Models of Collaboration

From clinical integration to risk management, we can help you achieve your unique goals for accountable care


Each health care organization faces unique challenges in the transition to value-based care. Accountable Care Solutions from Aetna works closely with you to help identify your organization’s specific needs and determine how we can best work together to meet your clinical and business goals.

The scope and focus of our collaboration depends on your immediate and long-term goals.

  • Is your organization ready for a transformed care-delivery model?
  • Do you simply want to improve aspects of care for a single identified population?
  • Are you looking to manage risk and diversify your revenue streams?

Whether or not you choose to assume risk in your value-based care model, we can design a model of collaboration to help you succeed. We offer:

Clinical integration and enhanced capabilities

We can help you apply our innovative technology and improvement strategies to make your network more effective and efficient. Our support can include:

  • Business, payment and clinical model design and implementation
  • Risk stratification, management and contracting support
  • Workflow redesign
  • IT and care-management infrastructure development

Population-specific health management

We can help you apply technology and best practices to improve care management for a selected population, such as Medicare or Medicaid beneficiaries or your health system’s employees. With this approach, you will be better able to:

  • Manage some risk for the targeted population
  • Benefit from pay-for-performance incentives
  • Take advantage of government incentives

Co-branded health plan

We can work with you to develop and market a commercial insurance product. With our considerable resources and expertise behind you, we can help you manage risk for your populations and succeed in the evolving health care market. We offer:

  • Products using Aetna insurance license and expertise
  • Support from Aetna operations — claims processing, customer service, actuarial and care management

Client profile: Aurora

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Payer-provider collaboration: NovaHealth and Aetna

A report on the successful collaboration between Aetna and NovaHealth, focusing on shared data and care management for Medicare Advantage members.

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Plan executive helps lead provider-payer collaboration forward

Charles Kennedy, CEO of Accountable Care Solutions, describes ACS, its provider collaborations, progress and future.

Read it here