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Banner|Aetna Pioneers Innovative Health Care Solutions

By Joanne Mizell

Health care needs to be fixed. At Banner|Aetna, we are committed to doing just that. I recently joined the Becker’s Healthcare Podcast to share my perspective on industry challenges and opportunities, plus give insight into several of the innovative health care solutions Banner|Aetna is working on to improve the member experience.

Evolving digital health

The extraordinary circumstances of the pandemic sped up the demand for an adoption of virtual and digital solutions, especially for behavioral and mental health. To support our members and provide convenient access to mental and emotional well-being services, without long wait times, Banner|Aetna offers over a dozen options for virtual care. This shift has opened doors to improve care access which is a significant step forward.

Streamlining prior authorization

As we work to deliver innovative health care solutions for members, improving health insurance prior authorization is also a focus. We are looking to simplify and possibly eliminate this process to ensure our members receive efficient and timely care. This commitment to innovation in health care administration is essential to our mission of improving the member experience. We are prioritizing investments that directly impact and alleviate the pain points of prior authorization for members. Considering the complexities of the industry, our efforts are geared towards making strategic investments that we anticipate will bring about not just short-term benefits, but also long-term, industry-wide improvements.

Revolutionizing the member experience

Another priority of ours is member onboarding. As members transition between health plans, it can be difficult for them to understand their coverage or know what to expect, especially when provider networks and RX coverage can vary between plans. At Banner|Aetna, our objective is to engage with new members proactively and ensure they are well-informed and prepared to navigate their health care, prior to accessing services. By testing outreach strategies and utilizing technology, like SMS for communications, we enhance member satisfaction and reduce frustration.

Innovative health care solutions fuel growth and retention

Looking to the future, we see retention as a key growth driver. By providing members with a hassle-free experience and fostering a reputation for convenience and efficiency, we expect to see sustainable growth. Continuing our close collaboration with health systems and partners, we aim to streamline processes even further, improving the member experience overall.

You can learn more about Banner|Aetna’s innovative health care solutions, like virtual diabetes reversal, frictionless billing and more, by exploring other articles, blogs and interviews.

 

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Transforming health care, together

Banner|Aetna aims to offer access to more efficient and effective member care at a more affordable cost. We join the right medical professionals with the right technology, so members benefit from quality, personalized health care designed to help them reach their health ambitions.

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What's New

Health benefits and health insurance plans are offered, underwritten, and/or administered by Banner Health and Aetna Health Insurance Company and/or Banner Health and Aetna Health Plan Inc. (Banner|Aetna). Banner|Aetna is an affiliate of Banner Health and of Aetna Life Insurance Company and its affiliates (Aetna). Each insurer has sole financial responsibility for its own products. Aetna and Banner Health provide certain management services to Banner|Aetna. Aetna, CVS Pharmacy® and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.

On-Demand Virtual Care with 98point6 by Transcarent

Banner|Aetna offers access to 98point6 by Transcarent, a virtual care solution that enables members to connect to care anytime, anywhere via secure in-app messaging.

Treatment is provided by a U.S.-based care team, including board-certified doctors, who can diagnose and treat over 1,000 conditions, outline care options, prescribe* medication, and order labs or imaging when appropriate—all through the convenience of a mobile app.

Key Features:

  • Audio, video, and Spanish translation support available as needed
  • Access to care plans and lab results directly within the app
  • Referrals to in-network resources and specialists
  • Care is available in all 50 states and Washington D.C.
  • 24/7/365 access with an average wait time of under 2 minutes—no appointment required.

Available to enrolled Banner|Aetna members and covered dependents age 1+* in an eligible plan.

Cost: Low-to-no-cost per visit*, depending on plan details.

*FOR ENROLLED MEMBERS AND COVERED DEPENDENTS AGE 1+: 98point6 by Transcarent is available to members age 1-17 when an adult parent or guardian is also enrolled in the plan. Access to 98point6 by Transcarent is not included in all plans.

*FOR LOW-TO-NO-COST WITH 98POINT6 BY TRANSCARENT: Members enrolled in a health savings account (HSA) or qualified high-deductible health plan (HDHP) must pay the applicable cost-share for virtual care visit until their deductible is met, after which services will be provided at no cost-share. All other health plan members pay $0 per virtual care visit regardless of whether their deductible has been met. Please refer to your plan documents for your applicable cost-share amounts.

*FOR 98POINT6 BY TRANSCARENT PRESCRIBING: 98point6 by Transcarent providers do not prescribe controlled substances (such as opioids), lifestyle medications (such as Viagra and Propecia) or weight loss medications (Wegovy or Ozempic). 98point6 by Transcarent and Transcarent Clinic clinicians are independent contractors and are neither agents nor employees of Banner|Aetna or plans administered by Banner|Aetna, and does not guarantee that a prescription will be written. Transcarent Clinic providers will not prescribe DEA-controlled substances, non-therapeutic drugs and certain other drugs that may be harmful because of their potential for abuse. Clinicians reserve the right to deny care for potential misuse of services

This material is for information only. An application must be completed to obtain coverage. Rates and benefits vary by location. Providers are independent contractors and are not agents of Banner|Aetna. Provider participation may change without notice.

Health insurance plans contain exclusions and limitations.