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As one of the nation’s leading health plans, Aetna’s members represent the country’s increasing diversity in race, ethnicity and language. We are committed to improving services for preventive health, early detection and disease management for health conditions commonly seen in specific racial or ethnic groups. Efforts to reduce disparities in health care could ultimately improve care and reduce overall health care costs.
Aetna has taken a leadership role in finding and implementing solutions to the problem of health care disparities and for 10 years has been a catalyst for change. In addition to creating our own initiatives to fight disparities among our members, we encourage researchers at the nation’s top academic institutions and engage community-based organizations to address variations in health status and health care delivery among racial and ethnic populations.
We also work closely with numerous national health care organizations that have identified racial and ethnic disparities in health care as an issue that needs attention and action.
The face of America's workforce is changing rapidly as our nation's population of ethnic and racial minorities continues to grow. Providing employees of all racial and ethnic backgrounds with access to quality health care benefits and resources can help them stay healthy. Employers, in turn, will benefit from increased productivity, lower absenteeism and, possibly, lower health care cost increases.
The most important step employers can take is to encourage their employees to voluntarily provide information on their race and ethnicity – to both their doctor and their health plan. Certain races and ethnicities encounter certain diseases and conditions at higher rates.
Employees should make sure their doctor knows their racial and ethnic background in order to provide the best medical care. Additionally, racial and ethnic information is important to a person’s health plan. Such data can lead to the development of specific initiatives that improve the health of people of various backgrounds based on their risks for certain conditions.
We use information our members voluntarily provide to create our Racial and Ethnic Equity Dashboard (REED) report. Data leads to insight about member health needs, which strengthens our ability to develop targeted initiatives. It is important to note that Aetna uses this information only to improve the quality of care for our members and not for rating, underwriting, determining insurability, marketing or premium determinations.
Specifically, Aetna uses information our members voluntarily provide to:
- Develop preventive health, early detection and disease management programs and processes.
- Assess Aetna's health care provider networks' ability to meet race, ethnicity, culture and language communication needs and preferences of our member population.
- Create and deliver quality improvement, management or assessment programs and processes.
- Measure the performance and outcomes of our programs and processes.
- Help gain accreditation by the National Committee for Quality Assurance (NCQA) and other accreditation organizations.
- Satisfy state and federal requirements.
Yes. Member privacy is paramount. We have developed strict policies and procedures to protect member information — including race, ethnicity and language preference information — from inappropriate use and disclosure.
The issue of health care disparities is immensely complex, but there are targeted solutions that can help us bridge the gap. Emphasis must be placed on encouraging healthy lifestyles, timely screenings, accessible medication and regular care. Also, language and cultural barriers must be eliminated. At the very least, patients must be given tools that help them to speak more confidently and effectively with their health care providers so that they can take greater control of their health and well-being.
In the past, health plans like Aetna have not systematically collected data on race and ethnicity. Success of our initiatives will be achieved if we can:
- Establish a baseline representative of the demographic composition of Aetna’s membership; and
- Collect, maintain and present data on race and ethnicity that leads to the development of effective member education, health prevention and patient care management programs.
In the end, true success will come when our members achieve improved health outcomes as a result of our targeted initiatives and programs.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).
Health benefits and health insurance plans contain exclusions and limitations.