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Aetna, UniNet and CHI Health Launch ACO

May 06, 2015

The Future is Now: Aetna, UniNet and CHI Health Launch State’s First Commercial Accountable Care Organization

Pioneering new ways of delivering care to our communities is key to our vision at CHI Health and UniNet. Today, we’re making that vision a reality with an exciting step into the future of health care: Alongside our partner in this effort, Aetna, we are launching Nebraska’s first commercial accountable care organization (ACO).

Known as Aetna Whole Health – CHI Health Accountable Care Network, this commercial health care product provides Aetna members with highly coordinated care through the UniNet clinically integrated network. The overall network contains approximately 500 primary care physicians, 2,000 specialists and 13 hospitals.

This value-based, patient-centered model of care focuses on keeping people healthy rather than just treating them when they are sick. It’s a concrete example of meeting the challenges created by the changing health care landscape, and further proof of our commitment to communities across our service area.   

“CHI Health has made a Three-Part Commitment to Nebraska to promote cost transparency, accountability and make great health care more affordable,” said  Cliff Robertson, MD, CEO of CHI Health. “This relationship with Aetna makes the affordability component of our commitment real by rewarding providers for delivering excellent primary care, preventive screenings and better care for chronic conditions.”  

The Aetna Whole Health – CHI Health Accountable Care Network is focused on quality, efficiency and the patient experience. It will use the infrastructure of the UniNet clinically integrated network to focus on providing the right care at the right time in the right setting, and keeping people healthy and out of the hospital. The agreement rewards physicians in the network for meeting quality and efficiency measures, including:

  • The percentage of members who get recommended preventive care and screenings;
  • Better management of patients with chronic conditions such as diabetes and heart failure; and
  • Decreasing avoidable emergency room visits and hospital readmissions through the proactive management by care teams. 

“CHI Health and Aetna are helping to shift the health care system from one that focused on quantity of services to one that focuses on quality of care,” said Dale Mackel, president of Aetna’s Nebraska and Iowa operations.  “The outcome is a healthier community, more affordable costs and fewer people in hospitals.”

Launching the Aetna Whole Health – CHI Health Accountable Care Network is a natural evolution of UniNet’s care integration efforts. UniNet is built around a vision for individualized care coordination and has proven success in reducing health care costs for CHI Health and our own employees.  We are confident that this model will deliver the same benefit to local employers—a savings of up to 15 percent over similar competitor products. Where available, members can choose this plan as part of the health care enrollment process with their employer. Aetna Whole Health – CHI Health Accountable Care Network includes UniNet physicians and CHI Health facilities as well as other affiliated providers.

Initially, access to the Aetna Whole Health – CHI Health Accountable Care Network will be limited to Burt, Cass, Dodge, Douglas, Otoe, Sarpy, Saunders and Washington counties while we build out the full network necessary to deliver on the promise of the ACO. Fully insured plans in Iowa and Nebraska and self-insured plans in Iowa will be offered in 2016. We are being intentional about our deployment of the plan to make certain that we can deliver the improvements in outcomes and cost that will make great care more affordable in all communities we serve.

Category: News Article