Aetna Whole Health
Aetna and BSWQA are teaming up to redefine healthcare with Aetna Whole Health℠. Our new coordinated approach delivers a better patient experience at a much lower cost.
With Aetna Whole Health℠, doctors are paid for keeping patients healthy, not just for treating them when they are sick. Care team members and patients have easy access to tools that keep them informed and able to make better healthcare decisions. Doctors using technology combined with the latest medical guidelines helps provide effective, up-to-date medical care.
Baylor Scott & White Preferred
Baylor Scott & White Quality Alliance and Scott and White Health Plan have teamed together to form Baylor Scott & White Preferred, an integrated health plan solution offering employers and their employees the opportunity to save on healthcare premiums.
Baylor Scott & White Preferred is more than just a health plan option. It is a unique blend of doctors, hospitals and an insurance plan all teaming together to better engage members in managing their health. Our work demonstrates that healthier employees can mean increased workforce productivity, reduced absenteeism and lower medical costs.
BSWQA has joined forces with Cigna as part of Cigna Collaborative Care. Cigna Collaborative Care creates a cooperative environment where doctors and the health plan work alongside each other. The collaboration between BSWQA and Cigna creates the opportunity for a more seamless experience for patients, improving their well-being while lowering their healthcare costs.
DART ACO and ACO Flex Health Plan
BSWQA has joined forces with HealthSCOPE Benefits and Willis Towers Watson to design a direct-to-employer health plan option. This innovative program is the first of its kind in Dallas-Fort Worth, and it all begins with DART. Centered on the accountable care model, this new model of care allows organizations like DART to contract directly with an accountable care organization and third-party administrator (TPA) to design a value-based solution that configures and coordinates healthcare services customized for their employees.
Among DART’s new strategic health plan benefits are the DART ACO and ACO Flex plans. Both plans use BSWQA as its preferred network of providers and hospitals. Employees enrolled in either plan receive cost-sharing or premium reductions if they take positive steps to improve their health, such as participating in their own condition management through a chronic care program. These incentives are now standard parts of most ACO benefit packages.
Humana Medicare Advantage
Medicare-eligible consumers can get more from their healthcare dollars. Humana plan members choose plans that include both drug and medical coverage, as well as stand-alone prescription drug coverage.
If you're enrolled in a Medicare Advantage Plan:
- Most Medicare services are covered through the plan
- Medicare services aren’t paid for by original Medicare
Medicare Advantage Plans
Vital Traditions HMO and SeniorCare Advantage PPO are provided by Scott and White Health Plan through its subsidiary the Insurance Company of Scott and White, Medicare Advantage organizations with a Medicare contract. These plans not only give you all the benefits of Original Medicare, but they also include many bonus benefits you need at no extra cost. What truly separates the Vital Traditions and SeniorCare Advantage plans from others is the access you will have to the renowned doctors, specialists and facilities of the Baylor Scott & White Health system throughout North Texas.
Medicare Shared Savings Program
BSWQA participates in the Center for Medicare and Medicaid Services (CMS) Medicare Shared Savings Program (MSSP). MSSP will reward ACOs that lower their growth in healthcare costs while meeting performance standards on quality of care and putting patients first.
MSSP public reporting
BSWQA and UnitedHealthcare have collaborated on Accountable Care in North Texas since 2015. The two organizations help shift Texas’ healthcare system to one that rewards quality and value instead of the volume of procedures performed. UnitedHealthcare complements BSWQAs established valued-based care infrastructure with technology and actionable patient data, enabling physicians to take specific measures to improve quality and lower costs for North Texas employers. Employers who choose UnitedHealthcare’s NexusACO generally save on overall healthcare costs, driven by fewer hospital admissions, decreased inpatient length of stay, fewer ER visits and fewer readmissions.