The Pulse, May 2018
Are you familiar with Accountable Care Organizations (ACO)?ACOs are groups of doctors, hospitals and other health care providers who come together voluntarily to give coordinated, high-quality care to their patients. ACOs also frequently offer better value for your money. TRS-ActiveCare Select Whole Health gives TRS-ActiveCare participants in 27 Texas counties the opportunity to receive health care through an ACO.
Why choose an ACO?
Let’s use a real Aetna member experience from 2017.*
Michelle was 35 when she was diagnosed with a vascular condition. After multiple hospital visits for worrying symptoms, she was told she might need to have a toe amputated.
Luckily, Michelle was a member at one of TRS’ ACOs. One of the ACO’s nurse case managers visited Michelle, helped her to find a primary care doctor and provided advice about how to tackle financial issues that were preventing her from seeking regular care in a physician’s office.
As a result of the nurse case manager’s guidance, Michelle knew where to seek financial assistance that, in turn, made it easier to see a doctor. Because of the great service from her primary care doctor, Michelle was informed that she was no longer required to have a toe amputation.
*Names and details have been changed or omitted to protect member privacy.
