Aetna Forms 5 New ACOs in Maine

Aetna has announced accountable care agreements with five different healthcare organizations in Maine.

Aetna's accountable care agreements were made with Mercy Health System, InterMed, MaineHealth and Martin's Point Health Care, all in Portland, and MaineGeneral Health in Augusta.

In all five of the new agreements, providers will receive information on medical care and medications a patient may be receiving. Providers can be financially rewarded based on their performance on certain quality, efficiency and patient outcomes measures, such as the percentage of patients who receive preventive care and screenings, better chronic disease management, reduced readmission rates and reduced avoidable emergency room visits.

The following are specifics on each of Aetna's new Maine-based ACOs:

•    InterMed. This agreement will cover about 8,400 of Aetna's commercial members.
•    MaineGeneral Health. The accountable care agreement will cover about 1,700 individuals. The agreement includes more than 250 physicians.
•    MaineHealth. This ACO with MaineHealth will cover about 9,000 Aetna members in eight counties. MaineHealth is the parent organization of nine hospitals.
•    Martin's Point Health Care. This agreement will cover 6,200 Aetna members in five counties in Maine and two in New Hampshire. The organization has nine healthcare centers and offers primary can specialty care
•    Mercy Health System. The ACO with Mercy will serve Aetna members in York and Cumberland counties who have primarily received care from Mercy's roughly 25 physicians in the last two years.

More Articles on Aetna:
Aetna Reports 17% Q2 Profit Increase
17 Recent Issues Between Hospitals and Payers
Carroll County Memorial Enters Aetna Network Under New Contract

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