Aetna statement:
This individual worked at Aetna doing data analytics for less than one year. Her brief tenure with the
company ended more than three years ago.
We use data to help improve the health of our members, and in some cases, prevent potentially
dangerous health issues before they happen. We use data from our members – primarily through claims
on their health care services – to evaluate the potential for future health risks and outcomes. As a small
part of this process, we also supplement clinical and claims information with consumer marketing
information that is used regularly by companies across many different industries.
The models that take all of this information as a whole can help us predict the risk of things like repeated
emergency room visits or a hospital admission. The results of these health outcomes models help focus
our proactive outreach and engagement efforts to members who may benefit from care management,
disease management and health promotion activities.
Consumer marketing information plays no role in the pricing of our plans or in the underwriting process.
Related, there is a growing body of research – including a prominent study from the Kaiser Family
Foundation – that shows factors outside of clinical care have a major influence on overall health. Aetna
and the Aetna Foundation have a wide range of programs aimed at addressing social determinants of
health to help improve the overall health of individuals and their communities.