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Aetna Launches Patient-Centered Medical Home Initiative

Decision-support tool Eviti is used in a plan that aims to improve cancer treatment coordination while reducing patient costs.

Aetna has partnered with Consultants in Medical Oncology and Hematology, PC (CMOH) to launch The Oncology Patient Centered Medical Home (OPCMH). Their strategy includes evidence-based decision support tool Eviti.

The initiative stems from an effort to help patients better navigate the health care system and receive appropriate treatment. Over half of all new cancer patients are ages 65 or older, and most have one or more conditions, Aetna says. Aetna and CMOH’s combination of decision support, personalized treatment, and new payment model will help them avoid treatment complications and high costs.

[ Read more about how Aetna is using tech to improve health care: Interview: Aetna’s Innovation Leader Talks Tech’s Potential to Improve Health Outcomes. ]

The two companies have coordinated access to Eviti’s decision-based support tool, which provides access to evidence-based clinical best practices. Patients with the tool can learn, in real time, which treatment options are covered under their insurance plan. Oncologists who use Eviti will have access to an automated preauthorization process.

Aetna combined the financial models of Patient-Centered Medical Home Patient-Centered Medical Home (PCMH), in addition to those of oncology programs, to recognize the combination of CMOH’s personalized care and Eviti’s clinical decision support. CMOH will receive financial recognition for expanding its services to its commercial members.

“The OPCMH model supports clinical decision making at each patient interaction, merges care processes, workflow, documentation and communication,” said John D. Sprandio, MD, FACP, physician-in-chief at CMOH.

Kelly Sheridan is the Staff Editor at Dark Reading, where she focuses on cybersecurity news and analysis. She is a business technology journalist who previously reported for InformationWeek, where she covered Microsoft, and Insurance & Technology, where she covered financial ... View Full Bio

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