The Lehigh Valley Business Coalition on Healthcare this morning announced that it is ending ties with Aetna after more than 10 years as partners.
Aetna worked to offer self-funded, employer-designed health plans to members of LVBCH – a nonprofit organization in Bethlehem that represents businesses and strives to improve the delivery, cost and quality of health care.
The decision to end the relationship stems from Aetna’s choice not to participate in LVBCH’s periodic performance assessment process, a requirement of all coalition health plan partners, LVBCH president Tom Croyle said this morning.
“Aetna’s decision not to participate in the performance assessment in our market prevented our comparison of Aetna against national benchmarks and other health insurers in the region,” he said. “It is unfortunate because historically Aetna offered quality products and we have enjoyed a positive relationship.”
The assessment is the first step of a comprehensive evaluation to select coalition health plan partners and to provide coalition employer-members with the information they need to make decisions when selecting a plan.
LVBCH uses the National Business Coalition on Health’s eValue8 tool, which uses established criteria to rank how well health plans perform on metrics-based national criteria.
As the leading evidence-based assessment tool available to health care purchasers, eValue8 asks questions to determine how health plans are managing chronic conditions, reducing and eliminating waste, ensuring patient safety, closing gaps in care, promoting consumer engagement and contributing to payment reform.
“Admittedly, the evaluation process is involved, and we respect Aetna’s decision not to participate,” Croyle said.