on or around September 1, 2020, with a October 1, 2020 effective date or later will have the new ACO plans and rates.
The collaboration includes the launch of a co-branded insurance plan, which could reduce health care costs for participating employers, an expanded relationship nationwide to provide members enrolled in Aetna commercial plans access to second opinions by Cleveland Clinic for certain conditions, and the deployment of Cleveland Clinic’s Cardiac Center of Excellence (COE) program to Aetna plan sponsors.
The Aetna Whole Healthsm – Cleveland Clinic co-branded commercial plan offers Northeast Ohio employers and their plan members positive clinical outcomes, improved experience and reduced total cost of care. Care is delivered in a coordinated approach through Cleveland Clinic’s network of employed, aligned and affiliated providers. Under the new plan, Aetna members can receive care from the Cleveland Clinic Quality Alliance network of employed and independent community physicians or at any Cleveland Clinic facility. Cleveland Clinic will be rewarded for achieving quality and cost targets.
The Aetna Whole Healthsm – Cleveland Clinic plan provides employers a cost-effective offering beyond Aetna’s typical broad network plans, while also giving members access to Cleveland Clinic’s care providers. Cleveland Clinic and Aetna participating employers could save as much as 10 percent in health care spending by choosing the new plan over a current Aetna broad network plan.
The organizations have also worked together to expand these savings nationwide, offering Aetna commercial members a new program with streamlined scheduling for specialty services and access to health-plan directed, virtual second opinion services at Cleveland Clinic through a dedicated specialty referral line for Aetna members. Aetna care managers will work one-on-one with members to navigate their specific health needs and personalized care plans.
Fully insured and self-insured employers in Ashtabula, Cuyahoga, Geauga, Lake, Lorain, Medina, Portage, Stark, Summit, and Tuscarawas counties can begin purchasing Aetna Whole Healthsm – Cleveland Clinic plans beginning in the fall of 2020, depending on segment and group size.
This new multi-faceted relationship will involve additional programs and expanded services. For example, the organizations are also launching a Cardiac COE program to offer Aetna plan sponsors across the country cardiac care at Cleveland Clinic, which is home to the No. 1-rated heart program in the nation for the past 26 consecutive years as ranked by U.S. News & World Report. The Cardiac COE program is designed to offer patients improved clinical outcomes as well as faster return to work and other activities of their daily lives.
Both organizations are committed to continue working on new initiatives to bring innovative, transformative, and cost-effective care to local communities.
Contact your Cornerstone representative with any questions.