Who We Are
Aetna Medicaid is an experienced leader in the managed care industry. We provide care solutions that empower people in their own health care. Our focus is on improving health care outcomes for our members through coordinated, individualized care.
Aetna Medicaid has local knowledge and national experience. Our experience and performance has made us one of the fastest-growing companies in Medicaid with more than 30 years of experience managing the care of the most medically vulnerable.
We manage preventive, acute and chronic disease services for Medicaid members. We know the ins and outs of complex, changing regulations. Aetna Medicaid has particular expertise in serving high-need Medicaid members, including those who are dually eligible for Medicaid and Medicare and those who need long-term care services and supports.
Since 2005, we have invested more than $2 billion into coordinated care resources.
Our innovative technology solutions support data integration and sharing among providers. They promote clinical decision-making, identification of high-risk members and preventive education.
We work with all stakeholders, from government agencies to local health departments and behavioral/social service organizations.
We use innovative approaches to achieve successful health care results and maximum cost outcomes. And, we work closely with our providers to ensure our members get the right care, at the right time in the right care setting.
The making of Aetna Medicaid
Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 46.7 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, behavioral health, group life and disability 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 providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, visit our website and learn about how Aetna is helping to build a healthier world. @AetnaNews
About Aetna Medicaid
Aetna Medicaid Administrators LLC (Aetna Medicaid) has over 30 years of experience managing the care of the most medically vulnerable, using innovative approaches and a local presence in each market to achieve both successful health care results and effective cost outcomes. Aetna Medicaid has particular expertise serving high-need Medicaid members, including those who are dually eligible for Medicaid and Medicare. Currently, Aetna Medicaid owns and/or administers Medicaid managed health care plans under the names of Aetna Better Health and other affiliate names. Together, these plans serve more than three million people in 14 states, including Arizona, Florida, Illinois, Kentucky, Louisiana, Michigan, Nevada, New Jersey, New York, Ohio, Pennsylvania, Virginia, West Virginia and Texas, with California launching in 2018.
Aetna Medicaid Administrators LLC (formerly Schaller Anderson, LLC) was acquired by Aetna in 2007 and has become the company’s national Medicaid subsidiary. Aetna Medicaid Administrators provides plan management and other administrative services for Aetna’s Medicaid programs nationally.
Schaller Anderson was founded in 1986 by Dr. Don Schaller and Joe Anderson. Initially a consulting firm, Schaller Anderson broadened its scope to include health plan administration. Now, Aetna Medicaid offers management and consulting services to governments and private health care organizations nationwide.
In 2013, Aetna acquired Coventry Health Care, Inc., making the combined organization the third largest health care benefits company in America, based on membership, serving an estimated 22 million medical members.
Coventry Health Care is a diversified national managed health care company based in Bethesda, Maryland. It is dedicated to delivering high-quality health care solutions at an affordable price. Coventry provides a full portfolio of risk and fee-based products, including Medicare programs, group and individual health insurance, workers’ compensation solutions, and network rental services. With a presence in every state in the nation, Coventry’s products currently serve approximately 5 million individuals helping them receive the greatest possible value for their health care investment.