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Texas Health, Aetna to create insurer

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Aetna and Texas Health Resources, a big nonprofit hospital system serving the Dallas-Forth Worth area, will create a jointly owned heath-insurance company for North Texas to address, among other things, population-health issues.

It will be the first such venture in the region between a major insurer and a major health system and include fully integrated care teams and administrative services to reduce redundancies and streamline the patient experience.

This is Aetna’s second joint venture with a nonprofit health system. The first was its pact with Inova Health System in Northern Virginia, signed in 2014.

The new health plan will combine Aetna’s “coverage expertise, case- management capabilities and analytical insights with Texas Health’s provider network and population-health management tools,’’ HealthcareDive reported.


Texas Health Resources adding 27 ERs to its network

 

Arlington-based Texas Health Resources is adding 27 First Choice Emergency Rooms to its healthcare network in North Texas, according to the (Fort Worth) Star-Telegram. It’s another example of the relentless expansion of such freestanding ERs as more and more care is delivered outside hospitals.

The deal involves Texas Health Resources in a joint venture with Lewisville, Texas-based Adeptus Health Care, which operates First Choice, one of America’s biggest networks of freestanding ERs.

The  deal will extend Texas Health Resource’s network contracts with all major insurers to the freestanding ERs. This will let more consumers  pay in-network rates for care. “The affiliation will also enable faster direct admissions to Texas Health Resources hospitals for patients in need of more acute care,” The Star Telegram reported.


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