Aetna Base Case

Company: Aetna Inc.

Headquarters: 151 Farmington Ave., Hartford, CT 06156

Phone: (860) 273-0123

Business: Health benefits, including corporate and individual managed care

Financials: $25.2 billion in revenues, operating loss of $266.4 million (fiscal year 2001)

Chief Information Officer: Weh-Tih Cheng

Challenges: Process claims more quickly and accurately; increase accuracy of plan pricing; identify and focus on profitable customers; reduce costs; improve relationships with providers including doctors and hospitals

Baseline Goals:

  • Reach operating margin of 6% of revenue by end of 2003
  • Increase percentage of claims filed electronically, from approximately 50% to 85%
  • Increase automatic adjudication of electronic claims, from 62.1% to 70%
  • Create “paperless” enrollment and claims-status checking process by end of 2002