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ABHW Member Company Spotlight – Aetna Behavioral Health

Over the course of the year, ABHW will be spotlighting member companies for the Perspectives section of the website. Interviews conducted with ABHW’s members will highlight programs and initiatives they are offering; preparations underway for the implementation of the Patient Protection and Affordable Care Act (ACA); and other current topics of interest.

For this piece, ABHW interviewed Hyong Un, M.D. Dr. Un is the Head of EAP Aetna Behavioral Health and Chief Psychiatric Officer for Aetna.  He has been with Aetna since 2002.  He is responsible for supporting the development of EAP and behavioral health strategic plans and quality management for Aetna Behavioral Health.  Dr. Un also oversees the development of innovative employee assistance, behavioral health disease and care management programs.  In 2010 Dr Un took the lead for Head of EAP product. In that role he has accountability for financial and operational success of the program as well as developing innovative EAP products that promote well-being and fosters integration of EAP in overall health.

How do you foresee Aetna accomplishing the goals set forth by the Affordable Care Act (ACA)?

Two of the goals of the ACA are coverage and health insurance portability. To help accomplish these goals set forth by the ACA, Aetna is establishing Accountable Care Organizations (ACOs).  ACOs are a collaboration of health care providers who are supported by health information technology, clinical decision support among providers, and the management and assessment of health outcomes. ACOs offer personalized care and engagement that better meet the needs of patients.  In addition to managing health outcomes, ACOs are responsible for managing patient costs.  Years of experience have provided Aetna vast amounts of data and analytics on patients, allowing them to refine underwriting, and identify risks. By using the vast amounts of data, Aetna is able to adjust and modify how care is delivered. Large provider organizations are collaborating with Aetna in order to provide state of the art care. Aetna’s collaborative work with large provider organizations will allow ACOs to achieve the goals of the ACA by providing patient care that is affordable and accessible.

What are some of the challenges facing MBHOs as we move forward with the ACA?

One of the biggest challenges is integration. There is a need to integrate behavioral health services into the ACOs.  Very often, behavioral health services and medical services are on different systems that are not compatible with each other. This can result in fragmented care. MBHOs must work closely with plans and providers in a collaborative way, consistent with the goals of the ACOs.  This also requires payment systems, data systems, and analytic systems that can work together. 

Can you tell us about some of the innovative technology that Aetna uses?

Some of Aetna’s innovative technologies include iTriage, My Active Health, and Medicity.

How is Aetna accomplishing the goals of Mental Health Parity and Addiction Equity Act (MHPAEA)?

MHPAEA requires group health plans that choose to offer both medical benefits and mental health or substance use disorder benefits to offer such benefits in parity.  This means that benefits for mental health/substance use disorder must be comparable to the medical surgical benefits. In order to comply with the MHPAEA interim final rule  Aetna has completed a review of current medical management strategies, policies, processes and evidentiary standards to assure that the mental health substance use disorder medical management processes are comparable and no more stringent than those used for medical/surgical conditions. Due to Aetna’s commitment to innovation, quality of care and integration, Aetna has developed a team of mental health specialists that work in close alignment with their medical care team to ensure a holistic approach to patient management. Aetna’s standard coverage will be in compliance with each of the key components of MHPAEA.

ABHW

Perspectives

CONSUMER TIPS: NAVIGATING YOUR PRIOR AUTHORIZATION.

Behavioral health is complex. Untreated behavioral health conditions, including both mental health and substance use disorders, have a significant impact on individuals, families, friends, and employers. Individuals with mental health conditions and/or substance use disorders need access to evidence-based services - the care that, based on scientific research, has been shown to...

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ABHW Letter to Chairman Hatch on Health Care Reform Process in the Senate (May 23, 2017)

ABHW Press Release: ABHW Issues Statement in Wake of House Passage of AHCA (May 4, 2017)

ABHW Letter to House Leadership on AHCA and MacArthur Amendment (May 2, 2017)

ABHW Press Release: ABHW to Chair Inaugural Payer-Provider Behavioral Health Management Summit (April 26, 2017)

ABHW Press Release: ABHW Recommends Improvements to Medicare Advantage Program (April 25, 2017)

ABHW Press Release: ABHW Welcomes White House Commission on Opioids (March 30, 2017)

ABHW Press Release to House Leadership Over AHCA Concerns (March 23, 2017)

ABHW Comment Letter to House Leadership on ACHA (March 22, 2017)

ABHW Press Release on Confirmation of New HHS Secretary Price and CMS Administrator Verma (March 17, 2017)

ABHW Comment Letter to Rep Murphy (March 10, 2017)

ABHW Comment Letter on Market Stabilization Prop Rule (March 8, 2017)

ABHW Press Release on SNPRM Part 2 Comment Letter (February 17, 2017)

ABHW SNPRM Comment Letter to SAMHSA on Confidentiality (February 17, 2017)

ABHW Summary of 42 CFR Part 2 Final Rule and SNPRM (February 1, 2017)

ABHW Paper - Behavioral Health Organizations Current and Future Approaches to Addressing the U.S. Opioid Crisis (May 2016)

ABHW Comments on the notice of proposed rulemaking on Medication Assisted Treatment for Opioid Use Disorders (May 27, 2016)

ABHW and Diverse List of Health Care Stakeholders Letter to House Leadership calling attention to the importance of amending 42 CFR Part 2 (May 10, 2016)

ABHW Interview on 42 CFR Part 2 (April 27, 2016)

ABHW Editorial on 42 CFR Part 2 (April 11, 2016)

ABHW Press Release: ABHW and Diverse List of Health Care Stakeholders want HIPAA Standard to Apply to Substance Use Records (April 11, 2016)

ABHW and Diverse List of Health Care Stakeholders Comments: on the notice of proposed rulemaking on the Confidentiality of Substance Use Disorder Patient Records, 42 CFR Part 2 (April 11, 2016)

ABHW Comments: on the notice of proposed rulemaking on the Confidentiality of Substance Use Disorder Patient Records, 42 CFR Part 2 (April 11, 2016)

ABHW Press Release: ABHW Supports Changes to Outdated Substance Use Disorder Privacy Regulation (February 5, 2016)

ABHW Paper: on 42 CFR Part 2 - Now is the Time to Strengthen Protection of Substance Use Records by Revisiting the Substance Use Privacy Law (December 21, 2015)

ABHW Press Release: on 42 CFR Part 2 - All ABHW Wants for Christmas are Changes to the Substance Use Privacy Law (December 21, 2015)

ABHW Paper: on Healthcare Integration in the Era of the Affordable Care Act (August 5, 2015)

ABHW Press Release: ABHW Released Report Demonstrating Critical Role Managed Behavioral Healthcare Organizations Play in the Integration of Behavioral and Physical Health (August 5, 2015)

ABHW Press Release: on the Institute of Medicine (IOM) report on Psychosocial Interventions for Mental and Substance Use Disorders (July 14, 2015)

ABHW Comments on SAMHSA’s Peer Core Competencies: ABHW is pleased to see a comprehensive list of essential core competencies required by peer providers. (May 21, 2015)

ABHW Press Statement: ABHW Mourns Loss of Robin Williams (August 12, 2014)

Stamp Out Stigma highlighted in Behavioral Healthcare, MBHOs Launch Anti-Stigma Campaign for MI and SUD (May 22, 2014)

ABHW Press Release: ABHW Applauds Reps. Peters and Miller for Introducing National Mental Health No Stigma Week Resolution (May 14, 2014)

ABHW Press Release: ABHW Launches Stamp Out Stigma Campaign to Reach 1 Million People in 2014 (April 2, 2014)

Final Parity Rule Provides New Guidance for ABHW Members – The Association for Behavioral Health and Wellness (ABHW) issued the following statement today in response to the release of the final Mental Health Parity and Addiction Equity Act (MHPAEA) regulations this morning. (November 8, 2013)

ABHW letter to the Senate Finance Committee in response to the Committee’s request for information from the mental health community on how to improve the mental health system in the United States (September 30, 2013)

ABHW Press Release: ABHW President and CEO Participates in Historic White House Conference on Mental Health, Applauds National Dialogue (June 3, 2013)


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