<ul>
<li>公司承诺采取独特行动，使人们更容易导航医疗系统、获取护理并实现更好的健康。</li>
</ul>
<p>, /PRNewswire/ -- Aetna，CVS Health 旗下公司（纽约证券交易所代码：CVS），今天宣布支持美国健康保险计划倡导的倡议，以改善医生和患者的体验。Aetna 还致力于通过全面的战略引领市场，使医疗服务更易于导航——减少审核、简化护理地点的过渡，并为医疗专业人员及其患者提供技术支持。</p>
<p><img src="https://imageproxy.pbkrs.com/https://mma.prnewswire.com/media/2716113/Aetna_CVS_Logo.jpg?x-oss-process=image/auto-orient,1/interlace,1/resize,w_1440,h_1440/quality,q_95/format,jpg" alt="" original-src="https://imageproxy.pbkrs.com/https://mma.prnewswire.com/media/2716113/Aetna_CVS_Logo.jpg"/></p>
<p>“美国的医疗系统必须为人们更好地服务，我们将以真正重要的独特方式来改善它，” Aetna 总裁 Steve Nelson 说。“我们支持行业在简化、简化和减少事先授权方面的承诺。我们将超越事先授权，为我们服务的人构建医疗体验，并引入改善 Aetna 会员导航和倡导的解决方案。”</p>
<p>Aetna 已经拥有行业中最短的事先授权治疗和程序清单之一。在符合条件的事先授权中，超过 95% 在 24 小时内获得批准，有些甚至在几个小时内完成。</p>
<p><strong>捆绑事先授权</strong></p>
<p>我们可以简化的一个领域是事先授权（PA）流程。对于需要事先授权进行 MRI 或 CT 扫描的肺癌、乳腺癌或前列腺癌患者，我们将多个授权请求捆绑为一个前期批准。</p>
<p>今年晚些时候，我们计划为心脏病和肌肉骨骼疾病增加更多捆绑。这一初步范围有潜力帮助我们商业和医疗保险计划中的数千名会员以及照顾他们的医疗专业人员。</p>
<p><strong>Aetna 临床协作计划</strong></p>
<p>我们还推出了 Aetna 临床协作（ACC）计划，重点改善患者在不同护理环境之间的过渡。在该计划中，我们的护士与其他医疗专业人员合作，帮助会员在出院时到达最合适的护理环境。我们的目标是减少 30 天再入院率和急诊室就诊次数，从而改善护理结果并节省成本。</p>
<p>该计划的独特之处在于 Aetna 护士在医疗设施现场工作，直接与患者的护理团队合作，根据个人的健康需求协调从医院到家或其他社区护理项目的过渡。通过全面支持个人的医疗接触点——医疗、药房、心理健康和其他领域——实现无缝的家庭或社区护理过渡，并制定主动的护理计划。</p>
<p>我们已成功推出 ACC 计划，为从医院环境过渡的医疗保险优势会员提供支持，并减少医院再入院。我们预计将在今年晚些时候将该计划扩展到其他设施，并覆盖商业会员，即从雇主处获得健康福利的 65 岁以下人群。</p>
<p><strong>为会员和医疗专业人员提供技术增强</strong></p>
<p>我们正在通过数字工具取得重大进展，帮助会员导航他们的医疗服务并获得更大的透明度。这些增强功能专注于在需要事先授权时提供实时状态更新。</p>
<p>最近对 Aetna Health 应用程序的更新使 Aetna 会员可以访问 Smart Compare 等功能，帮助会员与适合其健康需求和预算的医疗专业人员匹配。此外，我们提供状态徽章，显示事先授权的进展，扩展有关服务数量（如住院和物理治疗访问）的信息，以及更清晰的覆盖决策解释。这些改进使会员能够更好地跟踪他们的护理旅程，并理解他们的授权状态，而无需反复联系提供者以获取更新。</p>
<p>Aetna 正在通过减少摩擦、与医生和医院更紧密合作以及提供更大的可见性，领导医疗体验的转型。通过这些举措，医生可以更多地专注于患者护理，而不是行政任务，同时会员也能从更清晰的沟通和更简单的医疗旅程中受益。</p>
<p><strong>关于 Aetna</strong></p>
<p>Aetna，CVS Health 旗下公司，服务约 3600 万人，提供信息和资源，帮助他们做出更明智的医疗决策。Aetna 提供广泛的传统、自愿和消费者导向的健康保险产品及相关服务，包括医疗、药房、牙科和心理健康计划，以及医疗管理能力、医疗补助健康管理服务、工伤赔偿行政服务和健康信息技术产品与服务。Aetna 的客户包括雇主团体、个人、大学生、兼职和小时工、健康计划、医疗专业人员、政府单位、政府资助计划、工会和外籍人士。有关更多信息，请访问 Aetna.com（例如，临床诊断、资格标准、参与疾病状态管理计划）。</p>
<p><strong>关于 CVS Health</strong></p>
<p>CVS Health 是一家领先的健康解决方案公司，致力于为每位消费者构建一个健康的世界，无论他们身在何处。截至 2025 年 3 月 31 日，公司拥有超过 9,000 个零售药房地点，超过 1,000 个步入式和初级医疗诊所，拥有约 8800 万计划成员的领先药房福利管理公司，以及每年为超过 800,000 名患者提供服务的专门老年药房护理业务。公司还通过传统、自愿和消费者导向的健康保险产品及相关服务，服务于估计超过 3700 万人，包括高度评价的医疗保险优势产品和领先的独立医疗保险 D 部分处方药计划。公司的综合模式利用个性化、技术驱动的服务，将人们与更好的健康连接起来，提高优质护理的可及性，提供更好的结果，并降低整体成本。</p>
<p>来源：CVS Health</p>

西维斯

<p>Aetna，西维斯旗下的公司，宣布支持旨在简化医疗保健中事先授权流程的举措。该公司致力于减少医生和患者的行政负担，超过 95% 的事先授权在 24 小时内获得批准。Aetna 计划将某些癌症治疗的事先授权进行捆绑，并推出 Aetna 临床协作计划，以改善护理过渡。此外，Aetna 正在增强其数字工具，以提供实时更新和更好的会员导航，最终旨在改善医疗保健体验和结果</p>

<ul>
<li>Company commits to distinctive actions that will make it easier to navigate the health care system, access care, and achieve better health</li>
</ul>
<div class="lb-trans"><ul>
<li>公司承诺采取独特行动，使人们更容易导航医疗系统、获取护理并实现更好的健康。</li>
</ul>
</div><p>, /PRNewswire/ -- Aetna, a CVS Health company (NYSE: CVS), today announced its support of initiatives championed by American's Health Insurance Plansto improve the experience of doctors and patients. Aetna is also committed to leading the market through a comprehensive strategy to make it easier to navigate health care – reducing reviews, simplifying care site transitions, and putting technology to work for healthcare professionals and their patients.</p>
<div class="lb-trans"><p>, /PRNewswire/ -- Aetna，CVS Health 旗下公司（纽约证券交易所代码：CVS），今天宣布支持美国健康保险计划倡导的倡议，以改善医生和患者的体验。Aetna 还致力于通过全面的战略引领市场，使医疗服务更易于导航——减少审核、简化护理地点的过渡，并为医疗专业人员及其患者提供技术支持。</p>
</div><p><img src="https://imageproxy.pbkrs.com/https://mma.prnewswire.com/media/2716113/Aetna_CVS_Logo.jpg" alt="" original-src="https://mma.prnewswire.com/media/2716113/Aetna_CVS_Logo.jpg"/></p>
<p>&#34;The American health care system must work better for people, and we will improve it in distinctive ways that truly matter,&#34; said Aetna president Steve Nelson. &#34;We support the industry's commitments to streamline, simplify, and reduce prior authorization. We will go beyond prior authorization, building a health care experience for people we serve, and introducing solutions that improve navigation and advocacy for Aetna members.&#34;</p>
<div class="lb-trans"><p>“美国的医疗系统必须为人们更好地服务，我们将以真正重要的独特方式来改善它，” Aetna 总裁 Steve Nelson 说。“我们支持行业在简化、简化和减少事先授权方面的承诺。我们将超越事先授权，为我们服务的人构建医疗体验，并引入改善 Aetna 会员导航和倡导的解决方案。”</p>
</div><p>Aetna already has one of the shortest lists of treatments and procedures requiring prior authorization in the industry. Of eligible prior authorizations, more than 95 percent are approved within 24 hours, with some completed in just a few hours.</p>
<div class="lb-trans"><p>Aetna 已经拥有行业中最短的事先授权治疗和程序清单之一。在符合条件的事先授权中，超过 95% 在 24 小时内获得批准，有些甚至在几个小时内完成。</p>
</div><p><strong>Bundling Prior Authorizations</strong></p>
<div class="lb-trans"><p><strong>捆绑事先授权</strong></p>
</div><p>One area we can simplify is the prior authorization (PA) process. For people with lung, breast, or prostate cancer who need prior authorizations for MRI or CT scans, we are bundling multiple authorization requests into one up front approval.</p>
<div class="lb-trans"><p>我们可以简化的一个领域是事先授权（PA）流程。对于需要事先授权进行 MRI 或 CT 扫描的肺癌、乳腺癌或前列腺癌患者，我们将多个授权请求捆绑为一个前期批准。</p>
</div><p>Later this year, we plan to add additional bundles for cardiology and musculoskeletal conditions. This initial scope has the potential to help thousands of members across our Commercial and Medicare plans and the medical professionals caring for them.</p>
<div class="lb-trans"><p>今年晚些时候，我们计划为心脏病和肌肉骨骼疾病增加更多捆绑。这一初步范围有潜力帮助我们商业和医疗保险计划中的数千名会员以及照顾他们的医疗专业人员。</p>
</div><p><strong>Aetna Clinical Collaboration Program</strong></p>
<div class="lb-trans"><p><strong>Aetna 临床协作计划</strong></p>
</div><p>We have also introduced our Aetna Clinical Collaboration (ACC) program, which focuses on improving care transitions for patients moving between care settings. In this program, our nurses work with other medical professionals to help members get to the most appropriate care setting when they leave the hospital. Our goal is to reduce 30-day readmission rates and emergency room visits, resulting in improved care outcomes and cost savings.</p>
<div class="lb-trans"><p>我们还推出了 Aetna 临床协作（ACC）计划，重点改善患者在不同护理环境之间的过渡。在该计划中，我们的护士与其他医疗专业人员合作，帮助会员在出院时到达最合适的护理环境。我们的目标是减少 30 天再入院率和急诊室就诊次数，从而改善护理结果并节省成本。</p>
</div><p>What makes this program unique is that Aetna nurses work on-site at health care facilities, collaborating directly with a patient's care team to coordinate a transition from the hospital to their home or other community care program based on the individual's health needs. By comprehensively supporting a person's health care touch points – medical, pharmacy, mental wellbeing, and other areas – there is a seamless transition to care at home or in a community setting with a proactive care plan in place.</p>
<div class="lb-trans"><p>该计划的独特之处在于 Aetna 护士在医疗设施现场工作，直接与患者的护理团队合作，根据个人的健康需求协调从医院到家或其他社区护理项目的过渡。通过全面支持个人的医疗接触点——医疗、药房、心理健康和其他领域——实现无缝的家庭或社区护理过渡，并制定主动的护理计划。</p>
</div><p>We have successfully launched the ACC program providing support for Medicare Advantage members transitioning out of a hospital setting and reducing hospital readmissions. We expect to expand this program later this year to other facilities, and to commercial members, people under 65 who get their health benefits from their employer.</p>
<div class="lb-trans"><p>我们已成功推出 ACC 计划，为从医院环境过渡的医疗保险优势会员提供支持，并减少医院再入院。我们预计将在今年晚些时候将该计划扩展到其他设施，并覆盖商业会员，即从雇主处获得健康福利的 65 岁以下人群。</p>
</div><p><strong>Technology Enhancements for Both Members and Healthcare Professionals</strong></p>
<div class="lb-trans"><p><strong>为会员和医疗专业人员提供技术增强</strong></p>
</div><p>We are making significant advancements with our digital tools that help members navigate their health care and gain greater transparency. These enhancements focus on enabling real-time status updates if a prior authorization is required.</p>
<div class="lb-trans"><p>我们正在通过数字工具取得重大进展，帮助会员导航他们的医疗服务并获得更大的透明度。这些增强功能专注于在需要事先授权时提供实时状态更新。</p>
</div><p>Recent updates to the Aetna Health app give Aetna members access to features like Smart Compare that helps match members with medical professionals who are suited to the member's health needs and budget. In addition, we provide status badges showing prior authorization progress, expanded information about service quantities (such as hospital stays and physical therapy visits), and clearer explanations of coverage decisions. These improvements allow members to better track their care journey and understand their authorization status without repeatedly contacting their providers for updates.</p>
<div class="lb-trans"><p>最近对 Aetna Health 应用程序的更新使 Aetna 会员可以访问 Smart Compare 等功能，帮助会员与适合其健康需求和预算的医疗专业人员匹配。此外，我们提供状态徽章，显示事先授权的进展，扩展有关服务数量（如住院和物理治疗访问）的信息，以及更清晰的覆盖决策解释。这些改进使会员能够更好地跟踪他们的护理旅程，并理解他们的授权状态，而无需反复联系提供者以获取更新。</p>
</div><p>Aetna is leading the way in transforming the health care experience by reducing friction, partnering more closely with doctors and hospitals, and offering greater visibility. Through these initiatives, doctors can focus more on patient care and less on administrative tasks, while members benefit from clearer communication and simpler health care journeys.</p>
<div class="lb-trans"><p>Aetna 正在通过减少摩擦、与医生和医院更紧密合作以及提供更大的可见性，领导医疗体验的转型。通过这些举措，医生可以更多地专注于患者护理，而不是行政任务，同时会员也能从更清晰的沟通和更简单的医疗旅程中受益。</p>
</div><p><strong>About Aetna</strong></p>
<div class="lb-trans"><p><strong>关于 Aetna</strong></p>
</div><p>Aetna, a CVS Healthbusiness, serves an estimated 36 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, and 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 professionals, governmental units, government-sponsored plans, labor groups and expatriates. For more information, visitAetna.com (e.g., clinical diagnoses, eligibility criteria, participation in a disease state management program).</p>
<div class="lb-trans"><p>Aetna，CVS Health 旗下公司，服务约 3600 万人，提供信息和资源，帮助他们做出更明智的医疗决策。Aetna 提供广泛的传统、自愿和消费者导向的健康保险产品及相关服务，包括医疗、药房、牙科和心理健康计划，以及医疗管理能力、医疗补助健康管理服务、工伤赔偿行政服务和健康信息技术产品与服务。Aetna 的客户包括雇主团体、个人、大学生、兼职和小时工、健康计划、医疗专业人员、政府单位、政府资助计划、工会和外籍人士。有关更多信息，请访问 Aetna.com（例如，临床诊断、资格标准、参与疾病状态管理计划）。</p>
</div><p><strong>About CVS Health</strong></p>
<div class="lb-trans"><p><strong>关于 CVS Health</strong></p>
</div><p>CVS Health is a leading health solutions company building a world of health around every consumer, wherever they are. As of March 31, 2025, the Company had more than 9,000 retail pharmacy locations, more than 1,000 walk-in and primary care medical clinics, a leading pharmacy benefits manager with approximately 88 million plan members, and a dedicated senior pharmacy care business serving more than 800,000 patients per year. The Company also serves an estimated more than 37 million people through traditional, voluntary and consumer-directed health insurance products and related services, including highly rated Medicare Advantage offerings and a leading standalone Medicare Part D prescription drug plan. The Company's integrated model uses personalized, technology driven services to connect people to simply better health, increasing access to quality care, delivering better outcomes, and lowering overall costs.</p>
<div class="lb-trans"><p>CVS Health 是一家领先的健康解决方案公司，致力于为每位消费者构建一个健康的世界，无论他们身在何处。截至 2025 年 3 月 31 日，公司拥有超过 9,000 个零售药房地点，超过 1,000 个步入式和初级医疗诊所，拥有约 8800 万计划成员的领先药房福利管理公司，以及每年为超过 800,000 名患者提供服务的专门老年药房护理业务。公司还通过传统、自愿和消费者导向的健康保险产品及相关服务，服务于估计超过 3700 万人，包括高度评价的医疗保险优势产品和领先的独立医疗保险 D 部分处方药计划。公司的综合模式利用个性化、技术驱动的服务，将人们与更好的健康连接起来，提高优质护理的可及性，提供更好的结果，并降低整体成本。</p>
</div><p>SOURCE CVS Health</p>
<div class="lb-trans"><p>来源：CVS Health</p>
</div>

Aetna 支持行业采取行动以简化事先授权流程 | 西维斯股票新闻