Aetna 2002 Annual Report Download - page 14

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 
Aetna’s Healthy Outlook Program®reaches out to members living with chronic
conditions such as diabetes, asthma, congestive heart failure, coronary artery
disease, end-stage renal disease or low back pain.
Utilizing technological, clinical and educational resources, these disease management programs employ a
comprehensive process of assessment, teaching, monitoring and communication to encourage members
to take a more active role in their course of care, while supporting and enhancing their physicians’ health
management plan.
Determining whom to reach out to, and when, is a product of powerful predictive modeling technol-
ogy supplied by U.S. Quality Algorithms (USQA), a part of Aetna and one of the nation’s leading
performance and outcomes measurement companies. Using this data, Aetna endeavors to identify members
who may be at risk for or currently living with certain chronic conditions, and help physicians and members
more proactively manage their symptoms.
Targeted interventions, education, and patient and physician engagement can play a substantial role
in enhancing the health status and quality of life for members living with chronic diseases; and have a
significant impact on overall health care spending.
Reaching Those at Risk