When Aetna starts work with delivery systems to form accountable care organizations, the insurer typically analyzes claims data to get a picture of a provider’s present status and guide creation of an efficiency model.
One ACO customer in particular had an unusually high rate of emergency department utilization, noted Charles Kennedy, M.D., CEO of accountable care solutions at Aetna, during a presentation at Health Data Management’s Healthcare Analytics Symposium in Chicago. Most interesting was that the high utilization was occurring during physician practice office hours.
Register or login for access to this item and much more
All Digital Insurance content is archived after seven days.
Community members receive:
- All recent and archived articles
- Conference offers and updates
- A full menu of enewsletter options
- Web seminars, white papers, ebooks
Already have an account? Log In
Don't have an account? Register for Free Unlimited Access