Aetna CMO: Humana acquisition will help improve care in more places
The article highlighted clinical programs from both Aetna and Humana that are helping improve care, such as Compassionate Care and Humana at Home. The successful progress of Aetna’s collaborative relationship with Inova, a health system based in Northern Virginia, was also featured in the article.
“These programs demonstrate tangible ways that Aetna and Humana have already helped improve care on their own,” Dr. Paz wrote. “Our combined clinical knowledge and capabilities will advance these programs and allow us to innovate collaboratively with more health care professionals. Most importantly for me, and the more than 4,000 clinicians at Aetna, is our enhanced ability to help people have more healthy days.”
Dr. Paz explained that in his former roles as a medical school dean, as well as CEO of two medical group practices and a large health system and medical center, he was always proud of the care they provided in their local communities. “But while we made the people around us healthier, our impact would always be limited by two factors — our geography and the size of our organizations. Aetna’s connection with more than 1.1 million healthcare professionals, including more than 675,000 primary care doctors and specialists and 5,600 hospitals, gives us the opportunity to help improve care in more places. Our collaborative relationships with health care professionals — focused on quality of care for patients — have improved health outcomes and lowered costs. Our proposed acquisition of Humana will enhance our capabilities and allow us to accelerate the transformation of the healthcare system.”
Important information regarding Aetna’s acquisition of Humana
October 19, 2015
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Important risk factors could cause actual future results and other future events to differ materially from those currently estimated by management, including, but not limited to: the timing to consummate the proposed acquisition; the risk that a condition to closing of the proposed acquisition may not be satisfied; the risk that a regulatory approval that may be required for the proposed acquisition is delayed, is not obtained or is obtained subject to conditions that are not anticipated; Aetna’s ability to achieve the synergies and value creation contemplated by the proposed acquisition; Aetna’s ability to promptly and effectively integrate Humana’s businesses; the diversion of management time on acquisition-related issues; unanticipated increases in medical costs (including increased intensity or medical utilization as a result of flu or otherwise; changes in membership mix to higher cost or lower-premium products or membership-adverse selection; medical cost increases resulting from unfavorable changes in contracting or re-contracting with providers (including as a result of provider consolidation and/or integration); and increased pharmacy costs (including in Aetna’s health insurance exchange products)); the profitability of Aetna’s public health insurance exchange products, where membership is higher than Aetna projected and may have more adverse health status and/or higher medical benefit utilization than Aetna projected; uncertainty related to Aetna’s accruals for health care reform’s reinsurance, risk adjustment and risk corridor programs (“3R’s”); the implementation of health care reform legislation, including collection of health care reform fees, assessments and taxes through increased premiums; adverse legislative, regulatory and/or judicial changes to or interpretations of existing health care reform legislation and/or regulations (including those relating to minimum MLR rebates); the implementation of health insurance exchanges; Aetna’s ability to offset Medicare Advantage and PDP rate pressures; and changes in Aetna’s future cash requirements, capital requirements, results of operations, financial condition and/or cash flows. 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