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 Aetna offers PPO, Point of Service and HMO group health insurance plans to employer groups of 3 or more employees. On December 10, 1998, Aetna
announced it;s acquistion of Prudential health plans. This acquisition makes Aetna the largest health provider in the country.
Aetna U.S. Healthcare is determined to set the
standard for quality health care coverage, customer service, and consumer health information against which all others will be measured. Currently, three out of four insured Americans are enrolled in some
form of managed health care, with many more expected to join them by the turn of the century. Aetna U.S. Healthcare has the size, product mix, and focus on quality needed  to meet their needs.
Aetna U.S. Healthcare is a leading provider of
managed health care benefits, indemnity health care benefits, dental, pharmacy, vision and group insurance coverage to more than 20 million Americans or about 8 percent of the U.S. population;
- An employer of more than 21,500 employees, nationwide; and
- An organization doing business in all 50 states, with the business
structured into six regions.
Choice of products and physicians
- 13.7 million members are covered through Aetna U.S. Healthcare's health business, of which 11.1 million are enrolled in managed health care
programs. 4.7 million members* are enrolled in Aetna U.S. Healthcare's health maintenance organizations (HMOs). There are 2.8 million members with point-of-service (POS) coverage and more than 3.6 million with
preferred provider organization (PPO) coverage.
- Aetna U.S. Healthcare's networks of providers serve HMO members in
135 metropolitan statistical areas, POS members in 233 areas, and PPO members in 268 areas.
- Aetna U.S. Healthcare is a leading provider of Medicare HMO plans,
covering routine screenings, checkups and prescriptions for 401,000 members nationally.
- Aetna U.S. Healthcare covers more than 40 percent of the Fortune 1000
companies, building on its strength as a multisite, multi-product health coverage provider.
- Aetna U.S. Healthcare contracts with over 330,000 providers
nationwide, including approximately 77,000 primary care physicians, 181,000 specialists and 2,400 hospitals.
Quality
- A subsidiary of Aetna U.S. Healthcare, U.S. Quality Algorithms® (USQA®) is a pioneer in developing systems for measuring and
improving the performance of health care providers and assessing patient care, outcomes and satisfaction. Its Health Profile Database creates a
record for each HMO member and can identify each one with indicators of up to 60 different diseases. This enables USQA to identify members for disease management programs, as well as to assess performance of
physicians in treating patients.
- Many of Aetna U.S. Healthcare's mature HMO plans have completed
accreditation reviews with the National Committee for Quality Assurance (NCQA), a national organization established to review quality and medical management systems. As of year-end 1997, 15 Aetna U.S.
Healthcare HMO plans had received full accreditation, a nationally recognized standard of quality.
Access to helpful information
USQA uses data to create report cards that give HMO
members the ability to choose primary care physicians knowledgeably.
- In many Aetna U.S. Healthcare plans, the Informed Health® program provides 24-hour,
toll-free access to experienced registered nurses who can provide valuable health care information.
- Aetna U.S. Healthcare's Inteli-Health™ subsidiary - a joint venture with Johns Hopkins -
provides the most authoritative and comprehensive health information on the Internet.
* Includes 885,000 POS members who access primary care
physicians and referred care through an HMO network.
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