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Aetna Opens Gate With Several New No-Referral Plans

MANAGED CARE November 2000. © MediMedia USA
News and Commentary

Aetna Opens Gate With Several New No-Referral Plans

MANAGED CARE November 2000. ©2000 MediMedia USA

Aetna U.S. Healthcare will launch a series of products Jan. 1 that will drop the gatekeeper function. In most cases, the new plans, called Aetna Open Access, will allow members to receive care from specialists without a referral from their primary care physicians.

Meanwhile, HealthPartners, the Minneapolis-based health system and HMO, plans to offer its members direct access to behavioral health services.

Starting Jan. 1, enrollees will be able to receive up to 20 outpatient visits for psychiatric assessments, individual therapy, and drug abuse services without a referral. Referrals will still be required for partial and residential programs or for non-network providers.

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015