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PinnacleHealth, Aetna announce accountable care agreement

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Harrisburg-based nonprofit PinnacleHealth System and national insurer Aetna today announced a new accountable care agreement.

Aetna said it will introduce both fully insured and self-insured health plans in Central Pennsylvania that will use PinnacleHealth’s community-based systems of care and its network of physicians. The first product, for groups of more than 51 employees, will be available April 1, 2014. A small-group product for groups of two to 50 employees will be introduced July 1, 2014.

Under the agreement, PinnacleHealth has committed to quality and cost outcomes for Aetna members that see PinnacleHealth physicians. Aetna and PinnacleHealth said they jointly agreed upon a set of metrics surrounding quality, efficiency and patient satisfaction measures that they describe as intended to improve the quality of care and lower overall health care costs.

Aetna, which announced an accountable care organization with York-based WellSpan Health in October, said it is working with health care organizations across the country to develop products and services that support value-driven, patient-centered care.

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