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The Balance voted Aetna as “Best for Employer-Based Plans” and noted that Aetna also offers affordable private health insurance options and that members also have access to HSA plans.Īdditionally, The Balance review goes on to state that,
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In 2018, Aetna was acquired by CVS Health, but still provides employer health plans in all 50 U.S. Nationally, Aetna has an excellent reputation and has an AM Best “A” financial strength rating. In California, Aetna offers coverage to employers in the small and large group markets but is not part of the state’s health marketplace exchange, Covered California, however. While Aetna is a national health insurance company and offers policies in every state, it does not rank in the top ten providers in terms of financial size or membership. And how does one go about determining which providers are best overall?Ĭurrently in California, there are several large health insurers operating in the state and, among them, Aetna and Blue Cross, or Anthem Blue Cross as it is known in California, are among the top five. However, on the other hand, the large number of choices can also be a bit overwhelming and confusing. Being able to match a provider and a plan that best suits one’s needs is certainly far more desirable than a “one size fits all” health plan. On one hand, the variety of choices available to employers and individuals looking to acquire healthcare insurance is a plus. Health Insurance as a Battle of the Titans So, when we approach a topic such as Aetna vs Blue Cross, it is important to keep in mind that it is not so much a matter of “Which is better?” as “Which is better for me?” And what makes comparisons even more problematic is that every customer is also different and has different needs or requirements when it comes to healthcare and health insurance coverage. This is why comparisons are often difficult. So are the plans they offer and, to a certain extent, so is the quality of providers. The program sharpened its focus to those with two or more chronic diseases – the population that research shows can most effectively be helped by coordinated care.Health insurance is health insurance, right?Įvery health coverage provider is different. Together, the team will coordinate a member’s care based on their unique needs and will help guide them through the most effective and efficient care possible by eliminating duplicative procedures, providing reminders for follow-up examinations and immunizations and managing emergency room and hospitalization follow up. Anthem has 14 ACOs offering enhanced care coordination to members across California. Members will have access to a personalized health team which includes a physician, a registered nurse and other healthcare practitioners as needed. Anthem's program focuses on enhanced care coordination by emphasizing coordinated, evidenced-based care delivered by a health care team focused on members who suffer from multiple chronic conditions such as diabetes, asthma, high blood pressure as well as heart and joint diseases.
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The new program will be available to fully insured PPO members at no additional cost, with self-funded offerings to follow. This program is specifically designed to help improve the health of members affected by chronic conditions and improve the value of the care delivered. Anthem Blue Cross has expanded its ACO model and network with the introduction of a program focused on enhanced care coordination in collaboration with well organized, high quality provider organizations in California.