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Arizona health insurance company harnesses the power of data to drive results in population health management

Health care spending and quality continue to be a top concern among Americans who pay more for health care yet have worse outcomes and a higher disease burden than other high-income countries. Value-based care, or care reimbursement based on the quality of patient outcomes rather than the quantity of services provided, offers an opportunity to balance the equation.

But even when payers and providers are working together to deliver more efficient care in a value-based care environment, there are still significant technology and process barriers to collaborating around data. Arizona health insurance company Banner|Aetna is cracking the code to true interoperability and delivering key improvements thanks to their unique payvider model. As the fastest-growing health plan in Arizona, Banner|Aetna was formed as a joint venture between Banner Health and Aetna, a CVS Health company.

Owned by both an insurance company and a health system, Banner|Aetna is uniquely aligned around incentives that typically divide priorities between a payer and provider. This alignment strengthens the companies’ shared commitment to reward value over volume of care for the delivery of better outcomes at a lower cost.

Banner|Aetna executives Tom Grote, CEO, and Robert Groves, MD, CMO and EVP, joined an expert panel from Healthcare Innovation to discuss how Banner|Aetna is paving the way when it comes to interoperability in value-based contracting.

“The world is moving towards population health value-based care, and I think to be effective it’s about full organization commitment. Not just the managed care leader, but the CFO and the hospital administrators and everyone must understand that this is the direction we are going. And if we work together, we can reach collective success in this new environment.” Tom Grote, Banner|Aetna CEO

The on-demand panel discussion also covers other key areas where Arizona health insurance company Banner|Aetna is innovating, like care management. Watch the full webinar to learn more about the secret to patient data and care management in value-based contracting.

Moderator: Mark Hagland, Editor-in-Chief of Healthcare Innovation

Panelists:

  • Thomas Grote, Chief Executive Officer, Banner|Aetna
  • Robert Groves, MD, Executive Vice President & Chief Medical Officer, Banner|Aetna
  • Jaime Haak, Growth, Bamboo Health

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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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.

98point6® is a registered trademark of 98point6 Inc. Access to 98point6® is not included in all plans. 98point6 is available to members age 1-17 when an adult parent or guardian is also enrolled in the plan.

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.

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