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Member Value: Special Offer From Aetna Whole Health

VHAN is excited to partner with Aetna to create a member program for small to mid-size benefit plans that helps your employees stay healthy while your practice saves on health care costs. The Aetna Whole Health Employee program offers discounts, comprehensive benefit design, and enhanced features such as wellness, an Employee Assistance Program and $0 copay visits to multiple convenient care options. Hurry and sign up by Jan. 1—and find more information on the VHAN Hub.

CMS Releases Final Rule Updates for 2023

The Centers for Medicare & Medicaid Services (CMS) issued a final rule on Nov. 1 that updates the physician fee schedule for calendar year 2023. The rule also includes numerous changes that directly impact the Medicare Shared Savings Program and the Quality Payment Program (QPP).

VHAN Achieves 100% Performance on 2021 Aetna Quality Measures

VHAN is pleased to announce that the network achieved 100% performance on all Aetna Commercial quality measures in 2021. VHAN members also scored higher than Aetna’s Q4 national average on several measures, including Breast and Colorectal Cancer Screening and Comprehensive Diabetes Care.

VHAN Presents Community Health Worker Program Results to Aetna ACO Group

Earlier this year, VHAN staff presented on VHAN’s Community Health Worker (CHW) pilot during Aetna’s quarterly Provider Clinical Transformation Webinar Series. The pilot, launched in 2019, was designed to improve access to care and resources for obstetric patients at Gallatin Women’s OBGYN Center (GWC) in Gallatin, Tennessee, which has a large prenatal patient population with approximately 350 babies born annually. The CHW pilot was designed to help with resource referrals and interventions for patients who need assistance with access to health care, physical and behavioral health support, and social determinants such as homelessness, food insecurity and unemployment. During the Aetna presentation, VHAN shared some initial results of the pilot.

VHAN Announces Improved Pediatric Depression Screening Results

VHAN is excited to announce that the network’s pediatric depression screening rate has dramatically improved. In 2019, VHAN began measuring annual depression screening for children 12 and older. To assist members who were struggling in this area, VHAN licensed clinical social workers met with practices to promote the social work program and the benefits of using the pediatric behavioral health consult line. As a result, by 2021, no VHAN members received a score of zero for depression screening and 46% of practices screened 90% of their VHAN patients for depression.

Coming Soon: Adult Behavioral Health Consult Line

Modeled after VHAN’s Pediatric Behavioral Consult Line, which has fielded more than 2,000 phone calls since launching in 2018, VHAN is launching a similar line later this year to assist clinicians with adults who need behavioral health support. The new Adult Behavioral Health Consult Line will be managed by Shannon Brown, LCSW, who will be […]

Important Information About New Outpatient Treatment Options for COVID-19

As COVID-19 cases begin to increase again in the region, new outpatient treatment options are available that may lessen the severity of infection and reduce patients’ chances of being hospitalized or dying from the virus. VHAN encourages its members and their staff to learn more about these options to help educate themselves, their family members and their patients about their availability. Making use of these treatment options will be powerful in keeping COVID-positive patients out of the hospital, ensuring beds remain available for patients needing care of all kinds.

New ACO Beneficiary Notification Details

Continuing to use the COVID-19 public health emergency to extend relief to providers, CMS is applying the Merit-based Incentive Payment System (MIPS) automatic extreme and uncontrollable circumstances (EUC) policy to all clinicians eligible to participate in MIPS as individuals for the 2021 performance year.

New ACO Beneficiary Notification Details

As we kick off 2022, we want to make sure our Connected Care ACO participants are up to date on CMS Beneficiary Notification requirements for the Medicare Shared Savings Program (MSSP).

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