Southeastern Health Partners and Aetna have established a new partnership that will help provide a collaborative care approach to more than 7,000 Aetna Medicare Advantage members across the Upstate of South Carolina.
This partnership demonstrates Southeastern Health Partners’ commitment to providing patients with the best care. It focuses on prevention and wellness and reduces unnecessary emergency room visits and hospital readmissions – saving money for all involved. Southeastern Health Partners and Aetna’s new agreement promotes efficient and high value health care by ensuring that members receive the right care at the right time with the best possible outcomes.
Southeastern Health Partners (SEHP) has been selected to join a network of visionary health care providers focused on delivering high-value care.
The BlueCross BlueShield (BCBS) Innovation Network is focused on delivering high-value health care by aligning with Southeastern Health Partners and its full clinical care model. The care model includes high-performing primary care physicians, an integrated network of providers across all specialties, ambulatory care management, transitions of care and quality performance.
Bright Health Group is built upon the belief that by aligning the best local resources in healthcare delivery with the financing of care, we can drive a superior consumer experience, optimize clinical outcomes, reduce systemic waste and lower costs. We are a healthcare company that is building a national, integrated system of care, in close partnership with our Care Partners. Our differentiated approach is: Built on Alignment, Focused on the Consumer, and Powered by Technology. We have two market facing business: NeueHealth and Bright HealthCare. Through NeueHealth we deliver high-quality virtual and in-person clinical care to nearly 75,000 unique patients through our 61 affiliated risk-bearing primary care clinics. Through Bright HealthCare we offer Medicare and Commercial health plan products to approximately 623,000 consumers in 14 states and 99 markets. We are making healthcare right. Together.
The Centers for Medicare & Medicaid Services (CMS) is a federal agency in the US Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
CMS also has other responsibilities, including:
- The administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
- Quality standards in long-term care facilities (nursing homes) through the survey and certification process.
- Clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments (CLIA).
UnitedHealthcare is dedicated to helping people live healthier lives and making the health system work better for everyone by simplifying the health care experience, meeting consumer health and wellness needs, and sustaining trusted relationships with care providers. In the United States, UnitedHealthcare offers the full spectrum of health benefit programs for individuals, employers, and Medicare and Medicaid beneficiaries, and contracts directly with more than 1.2 million physicians and care professionals, and 6,500 hospitals and other care facilities nationwide. The company also provides health benefits and delivers care to people through owned and operated health care facilities in South America.