Managed Care Report
Managed Care Report
• Aetna U.S. Healthcare (Blue Bell, PA) has launched its HMO in Indiana. Aetna U.S. has received approval from the state to begin offering the HMO in Boone, Hamilton, Hancock, Hendricks, Johnson, Madison, Marion, Morgan, and Shelby counties as soon as May 1, the company said. Aetna U.S. HMO members in Indiana will soon have access to disease management and wellness programs, including special programs to help members with diabetes, asthma, congestive heart failure, and chronic low back pain. The L’il Appleseed Maternity Management Program, which covers post-delivery home care nurse visits and case management for high-risk pregnancies, will also be offered, Aetna U.S. said. In other news, Aetna U.S. has settled a lawsuit by Texas, agreeing not to penalize doctors in its network who spend over budget for needed patient care. In the suit, Texas had accused Aetna U.S. of using financial incentives to get doctors to limit medical care for patients, reported the Los Angeles Times.
• Independence Blue Cross (IBC; Philadelphia) recently executed contracts with two area hospitals, The Holy Redeemer Health System and Roxborough Memorial Hospital. The new contracts are among a large number of new agreements reached by IBC with major provider groups, the company said. The Holy Redeemer contracts are effective May 1, with an initial term ending Dec. 31, 2003, IBC said. They represent a comprehensive set of agreements covering all services offered by the Holy Redeemer Health System. The Roxborough agreements were effective on April 1, with an initial term ending Sept. 30, 2001, said IBC.
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