Innovation Health Aetna Inova

Innovation Health Aetna Inova – Inova Health System Overview  Headquartered in Northern Virginia, Inova serves the Washington, DC metro area.  Inova is a non-profit organization.

Presentation on theme: “Overview of Inova Health System  Headquartered in Northern Virginia, Inova serves the Washington, DC metro area.

Innovation Health Aetna Inova

2 Overview  Inova is headquartered in Northern Virginia and serves the Washington metropolitan area  Inova is a not-for-profit health system  Inova has a Level 1 trauma center  Inova Fairfax Hospital is a leading hospital  Ranked #1 by World and News three times in a row Report years DC area hospitals  Inova includes hospitals, outpatient services, primary care physicians, and health and wellness practices.  Governed by a volunteer board of members

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3 Inova Hospital  Hospital  Inova Alexandria Hospital  Inova Children’s Hospital  Inova Fairfax Hospital (Inova Fairfax Medical Campus)  Inova Fair Oaks Hospital  Inova Loudoun Hospital  Mounons Hospital

4 Inova Facilities  Inova Cardiovascular Center  Inova Emergency Department  Inova Emergency Department  Inova Medical Group Clinic  Inova Medical Group Office for Adult Specialists  Inova Ambulatory Surgery Center for Inova Physical Center  Inova Medical Center  Inova Medical Center  Inova Medical Center Inova-Ballston  Inova Healthcare & Specialty Center Gainesville  Inova Loudoun Medical Campus-Leesburg  Inova Medical Pavilion

5 National and International Program Recognition  Inova Heart and Vascular Institute (IHVI)  Large Network of Physicians D.C. Metropolitan Area  Researching the Latest Advances in Cardiac Treatment  First VA Hospital to Offer CoreValve Study  Minimally Invasive Procedure for Aortic Stenosis  Nationally Recognized Atrial Fibrillation Team  Innova Translational Medicine Institute (ITMI)  Health Research Research and Chironic Research Provides Cancer Genetic Counseling

6 National and International Program Accreditations  Inova Institute of Neuroscience  Eight specialty programs  Pioneers in the diagnosis, treatment and research of complex neurological diseases  Research to improve treatment protocols  Inova Alexandria Hospital and Inova Fairfax Hospital are the best. American Division. Neurology and Neurosurgery. News & World Report  Fair Oaks Hospital Receives Gold Medal of Health Quality Accreditation for Cervical and Lumbar Surgery Program  Inova Children’s Hospital  US News & World Report among Best Hospitals in Neonatal Medicine, Cardiology and Cardiovascular Surgery  New Inova Children’s Hospital Opens in 2016  The only hospital in the region to be nationally ranked in both women’s and children’s care  Only 3% of hospitals receive national rankings in specific specialties  The Joint Committee awarded the first Gold Medal for Premature Infants and the Intensive Care Unit at Inova Children’s Hospital

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7 How to find a doctor  To find a doctor go to http://www.inova.org/physicians/http://www.inova.org/physicians/  There you can enter search criteria based on specialty, location, Hospital, gender, doctor’s name or language

8 Health Plans Approved at Innova  Do you need health insurance? Innovation Health by Innova Health System  Innovation Health is a healthcare plan created in partnership between Innova and Aetna  Insurance policies with Innovation Health allow for a team approach and easy communication within your healthcare team  Innova accepts many leading professional and state health insurance Policies  Aetna , Anthem BlueCross BlueShield, CareFirst BlueCross BlueShield, Cigna, Corvell, HealthNet Federal Services (TriCare), Innovation Health, InTotal Health (Medicaid HMO), Medicare (Parts A&B), Multiplan/PHCS

9 Patient Billing Information  Financial Assistance Options  Inova is a tax-exempt nonprofit organization  If a patient needs financial assistance, call Inova at 70-391-3840  Inova can help apply for state and local assistance  Patient emergency services are eligible even if they cannot pay, because Inova is a Medicare provider and participates in the Emergency Medical Care and Active Workforce Act  Patients must have their insurance card available at all times and identification  Patients must know their insurance benefits and company requirements  Payment must be made for patient billing or other expenses at the time the procedure is provided.

10 Additional Services Inova Provides  Inova is a sponsor of CaringBridge, a nonprofit organization that provides a free website to connect families and friends during hospitalization. Patient care and condition  Site is updated by the patient or family member and allows people to leave comments and wishes on the site  On-demand health  Innova’s e-newsletter on topics ranging from health and fitness to various health issues

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11 Inova in the Community  Inova is committed to serving the region and partnering with individual communities, schools and other organizations  Community programs include:  Inova Blood Donation Service  Shop Fresh and Local  Child Care  ElderLink  PUN and SNA  Partnership Information  Inova Child Care  Inova Diabetes Center  More can be found on the Inova website

12 Stay connected  Follow Inova news via Facebook, Twitter and YouTube  For more questions, or if you are interested in volunteering or donating blood, visit http://www.inova.org/  Donate to Inova Health Foundation in support of Inova . , a non-profit health care organization  Upcoming Inova Health Foundation events include:  Inova Children’s Hospital Annual Golf Tournament (September 8)  Joan Hisaoka Make a Difference Gala (September 19)  Inova Hospital Fair Oaks Golf and Tennis September 19  To learn more visit https://foundation.inova.org/https://foundation.inova.org/

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In order to operate this website, we record and share user data with processors. To use this website, you must agree to our Privacy Policy, including our Cookie Policy. Health insurers and hospitals often operate as competitors with conflicting financial interests, but Northern Virginia’s Innova Health System is working with Aetna to create an unusual health plan in which the two parties will share costs and profits.

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The partnership, the first of its kind in the country, will provide financial incentives to incentivize doctors to provide less expensive care, such as prevention, as well as measure and reward quality.

And when companies pay premiums to enroll employees in plans, they get a discount if health care costs are lower than expected.

The collaboration suggests the industry is not waiting for the Supreme Court’s decision on the health law, which could come as soon as Monday, to make new partnerships and major changes to their business models.

It also speaks to the wave of consolidation in the healthcare industry. Under increasing economic pressure from employer health care costs, doctors, hospitals and insurance companies are looking to become more efficient – ​​and more integrated in the process.

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“It really took off last year,” said Chas Rhodes, director of research at The Advisory Board, a consulting firm. “If you’re trying to coordinate care more effectively and reduce unnecessary access, controlling user dollars is helpful.” Then incentives can be changed for users, doctors and other facilities.”

But vision is a challenging task for two companies accustomed to working with different goals. Hospitals, paid for each procedure, have a financial reason to provide the maximum possible care. Insurers, who want to keep premiums low, want to limit the amount hospitals can charge.

Steven Parente, a University of Minnesota health finance professor who studies the hospital sector, said the partnership between the two “looks like a bad marriage.” “If money isn’t handled maturely and accountability isn’t good, you end up with a lot of fighting and finger-pointing.”

With innovative health plans, Inova and Aetna plan to use existing hospital systems and affiliated physician groups as a network of providers that members can see. Using electronic medical records, they will be able to track how well each doctor is achieving quality metrics — and provide more personalized medicine.

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“We truly believe that building a network of partners—all who agree to treat their patients with best practices—can dramatically improve outcomes and reduce costs,” said Knox Singleton, CEO of Innova Health Systems. “We believe this specific focus can allow us to provide the best care possible.”

Similar limited networks became popular in the 1990s with the rise of health care organizations, but ultimately met with a backlash from consumers who wanted their

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