Aetna to
support more Michigan residents
eligible for both Medicare and Medicaid
DETROIT, Oct. 11,
2024 /PRNewswire/ -- Aetna®, a CVS Health® company
(NYSE: CVS), announced the State of
Michigan has recommended the company for a new contract to
serve MI Coordinated Health beneficiaries who are eligible for both
Medicare and Medicaid. Aetna was
selected as part of a competitive bidding process.
Under the new contract, eligible Michigan residents will have access to an
Aetna Highly Integrated Dual Eligible Special Needs Plan (HIDE
SNP), which provides all Medicare benefits, most Medicaid covered
benefits and integrates long-term services and supports (LTSS) for
beneficiaries. Aetna will continue
supporting dually eligible Michigan members in the 10 counties it
currently serves and expand services to an additional 29 counties
in 2027.
"Individuals dually eligible for both Medicare and Medicaid
often have complex health care needs, making coordination of
benefits essential for positive health outcomes," said Jason Smith, Vice President, Duals Markets at
Aetna. "We're pleased with this
win and the opportunity to continue our partnership with the
State of Michigan to provide
dually eligible members with an integrated health plan that
provides access to quality, coordinated health care."
Aetna has been serving dually
eligible beneficiaries in Michigan
through a Medicare-Medicaid Plan (MMP) for over 10 years and
currently manages the health benefits of approximately 8,500 dually
eligible members. The contract award is part of the State's
transition from an MMP plan design, which was in place as a
demonstration program.
Pending the completion of the state's protest period and
readiness review, the new contract is expected to begin on
January 1, 2026, and end on
December 31, 2033, with the option of
renewals.
This contract has no impact on the existing contract with Aetna
Better Health of Michigan to serve
the Medicaid-eligible population through the state's Comprehensive
Health Care Program (CHCP).
About Aetna
Aetna, a CVS Health business,
serves an estimated 36 million people with information and
resources to help them make better informed decisions about their
health care. Aetna offers a broad
range of traditional, voluntary and consumer-directed health
insurance products and related services, including medical,
pharmacy, dental and behavioral health plans, and medical
management capabilities, Medicaid health care management services,
workers' compensation administrative services and health
information technology products and services. Aetna's customers include employer groups,
individuals, college students, part-time and hourly workers, health
plans, health care providers, governmental units,
government-sponsored plans, labor groups and expatriates. For more
information, visit Aetna.com.
Aetna Medicare is a HMO, PPO plan with a Medicare
contract. Our D-SNPs also have contracts with State Medicaid
programs. Enrollment in our plans depends on contract renewal. Plan
features and availability may vary by service area.
About CVS Health
CVS Health® is the leading health solutions company, delivering
care like no one else can. We reach more people and improve the
health of communities across America through our local presence,
digital channels and over 300,000 dedicated colleagues – including
more than 40,000 physicians, pharmacists, nurses, and nurse
practitioners. Wherever and whenever people need us, we help them
with their health – whether that's managing chronic diseases,
staying compliant with their medications, or accessing affordable
health and wellness services in the most convenient ways. We help
people navigate the health care system – and their personal health
care – by improving access, lowering costs and being a trusted
partner for every meaningful moment of health. And we do it all
with heart, each and every day. Follow @CVSHealth on social
media.
Media contact
Robert Joyce
Robert.Joyce@CVSHealth.com
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SOURCE CVS Health