Aetna Health Connections (AHC) comprises a range of member-focused health support and information services that are provided by more than 2,000 Aetna-employed clinical professionals, including doctors, nurses, pharmacists, social workers, wellness counselors, nutritionists and weight loss therapists.
Aetna Health Connections is a whole new approach to medical management, through which we provide members with the information and tools they need to help them stay well, manage illness effectively and get better faster.We create a broad understanding of each member, based on an integrated view of all their benefits, current health status and life stage. This helps us develop and connect powerful programs to each individual so they can achieve and maintain their personal optimal health.
In every health program we offer – targeting the full health continuum from well employees to chronic and seriously ill populations– we leverage:
As a result, you:
Why disease management is so important today
Approximately 133 million Americans, or 45 percent of the U.S. population, live with chronic disease. Of those, an estimated 60 million live with more than one chronic condition. By 2020, it is estimated that 157 million Americans will have at least one chronic condition. (Source: The American College of Physicians, Costs and Quality Associated with Treating Medicare Patients with Multiple Chronic Diseases.)
Properly managed chronic diseases can reduce hospitalizations and the development of more serious medical complications, resulting in lower medical costs for consumers and employers.
Technology and trained professionals at your service
The AHC disease management program (DM) is delivered by Aetna nurses using technology shared with our subsidiary, ActiveHealth® Management, Inc. By leveraging ActiveHealth’s clinical support system and CareEngine®, Aetna members benefit from continuous monitoring of their health status.While most traditional disease management programs focus on delivering education to members about a single chronic condition, the AHC DM program focuses on the entire individual, with specific interventions driven by CareEngine. The system works by:
It can identify potentially dangerous drug-drug and drug-disease interactions, and the need for preventive screenings or other care.
Supporting the doctor-patient relationship
The program does much more than help members manage their ongoing health conditions. It also supports their relationship with their doctors. This may include special messages called “Care Considerations,” which are important messages about a member’s health that may need attention.
We send Care Considerations to members and their doctors and we also ask our members to talk to their doctors about them. We find Care Considerations by comparing our data with national medical guidelines. For example, a member might be taking two medications that don’t agree with each other. Or, a member may have missed an important preventive health test.
Care Considerations sent to doctors can urge doctors to consider:
And in every case where a Care Consideration is sent, the medical literature, guideline or evidence supporting the recommendation is referenced.
Managing disease makes it easier to manage your business
You want more productivity from your workforce and fewer health care costs. AHC disease management program can help our members:
Find out how Aetna Health Connections can benefit your employees