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Aetna Achieves NCQA Quality Plus Distinction for All Quality Measures.


Aetna's California HMO HMO health maintenance organization.

HMO
n.
A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial,
 plan is first in the state to achieve Quality Plus Distinction in all three content areas

WALNUT CREEK Walnut Creek, residential city (1990 pop. 60,569), Contra Costa co., W Calif., in the San Francisco Bay area; inc. 1914. It is the trade and shipping center of an extensive agricultural area where walnuts are among the major product. , Calif. -- Aetna (NYSE NYSE

See: New York Stock Exchange
: AET AET Aetna, Inc.
AET After Extra Time
AET Actual Evapotranspiration
AET Alliance for Environmental Technology
AET Alpha-Ethyltryptamine
AET Applied Extrusion Technologies, Inc.
) announced today that it has been accredited accredited

recognition by an appropriate authority that the performance of a particular institution has satisfied a prestated set of criteria.


accredited herds
cattle herds which have achieved a low level of reactors to, e.g.
 by the National Committee for Quality Assurance National Committee for Quality Assurance Medical practice A private, not-for-profit organization which has become the leading accreditor of managed care plans; in site visits, NCQA reviewers evaluate a managed care plan in terms of quality management, physicians'  (NCQA NCQA National Committee on Quality Assurance, see there ) with its Quality Plus Distinction in all three content areas: Member Connections; Care Management and Health Improvement; and Physician and Hospital Quality. Aetna Health of California is currently the only HMO in the state that has been accredited by NCQA for meeting or exceeding its rigorous requirements for quality in all three areas.

Quality Plus is a voluntary program for NCQA-Accredited organizations. Aetna's California HMO plan currently has an Excellent Accreditation rating.

Member Connections standards assess how effectively organizations interact with their members via the Web and telephone to make sure they understand and know how to use their benefits, have access to self-management tools for certain conditions and can check on the status of claims.

Care Management and Health Improvement Standards build on existing chronic care and disease management standards in the MCO MCO Managed care organization, see there  Accreditation Program.

Physician and Hospital Quality standards evaluate how health plans measure the quality and cost of care provided by network physicians and hospitals. Purchasers have expressed a strong desire for such information.

"Aetna is to be commended for meeting all of our new Physician and Hospital Quality standards," said NCQA President Margaret E. O'Kane. "By adopting these standards Aetna is providing members with important information about physicians and hospitals within their network, allowing them to make better health care decisions for themselves and their families."

Milton Schwarz, M.D., regional medical director for Aetna's West region, said, "We are pleased to have earned the Quality Plus Distinction from NCQA, which demonstrates Aetna's commitment to improving health care quality, and to providing members with relevant information to help guide their health care decisions."

"Aetna has been at the forefront of health care transparency, demonstrated through our own initiatives, and through our collaboration with the California Hospital Assessment and Reporting Taskforce (CHART) and the Integrated Healthcare Association (IHA See Intel Hub Architecture. ) Pay for Performance program. This Distinction is another important component of the comprehensive cost and quality information we provide to our members and customers," Schwarz added.

Aetna is one of the nation's leading diversified health care benefits companies, serving approximately 36.7 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities and health care management services for Medicaid plans. Our customers include employer groups, individuals, college students, part-time and hourly workers, health plans, governmental units, government-sponsored plans, labor groups and expatriates. www.aetna.com
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Publication:Business Wire
Date:Feb 19, 2008
Words:463
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