Aetna launches new health plan

Sutter Health, a not-for-profit health care system in Northern California, and Aetna have announced plans to launch a jointly owned health plan. This new collaboration, the first of its kind in Northern California, will bring together

Sutter Health’s network of doctors and hospitals with Aetna’s health plan expertise, and shared care management capabilities.

Sutter Health and Aetna anticipate offering self-insured commercial products starting mid-2018 in the greater Sacramento, Central Valley and Bay Area communities, as well as fully insured PPO products to follow in early 2019, pending regulatory approval.

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This new company will complement Sutter Health’s and Aetna’s current products by providing more choices to Northern California’s commercially and self-insured populations.

By equally sharing ownership and accountability, Sutter Health and Aetna aim to “integrate the continuum of care delivery, from wellness to disease management, care coordination, and access.” The joint venture will also streamline administrative services for members.

The JV is hoping to use combined data analytics to identify at-risk patients sooner and provide them with earlier access to care by expanding access to alternative sites of care, and using advanced population health technology to help members better manage chronic and other health conditions.

“We are excited to partner with Sutter Health on this joint venture,” said Mike Bahr, Aetna’s senior vice president of local markets and territories. “With Sutter Health, we believe we have found a strong partner that shares our vision to transform health care in Northern California by providing members with a simpler, more personal experience.”

“Patients benefit when providers and health plans share resources and work together,” says Phil Jackson, Sutter Health’s CEO of Health Plan Products. “Our Sutter Health and Aetna insurance product offerings will provide employers with new self-funded and fully insured PPO options in Northern California.”

Currently, Sutter Health-affiliated providers care for more than three million Northern California residents. Aetna provides health care benefits to approximately 415,000 members in Northern California.

Aetna projects to have at least 75 percent of its claim payments in value-based models by 2020.

PR Newswire