Aetna One Essentials
Aetna One Essentials is available only to these types of customers and is included in the base fee.
What is self-funded/self-insured?
Aetna One Flex includes all of the features of this model, plus more.
What is Aetna One Essentials?
Aetna One Choice includes all of the features of this model, plus more.
What is Aetna One Flex?
Care Considerations are _____ that are sent to providers.
What are alerts/messages/opportunities?
Aetna Advice is embedded into the Aetna One CM pricing with no additional ____.
What are fees?
Aetna One Essentials focuses on this type of care as well as admission prevention.
What is acute/episodic?
Types of customers this model is available to.
What are both self-funded and fully insured?
Aetna One choice includes integrated ____ management.
What is utilization?
The Care Consideration severity level that is the least serious/urgent in nature.
What is severity level 3?
Aetna Advice is designed to identify these opportunities for a broader set of members than those who are high-risk.
What are behavior change?
Type of algorithm used by Aetna One Essentials (though not as deeply as other models).
What is a predictive algorithm?
Type of nurse model used for Aetna One Flex and Choice.
What is a single nurse model?
Aetna One Choice includes this, which focuses on nine key factors to drive even greater engagement and behavior change.
What is integrated group coaching?
The majority of savings from Care Considerations come from these two severity levels.
What are levels 1 & 2?
Aetna Advice has additional campaigns for these two Aetna One CM models.
What are Aetna One Flex and Choice?
This program is included in all Aetna One models and focuses on total hip and knee replacement surgery recovery.
What is the Healing Better Program?
Aetna One Flex and Choice models focus on a combination of these two types of care management.
What are acute and chronic/comorbid?
This is a required buy-up for Aetna One Flex and Choice.
What is MedQuery?
This program is required to identify Care Considerations.
What is MedQuery?
This is what makes Aetna Advice unique in comparison to our competitors.
What is the fact that our competitors do not offer a similar product?
All Aetna One members have access to these TWO types of targeted interventions through Simple Steps or MEP.
What is digital content and coaching?
An example of the expanded care team included in the Aetna One Flex model.
What is an Aetna dietician and/or pharmacist?
Aetna One Flex and Choice models take digital offerings to another level by proactively identifying members who benefit and do this with them.
What is target them for engagement/digital engagement?
How we know if a provider has acted on a Care Consideration.
What is refreshing claims data to search for clinical evidence that the CC was implemented?
An example of a new Aetna Advice campaign for 2023.
What are Behavioral Health, Readmissions Prevention, and/or Women's Health/Menopause?