Aetna and Oshi collaborate to provide virtual care for digestive disorders
Value-based collaboration provides preferred access to integrated multidisciplinary care for digestive conditions
WOONSOCKET, R.I. and New York, NY, April 6, 2023 — Aetna®, a CVS Health® company (NYSE: CVS), and Oshi Health (Oshi) today announced a new value-based collaboration that provides Aetna commercial members with in-network access to Oshi’s integrated multidisciplinary care teams for high-touch care and specialized treatment to achieve lasting control over chronic digestive conditions. For the first phase of its collaboration, Aetna is offering access to Oshi to commercial members in six states, with more to be added in 2023.*
“Adding Oshi to our differentiated provider network will help us offer integrated, whole-person care for gastrointestinal (GI) conditions — all done virtually so that members have convenient access,” said Bill Lamoreaux, senior vice president, Aetna Network Strategy and Provider Experience. “Our collaboration with Oshi opens the door to coordinated virtual digestive care for our members.”
Digestive health issues include a wide-ranging set of symptoms and conditions that affect one in four working age adults in America and incur higher direct healthcare costs than heart disease, mental health, or trauma. These conditions are best treated with a coordinated and collaborative approach involving GI specialized experts, including physicians, nurse practitioners, dietitians and behavioral health specialists. The Aetna-Oshi relationship goes beyond treating symptoms and adopts this proactive, team-based approach to keeping people healthy. There is also a value-based payment arrangement that financially supports Oshi’s comprehensive care model to support better member outcomes and effective population health management.
“Especially for stigmatized chronic specialty care categories, virtual clinics unlock the potential of value-based care by improving outcomes and patient experiences with proactive, integrated care models,” said Sam Holliday, CEO, Oshi Health. “By working together, we can support and integrate virtual care providers and incorporate dietary and gut-brain interventions that aren’t typically available into Aetna’s provider networks.
