Care Delivery/Primary Care Innovation Case Study
Moderator: Mohit Kaushal, MD, MBAExecutive Vice President of Business Development and Chief Strategy Officer, West Wireless Health Institute
Christopher Chen, MDChief Executive Officer, ChenMed
Frank IngariPresident and Chief Executive Officer, Essence Healthcare
Brian Prestwich, MDAssistant Professor of Family Medicine, Keck School of Medicine, University of Southern California
Lonny Reisman, MDChief Medical Officer, Aetna
David P KirchhoffPresident and Chief Executive Officer, Weight Watchers
Lonny Reisman - AETNA:
Tiered Networks as an emerging standard. Constrained networks (to ACO as most constrained) driving quality improvements.
AETNA is building HIT tools to power ACOs.
Sharing and Interoperability is important. ETNA has acquired Medicity to provide a Health Information Exchange.
Analytics are important.
We need precision of information. We need workflow tools to maximize performance.
AETNA has 3 models:
1. Enhanced Clinical capabilities
2. Population Management
3. White Label Payer
Eliminating co-pays for patients have demonstrated improvements in care. ie. reduce the patients barrier to care.
Free drugs after a heart attack led to only 51% compliance. This indicates that there is far more to be done in caring for the patient.