Insurance providers Aetna and Rush Health have collaborated to form Aetna Whole Health Chicago, a commercial health care product in Illinois that will provide members with care options including the tracking of outcomes, data sharing and the measurement of clinical standards.
Aetna Whole Health Chicago has the distinction of being the first accountable care organization (ACO) in Illinois to offer members the option of being a part of an ACO rather than being moved into it.
“We are shifting the health care system from one that focuses on quantity of services to one that offers consumers more choice, more value from services, and higher quality care at a more affordable price,” Nitin Bhargava, president of Aetna’s Illinois operations, said. “The outcome can be a better patient experience, a healthier community and fewer people in hospitals.”
Aetna members will have access to coordinated care through Rush Health’s 1,300 primary care physicians and specialists in its four hospitals.
“The Aetna Whole Health Chicago product is completely aligned with the mission and values of our organization and providers, and is unique compared to other local health plan choices,” Brent Estes, president and chief executive officer of Rush Health, said. “Employers and consumers will have access to a high-value product comprised of premier providers focused on improving quality and access, and reducing costs.”
Aetna Whole Health Chicago will be available to self-insured businesses beginning Nov. 1 with an effective date of March 1, 2016. Fully insured plans will be available Nov. 1 for an effective date of April 1, 2016.
For 2017, the Rush Health arrangement will likely be offered to individuals through the health insurance Marketplace or to fully insured and self-insured members in Cook, DuPage, Kane, Lake, Kendall, Will, Kankakee and McHenry counties.
More information is available at www.aetna.com.