Allina Health | Aetna

Name

Allina Health | Aetna

Legal name

Allina Health and Aetna Insurance Company

Website

https://allinahealthaetna.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

101–250 employees

Ownership category

akta.pro rank

Product category

Commercial Health Insurance

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411), Direct Health and Medical Insurance Carriers (524114)

SIC

Accident & Health Insurance (6321)

akta.pro primary industry

Ancillary & Supplemental Health Products (Accident/Critical Illness/Hospital Indemnity) (HLAEABAJ)

Keywords

• Health insurance plans
• Medicare Advantage plans
• Self-funded employer plans
• PPO health coverage
• Provider network access

Headquarters

HQ city

Saint Louis Park

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Health Insurance Premiums: Allina Health | Aetna generates revenue through insurance premiums paid by employer groups and Medicare beneficiaries. The company offers both fully insured and self-funded plan options. Premium revenue is collected from employers sponsoring group coverage and from Medicare Advantage plan enrollees.
2. Self-Funded Plan Administration: For self-funded employer plans, the company charges administrative fees and provides stop-loss protection. Small businesses pay fixed monthly payments covering expected claims, stop-loss protection, administrative fees, and run-off claims. If claims are lower than expected, employers receive 50% of the surplus upon renewal.
3. Medicare Advantage Plans: Revenue from Medicare Part D changes under the Inflation Reduction Act and Medicare Advantage Star Ratings performance. Government programs represent a significant portion of net premium written growth.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core offering

Allina Health | Aetna is a joint venture health insurance company co-owned by Allina Health and Aetna (a CVS Health subsidiary) that sells commercial health insurance plans to Minnesota employers and Medicare Advantage plans to Minnesota residents. It combines Allina Health's local provider network with Aetna's national insurance infrastructure to offer fully insured and self-funded group plans, PPO products, and ancillary member services such as virtual care and MinuteClinic access.

Product overview

Allina Health | Aetna is a health insurance joint venture between Allina Health and Aetna (a CVS Health company) that offers a comprehensive portfolio of health coverage solutions. The company provides Medicare Advantage plans, PPO plans, and self-funded products for employers ranging from small businesses to large organizations. The offering includes provider network access anchored by the award-winning Allina Health System (with Performance Go Plus and Broad Network options), CVS Health Virtual Care for 24/7 telemedicine, and MinuteClinic walk-in clinic access. Members can manage their health through the Aetna Health mobile app, which provides ID card access, claims management, provider search, and cost estimation tools. For small businesses, the Allina Health | Aetna Funding Advantage program offers self-funded plan options with as few as two employees. Mental health and behavioral health services are integrated across plan offerings.

Differentiator

Problem solved

Functional benefit

Brands

• Allina Health | Aetna Medicare: Medicare Advantage plans offered by Allina Health | Aetna

Products and services

• Allina Health | Aetna Health Insurance Plans Comprehensive health insurance plans offered in Minnesota through the joint venture, providing employer group coverage and individual plan options that combine local healthcare provider access with national insurance scale.
• Medicare Advantage Plans Medicare Advantage plans marketed to Medicare-eligible Minnesota residents through a dedicated Medicare portal and Medicare-focused broker channels, offering comprehensive benefits integrated with the Allina Health provider network.
• Allina Health | Aetna Funding Advantage Self-funded health plans designed for small businesses in Minnesota with as few as two employees, providing potential savings up to 25% versus traditional fully funded plans and stop-loss protection with surplus-sharing opportunities.
• PPO Plans Preferred Provider Organization health plans providing members flexibility to visit both in-network and out-of-network healthcare providers within the Allina Health | Aetna coverage network.
• Provider Network (Performance Go Plus and Broad Network) Provider networks offering members access to doctors, hospitals, and healthcare services, including the Performance Go Plus Network that enables real-time data sharing and proactive care management across Allina Health System and Mayo Clinic.
• CVS Health Virtual Care 24/7 virtual care services accessible to members through CVS Health, providing telemedicine options for convenient access to healthcare consultations.
• MinuteClinic Access No-cost walk-in care at MinuteClinic locations inside CVS Pharmacy and Target stores for eligible members, providing convenient access to covered basic healthcare services.
• Aetna Health App Mobile application allowing members to access ID cards, view benefits and coverage details, track deductible spending, view and pay claims, find in-network providers, compare cost estimates, and receive personalized health tips.
• Mental and Emotional Well-being Services Behavioral health and therapy programs integrated across health plan offerings, supporting members' mental and emotional health needs.

Quantifiable outcome

• Potential savings up to 25% versus traditional fully funded plans through self-funded products
• +1 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature5 records

Partnerships

Three partnerships are on record, tiered core.

• Allina HealthcoreStrategic or Co-development PartnerAllina Health is the co-owner and clinical anchor of the joint venture. The company provides its award-winning network of doctors, specialists, and facilities to Allina Health | Aetna members. Allina Health's deep Minnesota roots and local reputation combine with Aetna's insurance expertise to deliver integrated healthcare coverage.
• CVS Health CorporationcoreStrategic or Co-development PartnerAetna Inc. is a wholly owned subsidiary of CVS Health Corporation. The joint venture benefits from CVS Health's ecosystem including MinuteClinic locations, CVS Pharmacy, CVS Health Virtual Care, and CVS Caremark pharmacy services. CVS Health maintains elevated financial leverage and goodwill exceeding 130% of shareholders' equity.
• Aetna Life Insurance CompanycoreStrategic or Co-development PartnerAetna Life Insurance Company and its affiliates provide administrative services, management services, and insurance expertise to Allina Health | Aetna. The company is the brand name for Aetna's insurance operations and provides claims processing, provider network access, and regulatory compliance support.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Market position

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Allina Health | Aetna