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Aetna

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Aetna

Overview

Commercial + government insurer (CVS Health). Aetna Better Health is the Medicaid managed-care arm, operated state-by-state with distinct LOBs (e.g. Aetna Better Health Illinois, Aetna Better Health Ohio).

Active Work / Processes

  • Aetna Better Health complex care work for Theoria Medical is now client-owned — Theoria works directly with Janelle (Aetna contact) and provides rosters directly.

Pain Points / Open Issues

  • Aetna Better Health exited Ohio in 2026 — common point of confusion with Paramount (which did NOT exit Ohio); confirmed during 2026-04-15 Theoria/Complex weekly sync.

Decisions & Commitments

  • 2026-04-17 — Aetna Better Health Illinois (both complex cares) + the Ellen White complex care enrollment flipped client-owned for groups + providers; Theoria handles rosters directly with Janelle. Source: Svetlana in 17 weekly sync.

Key Facts

  • Aetna Better Health = Medicaid managed care (state-by-state LOBs)
  • Ohio exit: Aetna Better Health exited Ohio in 2026 (not Paramount)
  • Theoria contact: Janelle (Aetna Better Health, complex care)
  • Theoria Medical — Aetna Better Health Illinois (both complex cares) + Ellen White complex care, client-owned

Source History

  • 2026-04-15 — Complex weekly sync — Aetna Better Health Ohio exit clarified (vs Paramount)
  • 2026-04-17 — Theoria weekly sync — Aetna Better Health complex care lines flipped client-owned

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