When Aetna starts work with delivery systems to form accountable care organizations, the insurer typically analyzes claims data to get a picture of a providers present status and guide creation of an efficiency model.
One ACO customer in particular had an unusually high rate of emergency department utilization, noted Charles Kennedy, M.D., CEO of accountable care solutions at Aetna, during a presentation at Health Data Managements Healthcare Analytics Symposium in Chicago. Most interesting was that the high utilization was occurring during physician practice office hours.
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