Aetna Case Managers and Emory Healthcare Physicians Collaborate on Medical Home Program

Wednesday, November 2nd, 2011
This post was written by Melanie Matthews

Healthcare costs for various segments continue to increase. In fact, according to recently released figures from S&P Indices, commercial insurance and Medicare programs increased by nearly 6 percent for the 12 months ending August 2011. While commercial insurance rates rose for four months in a row, Medicare costs actually declined from their all time high rate of 8 percent in 2009.

Costs for long-term care also rose; according to MetLife, rates for those requiring care in nursing homes, assisted living facilities, and adult day services rose from four to 5 percent; with nursing home rates doubling those of assisted living. The survey, collated from 2,003 nursing homes, 1,492 assisted-living facilities, 1,644 home-care agencies and 1,341 adult-day services in all 50 states and Washington, D.C., presents a breakdown of rates according to region, gender and age.

The trend of embedding case managers in primary care continues. Aetna is embedding case managers in six Emory primary care practice facilities. The new patient-centered medical home program will provide care for both Aetna Medicare members and Emory’s employees and family members. Key goals of the collaboration are improved patient care, increased follow-up visits, and better quality and efficiency.

And CMS has launched a new initiative designed to help federally qualified health centers transform into advanced primary care practices. Five-hundred participants have been selected from 44 states around the country and will receive a portion of the $42 million allocated for the program. FQHCs will be assessed on their efforts to improve patient care and delivery.

These stories and more in the latest issue of Healthcare Business Weekly Update.

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