Aetna Superior Wellness Premier Plan MMAI accredited to increase statewide to provide twin eligible Medicare-Medicaid customers across Illinois

CHICAGO, June 11, 2021 /PRNewswire/ — Aetna®, a CVS Overall health® company (NYSE: CVS), declared it…

CHICAGO, June 11, 2021 /PRNewswire/ — Aetna®, a CVS Overall health® company (NYSE: CVS), declared it has been given acceptance to extend its existing Illinois Medicare-Medicaid Alignment Initiative (MMAI) demonstration well being plan (Aetna Better Overall health® Premier Prepare MMAI) to serve the complete state. 

The MMAI is a groundbreaking joint hard work by the Illinois Section of Healthcare and Relatives Services (HFS) and Centers for Medicare and Medicaid Expert services (CMS) to reform the way treatment is delivered to persons suitable for both of those Medicare and Medicaid products and services (“dual eligibles”). The MMAI demonstration venture commenced delivering coordinated care to twin eligible enrollees in the Chicagoland region and Central Illinois commencing March 2014.

The statewide growth is the final result of substantial scheduling initiated in 2019 by HFS in collaboration with CMS, wellbeing options and community stakeholders. The MMAI integrated shipping process and payment design aims to strengthen the high quality, coordination and value-effectiveness of care for dual eligibles. Aetna’s acceptance to work statewide arrives just after the enterprise handed a readiness overview and secured contracts with a strong community of providers to fulfill the Medicare and Medicaid company needs of twin qualified associates. At this time, Aetna is the only wellbeing strategy authorised to function the MMAI program across all Illinois counties.

“Aetna Much better Wellness Leading Approach MMAI is fully commited to supporting additional dual qualified buyers across the point out of Illinois by means of our MMAI product presenting,” mentioned Corey Taliaferro, Executive Director for the program. “We constantly get favourable suggestions from our dual qualified customers who enjoy the usefulness of getting all of their Medicare and Medicaid added benefits in one program. They inform us possessing a selected care coordinator goes a very long way in assisting them to properly meet up with their person well being treatment wants and targets.”

Buyers eligible to enroll in MMAI in the enlargement counties might opt-in beginning in June 2021. They can make an lively collection for a July 1, 2021 successful date. The MMAI passive enrollment1 implementation for the statewide enlargement will come about in phases for a number of cohorts. Enrollment elements for the to start with passive enrollment cohort will be mailed in June 2021 with a September 1, 2021 successful date. For extra data, see MMAI Provider Discover.

Aetna was initially selected via a aggressive procurement and has served as an MMAI overall health prepare in Cook, DuPage, Kane, Kankakee and Will counties considering that the program’s inception. Aetna provides the entire spectrum of Medicare and Medicaid included services via an integrated treatment shipping and delivery program to seniors and grown ups (aged 21 and around) with disabilities who are eligible for each Medicare and Medicaid. Aetna welcomes recent suitable Medicare Benefit and HealthChoice Medicaid associates residing in growth counties into the MMAI system the place they can receive all covered expert services in a person integrated wellbeing strategy with treatment coordination. For much more facts, see Aetna Better Health and fitness Premier Strategy MMAI.

1Passive enrollment signifies that if a consumer does not pick out a health approach, the client will be automobile assigned to a wellness system.

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About Aetna
Aetna, a CVS Overall health business, serves an approximated 34 million people today with information and methods to help them make superior informed selections about their health treatment. Aetna features a wide vary of regular, voluntary and consumer-directed wellbeing insurance products and solutions and related companies, which includes health care, pharmacy, dental and behavioral wellbeing designs, and professional medical administration abilities, Medicaid well being treatment administration solutions, workers’ compensation administrative expert services and wellbeing details know-how goods and products and services. Aetna’s clients include employer teams, individuals, faculty pupils, portion-time and hourly workers, health options, wellness treatment suppliers, governmental models, governing administration-sponsored strategies, labor teams and expatriates. For more information, visit www.aetna.com.

Aetna Much better Well being Premier Program MMAI is a health approach that contracts with each Medicare and Illinois Medicaid to offer gains of equally plans to enrollees.

Aetna Medicare operates a Medicare-Medicaid System (MMP) beneath a a few-way agreement with Aetna Greater Wellness of Illinois, Illinois Office of Healthcare and Household Expert services (HFS) and Centers for Medicare and Medicaid Solutions (CMS). Aetna Medicare has knowledge serving customers who are dually suitable for Medicare and Medicaid in 24 states. Enrollment in our ideas depends on deal renewal. Participating doctors, hospitals and other overall health treatment companies are unbiased contractors and are neither brokers nor workers of Aetna. The availability of any particular supplier are unable to be confirmed, and provider community composition is matter to adjust.

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