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Coordinating Medicare Advantage Cares - Aetna’s Readmissions and Collaborative Initiatives 
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As stakeholders grapple throughout the nation with managing readmissions for Medicare populations, Aetna continues to make significant strides in coordinating care for their Medicare Advantage members to improve quality and reduce costs, through development of initiatives to address readmissions and innovative collaborative relationships.

Aetna's Medicare Provider Collaboration program includes an Aetna nurse case manager, "embedded" at the medical group, who helps coordinate care for Aetna Medicare Advantage members, and works face-to-face with the medical group clinical staff to assist in the coordination of the care that Aetna Medicare Advantage members receive from the medical group physicians. Aetna's comprehensive program is in place in a number of states and settings. Results from Aetna's provider collaboration with NovaHealth, a Maine IPA, were released in Health Affairs last fall, which yielded 56 percent fewer readmissions than unmanaged Medicare populations statewide.

Aetna recently launched a new transitional care program to Aetna Medicare Advantage members in Texas,  through a collaboration with Univita to help Aetna Medicare Advantage members transition smoothly from a hospital or skilled nursing facility to their home and prevent avoidable hospital readmissions. Similar programs administered by Aetna and Univita use evidence-based approaches and have been shown to reduce avoidable hospital readmissions significantly.

Under this new program, upon admission to a participating hospital, specially trained nurses reach out to the member and their caregiver; engaging the member about their condition and discharge plan in order to determine the type of support the individual will need when they go home. If the member is admitted to a skilled nursing facility prior to returning home, the nurse will also engage the member while they are in the skilled nursing facility. After discharge to home, the nurse continues to offer and provide resource support to the member.

Join Randall Krakauer, MD, FACP, FACR, Aetna’s National Medicare Medical Director  on Thursday March 14th 2013 at 1PM Eastern as he discusses these and other Aetna initiatives to improve the coordination of care for Medicare Advantage members, and offers Aetna's experiences and perspectives in a HealthcareWebSummit event on Thursday March 14th, 2013 at 1PM Eastern.
Learning Objectives
Participants will be able to:
  1. Explore Aetna's approach towards readmissions management and provider collaborations for their Medicare Advantage member population.
  2. Understand the components of Aetna's Medicare Provider Collaboration program, and their other applicable collaborative relationships.
  3. Examine relevant readmissions and other care coordination case experience with Aetna initiatives for Medicare Advantage members.
  4. Consider the implications of Aetna's perspective and approach with readmissions initiatives and provider collaborations.
  5. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow-up questions, and networking with attendees, faculty and other professionals through a dedicated LinkedIn group.
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Medical Directors
  • Quality Management Executives and Staff
  • Care Management Executives and Staff
  • Innovation and Transformation Executives
  • Medicare Operations Executives
  • Provider Contracting Executives and Staff
  • Provider Network Executives and Staff
  • Strategy, and Planning Executives and Staff  
  • Business Intelligence Executives and Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Provider Networks
  • Hospitals
  • Medical Groups
  • Accountable Care Organizations
  • Health Plans
  • Government Agencies
  • Care Management Organizations
  • Pharmaceutical Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Parties

Coordinating Medicare Advantage Cares - Aetna’s Readmissions and Collaborative Initiatives 
  Individual Registration Fee: $195. webinar flash drive with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event brochure. Registrants will also receive complimentary March and April editions of Readmissions News.
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
Randy Krakauer, MD
Randall Krakauer, M.D.,
National Medical Director, Medicare
Aetna, Inc.


Randall Krakauer, M.D., is National Medical Director, Medicare for Aetna. Dr. Krakauer graduated from Albany Medical College in 1972 and is Board Certified in Internal Medicine and Rheumatology. He received training in Internal Medicine at the University of Minnesota Hospitals and in Rheumatology at the National Institutes of Health and Massachusetts General Hospital/Harvard Medical School, and received an MBA from Rutgers.

Dr. Krakauer is a fellow of the American College of Physicians and the American College of Rheumatology and Professor of Medicine at Seton Hall University Graduate School of Medicine. He is past chairman of the American College of Managed Care Medicine.

Dr. Krakauer has more than 30 years of experience in medicine and medical management, has held senior medical management positions in several major organizations. He is responsible for medical management planning and implementation nationally for Aetna Medicare members, including program development and administration.

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