PatientPing for Aetna Better Health of Michigan
Powered by the largest, most diverse care collaboration network, PatientPing provides real-time alerts to health plans and providers when a member presents to the ED, or has any type of inpatient or post-acute event. This enables health plans to better manage high-risk populations, reduce unnecessary ED visits, prevent avoidable admissions and readmissions, as well as improve connectivity to community-based providers post-discharge.
We partner with 8 of the 10 largest national health plans in the country and have an existing enterprise contract with Aetna/CVS that lets us scale across markets in a turnkey manner.
PatientPing networks enables Health Plans to receive data from 129 Michigan hospitals, such as:
Hospital Name
Hospital Name
Hospital Name
How Aetna uses PatientPing today
To leverage real-time inpatient and ED discharge notifications to follow up with patients within 48 hours and schedule a follow-up appointment within 7 days.
To assist case managers in community engagement efforts with provider and hospital partners, including collaborative utilization review, complex case management, and planning discharges from day one through real-time ED presentation and inpatient admission notifications.
To engage with members at the point of care to build rapport, educate on services, and connect members with programs and other resources.
To identify in real-time when members in specific disease- or care-management programs, including Asthma/COPD/Heart Failure/Pregnancy programs, are in the ED/hospital.
To know in real-time if any members that were recently discharged from an ED/hospital, LTAC, or post-acute readmit to the ED/hospital.
To identify out-of-network utilization in real time to engage members at the point of care.
To reduce administrative burden by eliminating the need to cross reference daily census reports with the EMR and the need to manually enter and clean up any integrity issues from their portal.
