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Aetna Signs New Contract with Kelsey-Seybold Medical Group
Houston (April 26, 2018) – Aetna (NYSE: AET) announced today that it has signed a new contract with Kelsey-Seybold Medical Group, one of the largest physician-owned multispecialty group practices in the Greater Houston area. The new contract, which takes effect on July 1, returns Kelsey-Seybold to Aetna's broad network.
Aetna commercial members enrolled in a standard PPO, POS Choice II and EPO health plan who receive care from Kelsey-Seybold will be covered at the in-network level of benefits and will have access to 227 primary care physicians and 235 specialists at 19 clinic locations and a Sleep Center in the Houston area.
"This agreement is good news for our members in the Houston area," said Michael Nelson, president of Aetna in Texas. "We developed a value-based care insurance product anchored by Kelsey-Seybold in 2016 and we look forward to building upon our successes and strengthening our relationship with Kelsey-Seybold, while offering our members expanded access to their high-quality physicians and facilities."
"Kelsey-Seybold Clinic doctors and staff are delighted to welcome Aetna PPO, POS II, and EPO plan members. For almost two years, Kelsey-Seybold and Aetna have partnered to deliver KelseyCare Aetna, a high-performance network plan offered through Kelsey-Seybold's NCQA-accredited Accountable Care Organization," said Tony Lin, M.D., F.H.M., chairman and managing director of Kelsey-Seybold Clinic. "This collaboration to deliver value has led us to expand our participation as an in-network provider, giving members access to some of the unique resources Kelsey-Seybold has built as an Accountable Care Organization with the goal of improving the patient experience, improving health outcomes, and lowering the total cost of care."
Kelsey-Seybold Clinic delivers care to 500,000 patients in the Greater Houston area. Aetna provides health benefits to more than 2.3 million Commercial members in Texas.
About Aetna
Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 37.9 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see www.aetna.com and learn about how Aetna is helping to build a healthier world. @AetnaNews
About Kelsey-Seybold
Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey in Houston's renowned Texas Medical Center. More than 850 physicians and allied health professionals practice at 40 locations in the Greater Houston area. Kelsey-Seybold offers quality medical care in 65+ medical specialties. The organization operates the largest freestanding Ambulatory Surgery Center in the state of Texas and offers state-of-the-art Varian TrueBeam and Varian Edge radiation therapy technology at a nationally accredited Cancer Center. An accredited Sleep Center, comprehensive laboratory services, advanced imaging and diagnostics, 24 onsite Kelsey pharmacies and one specialty pharmacy, and MyKelseyOnline, a secure web portal, are part of its comprehensive offerings. Kelsey-Seybold partners with major insurers to offer value-based commercial health plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold Clinic, has achieved the coveted 5-out-of-5-star rating from the Centers for Medicare and Medicaid for eight consecutive years.
Kelsey-Seybold has been recognized by the National Committee for Quality Assurance (NCQA) as the nation’s first accredited Accountable Care Organization and is home to a nationally accredited Breast Diagnostic Center and Endoscopy Center.
Kelsey-Seybold Clinic achieved a Net Promoter Score (NPS) of 91. NPS is the global standard for measuring customer loyalty and satisfaction. An NPS score of 70 or higher is considered by industry experts to be "world class" and an indicator of overwhelming customer loyalty.