Cigna (CI) and Aetna (AET) are developing their health care IT capabilities by acquiring businesses, and also creating and integrating solutions across the board, while also changing delivery toward a more consumer-centric model that enhances results while lowering costs.
Aetna currently has an Accountable Care Solutions Group among its startups, a payer-neutral connectivity solution, says Charles E. Saunders, CEO of Emerging Businesses at Aetna Inc.
“I think it’s fair to say that Aetna is the market leader in ACO development in the United States. We have developed a very large book of business in a very short period of time that includes about 11 announced multiline and multipayer ACOs, including some very large health care systems, such as Banner, Carilion and Inova,” Saunders said.
Saunders also says AET is collaborating with states to create ACO-like structures for state employees with a pipeline of more than 200 health systems.
CI recently acquired HealthSpring, and Cigna Executive Vice President Mark Boxer says “it’s given us insights into how you build deeper physician partnerships in key markets. It’s given us additional capabilities relative to diversification into the Medicare advantage business. It’s allowed us to develop a glide path to owning the customer relationship across life stages, as when commercial customers reach retirement age.”
Boxer says CI‘s technology is key to meetings the company’s goals, and he says the company’s HealthEview is a central strategy. “This application takes an individual’s health and risk factors, and applies a powerful set of algorithms that allows us to better manage health and deliver the right care in the right setting. Then we have a set of care coordinators using this application to conduct proactive outreach,” he said.
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