Aetna Expands Clinical Collaboration Program to Enhance Support for Hospitals and Provide Personalized Member Care
CVS Health's Aetna (NYSE: CVS) announced the expansion of its Aetna Clinical Collaboration (ACC) program, which will be implemented in ten hospitals by the end of 2025. The program embeds Aetna nurses within hospital staff to support Medicare Advantage members during their hospital discharge and transition process.
The initiative, which has already shown promising results with 25% of program members actively engaged with an Aetna care manager, aims to reduce 30-day readmission rates and hospital length of stay by 5% year-over-year. The program is particularly significant as nearly 20% of Medicare-insured patients face hospital readmission within 30 days of discharge.
CVS Health's Aetna (NYSE: CVS) ha annunciato l'espansione del programma di Collaborazione Clinica Aetna (ACC), che sarà implementato in dieci ospedali entro la fine del 2025. Il programma integra infermieri di Aetna nel personale ospedaliero per supportare i membri di Medicare Advantage durante la dimissione e la fase di transizione dall'ospedale.
L'iniziativa, già testata con risultati incoraggianti con il 25% dei membri del programma attivamente impegnato con un responsabile delle cure di Aetna, mira a ridurre i tassi di riammissione entro 30 giorni e la durata del soggiorno ospedaliero del 5% su base annua. Il programma è particolarmente significativo poiché quasi il 20% dei pazienti assicurati da Medicare affronta una riammissione entro 30 giorni dalla dimissione.
CVS Health's Aetna (NYSE: CVS) anunció la expansión del programa ACC (Clinical Collaboration de Aetna), que se implementará en diez hospitales para fines de 2025. El programa integra enfermeras de Aetna al personal hospitalario para apoyar a los miembros de Medicare Advantage durante el alta y la transición hospitalaria.
La iniciativa, que ya ha mostrado resultados prometedores con el 25% de los miembros del programa activos con un gestor de cuidados de Aetna, busca reducir las tasas de readmisión a 30 días y la duración de la estancia hospitalaria en un 5% interanual. El programa es especialmente significativo ya que casi el 20% de los pacientes asegurados por Medicare enfrentan una readmisión dentro de 30 días de su alta.
CVS Health의 Aetna(NYSE: CVS)는 ACC(Clinical Collaboration) 프로그램의 확장을 발표했으며, 2025년 말까지 10개 병원에서 시행될 예정입니다. 이 프로그램은 병원 직원 내에 Aetna 간호사를 배치하여 Medicare Advantage 회원이 퇴원 및 전환 과정에서 지원을 받도록 합니다.
이미 프로그램 구성원 중 25%가 Aetna 간호 관리사와 적극적으로 참여하고 있는 등 유의미한 초기 성과를 보이고 있으며, 30일 재입원률과 입원 기간을 전년 대비 5% 감소시키는 것을 목표로 합니다. Medicare 보험 환자의 거의 20%가 퇴원 후 30일 이내에 재입원한다는 점에서 이 프로그램은 특히 중요합니다.
CVS Health's Aetna (NYSE: CVS) a annoncé l'expansion du programme ACC (Clinical Collaboration d'Aetna), qui sera mis en œuvre dans dix hôpitaux d'ici la fin de 2025. Le programme intègre des infirmières d'Aetna au sein du personnel hospitalier pour soutenir les membres Medicare Advantage lors de leur sortie et de leur transition hospitalière.
L'initiative, déjà prometteuse avec 20% des membres du programme activement engagés auprès d'un gestionnaire de soins d'Aetna, vise à réduire les taux de réadmission à 30 jours et la durée de séjour hospitalier de 5% en glissement annuel. Le programme est particulièrement significatif car près de 20% des patients assurés par Medicare risquent une réadmission dans les 30 jours suivant la sortie.
CVS Healths Aetna (NYSE: CVS) gab die Erweiterung des ACC-Programms (Clinical Collaboration) bekannt, das bis Ende 2025 in zehn Krankenhäusern umgesetzt wird. Das Programm integriert Aetna-Krankenschwestern in das Krankenhauspersonal, um Medicare Advantage-Mitgliedern während der Entlassung und des Übergangs zu helfen.
Die Initiative hat bereits vielversprechende Ergebnisse gezeigt, da 25% der Programmteilnehmer aktiv mit einem Aetna-Care-Manager zusammenarbeiten, und zielt darauf ab, die 30-Tage-Wiederaufnahmerate sowie die Verweildauer im Krankenhaus um 5% gegenüber dem Vorjahr zu senken. Angesichts, dass fast 20% der Medicare-versicherten Patienten innerhalb von 30 Tagen nach der Entlassung erneut aufgenommen werden, ist das Programm besonders bedeutsam.
CVS Health's Aetna (NYSE: CVS) أعلن عن توسيع برنامج ACC (Clinical Collaboration) الذي سيُنفّذ في عشرة مستشفيات بنهاية عام 2025. يدمج البرنامج ممرضات Aetna ضمن طاقم المستشفى لدعم أعضاء Medicare Advantage خلال عملية الخروج والانتقال من المستشفى.
هذه المبادرة، التي أظهرت نتائج واعدة بالفعل مع 25% من أعضاء البرنامج في تواصل نشط مع مدير الرعاية في Aetna، تهدف إلى تقليل معدلات العودة خلال 30 يوماً ومدة إقامة المستشفى بنسبة 5% سنوياً. البرنامج هام بشكل خاص لأن ما يقرب من 20% من المرضى المؤمن عليهم عبر Medicare يواجهون إعادة دخول المستشفى خلال 30 يوماً من الخروج.
CVS Health's Aetna (NYSE: CVS) 宣布扩大其 ACC（Aetna 临床协作）计划，该计划将于2025 年底前在十家医院实施。该计划将 Aetna 护士嵌入医院员工队伍中，在 Medicare Advantage 会员出院及过渡期间提供支持。
该倡议已经显示出初步成效：有 25% 的计划成员主动与 Aetna 护理经理保持联系，旨在使 30 天再入院率和住院时长分别下降5%（同比）。考虑到近 20% 的 Medicare 保险患者在出院后 30 天内再入院，这一计划尤为重要。
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- Current high readmission rate of 20% among Medicare-insured patients indicates significant challenges
- Limited initial rollout to only 10 hospitals in 2025 compared to Aetna's large member base of 4+ million
Insights
Aetna's hospital collaboration program shows promising early results and expansion plans, potentially reducing readmissions and costs for Medicare Advantage business.
Aetna's Clinical Collaboration Program represents a strategic approach to addressing a significant healthcare challenge - the
The program's targeted
The early engagement metric - approximately
Strategically, this initiative aligns with broader industry trends toward value-based care and payer-provider collaboration. It addresses a key vulnerability in the healthcare journey while simultaneously reducing administrative burden on hospital partners. The planned expansion to Commercial business indicates confidence in the model's effectiveness and suggests potential for broader implementation across CVS Health's diversified healthcare operations.
- Aetna Clinical Collaboration Program on-track to implement in ten hospitals by end of 2025
- Early indicators show high member engagement with program projected to reduce 30-day readmissions and length of hospital stay
Hospital re-admissions happen more often among older populations, with nearly 20 percent of Medicare-insured patients who are hospitalized being readmitted within 30 days of being discharged.* The ACC program aims to improve care outcomes for Aetna Medicare Advantage members, reducing their 30-day readmission rates and emergency room visits while also easing the administrative load on hospitals and clinical personnel.
"Hospital discharge is one the most important—and vulnerable—moments in a patient's journey," said Dr. Ben Kornitzer, Senior Vice President and Aetna Chief Medical Officer. "Patients may be managing new diagnoses, complex medications, and follow-up needs, all while coping with the stress of transitioning back home or to a new facility. By embedding Aetna nurses within hospitals, we're partnering with care teams to ensure that members are supported every step of the way and have the right services to stay well and avoid complications that could lead to readmission."
The first ACC program was implemented earlier this year, with approximately 1 in 4 program members already actively engaged with an Aetna care manager. Once fully implemented at scale, the ACC program is projected to reduce year-over-year 30-day readmissions and hospital length of stay by five percent.
As a leading Medicare Advantage health plan provider, Aetna has more than 4 million members over 65 and plans to continue expanding the ACC program across its network in 2026 and beyond. The company is also implementing ACC for its Commercial business.
*Jencks, S., Williams, M. & Coleman, E. (2009). Rehospitalizations among patients in the Medicare fee-for-service program. New England Journal of Medicine. 360(14),1418-28.
About Aetna
Aetna, a CVS Health business, serves an estimated 36 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care professionals, governmental units, government-sponsored plans, labor groups and expatriates. For more information, visit Aetna.com (e.g., clinical diagnoses, eligibility criteria, participation in a disease state management program).
About CVS Health
CVS Health is a leading health solutions company building a world of health around every consumer, wherever they are. As of June 30, 2025, the Company had approximately 9,000 retail pharmacy locations, more than 1,000 walk-in and primary care medical clinics, a leading pharmacy benefits manager with approximately 87 million plan members, and a dedicated senior pharmacy care business serving more than 800,000 patients per year. The Company also serves an estimated more than 37 million people through traditional, voluntary and consumer-directed health insurance products and related services, including highly rated Medicare Advantage offerings and a leading standalone Medicare Part D prescription drug plan. The Company's integrated model uses personalized, technology driven services to connect people to simply better health, increasing access to quality care, delivering better outcomes, and lowering overall costs.
Media contact
Phil Blando
Phillip.blando@cvshealth.com
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SOURCE CVS Health
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