Aetna Wins Innovation and Excellence Award for Integrated Diabetes Program; America's Health Insurance Plans Foundation honors Aetna's efforts to integrate disease management services.HARTFORD, Conn. -- America's Health Insurance Plans (AHIP AHIP America’s Health Insurance Plans AHIP Army Helicopter Improvement Program AHIP Academy of Health Information Professionals AHIP Association of Hearing Instrument Practitioners (Ontario, Canada) AHIP ARPANET Host-IMP Protocol ) recognized Aetna (NYSE NYSE See: New York Stock Exchange :AET AET Aetna, Inc. AET After Extra Time AET Actual Evapotranspiration AET Alliance for Environmental Technology AET Alpha-Ethyltryptamine AET Applied Extrusion Technologies, Inc. ) yesterday with the 2006 Large/Affiliated Innovation and Excellence Award: Chronic Care for the company's integrated approach to helping members with diabetes manage their condition. The award was given to Aetna this week at the AHIP Foundation's Innovation and Excellence Awards Dinner at the 2006 National Policy Forum in Washington, D.C. "This award recognizes the strong foundation of Aetna's integrated approach to helping our members achieve optimal health," said Charles M. Cutler, M.D., head of National Quality Management at Aetna. "Using feedback gained during focus groups with consumers and care providers, we have successfully integrated services In computer networking, IntServ or integrated services is an architecture that specifies the elements to guarantee quality of service (QoS) on networks. IntServ can for example be used to allow video and sound to reach the receiver without interruption. to address our members' educational, psychosocial psychosocial /psy·cho·so·cial/ (si?ko-so´shul) pertaining to or involving both psychic and social aspects. psy·cho·so·cial adj. Involving aspects of both social and psychological behavior. and cultural needs. This approach enables us to support each member as a whole person with overlapping and connected health needs, rather than focusing solely on their chronic condition. Further, it reflects our commitment to offering members with diabetes a range of innovative outreach and programs." Approximately 6 percent of Aetna's HMO-based members, or about 180,000 members with diabetes, benefit from these award-winning outreach services, receiving consistent reinforcement in their diabetes self-management efforts. Components of Aetna's integrated approach to helping support members with diabetes include:
-- Member Education and Support
Helping members understand their condition, and the importance
of monitoring their health and following their
doctor-prescribed treatment plan is a core component of our
integrated diabetes management services, and includes nurse
outreach and support through our disease and case management
programs, direct mail reminders, education and self-management
tools, newsletters and web-based education and tools.
-- Psychosocial Support
Behavioral health issues can complicate an underlying medical
condition and lead to ineffective self-management. Members in
our diabetes disease management program are routinely screened
for depression and referred to our Medical/Psychiatric Case
Management program as needed for support with co-morbid
depression, which frequently occurs among people living with a
chronic condition like diabetes.
-- Cultural Diversity
Recognizing that the identical diabetes management plan will
not suit all people, Aetna provides culturally sensitive
materials to members and participating physicians to help them
understand the disease and develop a treatment plan they can
stick with for life. The Aetna Diabetes Care Kit for
physicians treating Hispanic or Latino patients with diabetes
received an eValue8(TM) Innovation Award from the National
Business Coalition on Health last fall.
-- Physician Education and Support
According to the Centers for Disease Control and Prevention,
more than 14.6 million Americans have been diagnosed with
diabetes, and 6.2 million Americans suffer from undiagnosed
diabetes. Health plans can play a key role in supporting
physicians in caring for their diabetic patients. Aetna
provides direct mail patient educational materials and
reminders, office tracking tools and rosters of Aetna members
potentially in need of service.
-- Community Collaboration
Aetna works with local diabetes coalitions to promote
compliance with recommended American Diabetes Association
guidelines. In the Maryland/Washington D.C./Virginia market,
Aetna implemented a pilot with the Network to Improve
Community Health (NICH) by providing participating physician
offices and lab draw stations with the NICH Patient Guidelines
for Diabetes Care brochure to educate their patients.
"It's such a great honor to have our efforts recognized externally against more than 35 other judged entries," said Judy Langley Lang·ley , Mount A peak, 4,227.9 m (14,026 ft) high, in the Sierra Nevada of southern California. lang·ley n. pl. , health care quality manager for National Quality Management (NQM NQM Nuclear Quadrupole Moment ). "It's very rewarding to see that our integrated programs proved to be more innovative and differentiated in this competition." Aetna's integrated programs have led to demonstrated success, as measured by the HEDIS HEDIS Health Plan Employer Data & Information Set Managed care An initiative by the National Committee on Quality Assurance to develop, collect, standardize, and report measures of health plan performances. (R) Comprehensive Diabetes Care measure components, Aetna's annual physician and office manager surveys, member and physician/office manager focus groups and the Med/Psych SF12(R) Health Survey. Aetna significantly improved HEDIS rates of cholesterol (LDL LDL - ["LDL: A Logic-Based Data-Language", S. Tsur et al, Proc VLDB 1986, Kyoto Japan, Aug 1986, pp.33-41]. ) control (less than 100) by 14.2 percent, nephropathy nephropathy /ne·phrop·a·thy/ (ne-frop´ah-the) disease of the kidneys.nephropath´ic analgesic nephropathy screening by 12.9 percent and the SF12 Mental Health Component by 44.9 percent. The AHIP Foundation is a non-profit, 501(c)(3), educational, scientific, and research arm of AHIP. It strives to create, support, and enhance programs throughout the health plan industry that improve quality, effectiveness, and value in health care through research, education, information sharing See data conferencing. , and other activities which reward exemplary practices by individuals and organizations. Aetna is one of the nation's leading diversified health care benefits companies, serving approximately 27.9 million unique members with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health Behavioral health was first used in the 1980's to name the combination of the fields mental health and substance abuse. As an example, an organization serving both mental health and substance abuse clients might refer to its practice as behavioral health or , group life, long-term care long-term care (LTC), n the provision of medical, social, and personal care services on a recurring or continuing basis to persons with chronic physical or mental disorders. and disability plans, and medical management capabilities. Our customers include employer groups employer group Association of employers Managed care An entity with a current group benefits agreement in effect with a health plan to provide covered health care services to its employee-subscribers and eligible dependents. , individuals, college students, part-time and hourly workers, health plans and government-sponsored plans. www.aetna.com |
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