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Aetna Earns ''Distinction'' for Efforts to Simplify and Improve the Health Care Experience for Consumers; Next generation of NCQA quality standards measures health plan tools to help members make informed decisions about their health care.


HARTFORD, Conn. -- 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 ) today announced that 21 Aetna (NYSE NYSE

See: New York Stock Exchange
:AET AET Aetna, Inc.
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) health plans are the first to earn Distinction in Member Connections. The new, voluntary Member Connections standards assess health plan efforts to provide information and useful resources to help members make better-informed decisions about their health care.

In January, Aetna became the first national health plan to volunteer all 21 of its commercially 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.
 health plans for review against the new standards, which are the first segment of NCQA's new Quality Plus standards.

"Being the first to earn the award of 'Distinction in Member Connections' demonstrates Aetna's leadership and commitment to leveraging our technology and our information resources (1) The data and information assets of an organization, department or unit. See data administration.

(2) Another name for the Information Systems (IS) or Information Technology (IT) department. See IT.
 to help our members make informed decisions about their health care and to provide them with a best-in-class service experience," said Charles M. Cutler, M.D., M.S., Aetna's chief medical officer. "Customers are demanding that we simplify and improve the health care experience for consumers, and Aetna is delivering comprehensive tools and services to meet that goal. We are proud that our strong performance has been recognized and validated val·i·date  
tr.v. val·i·dat·ed, val·i·dat·ing, val·i·dates
1. To declare or make legally valid.

2. To mark with an indication of official sanction.

3.
 through this independent, external assessment."

The Member Connections standards allow NCQA to recognize innovative, market-leading health plans in areas such as:

--leveraging the Web to help members with chronic conditions manage their care and improve outcomes,

--allowing members to track claims online,

--offering innovative health management programs and access to high-quality health care,

--providing tools for members to assess and maintain their health, such as health risk appraisals.

"Technology today makes it possible for plans to connect with members and keep them involved in their care," said NCQA President Margaret E. O'Kane. "There's real value to keeping patients informed and involved -- engaged patients have better outcomes. Aetna is to be commended for making a real investment in this area and for meeting our new Member Connections standards."

Visitors to NCQA's Web site (www.ncqa.org) can drill down from the Health Plan Report Card to view detailed information about each plan that has met the Member Connections standards in six areas: Health Risk Appraisals, Health Tools, Claims Processing, Pharmacy Benefits, Personalized per·son·al·ize  
tr.v. per·son·al·ized, per·son·al·iz·ing, per·son·al·iz·es
1. To take (a general remark or characterization) in a personal manner.

2. To attribute human or personal qualities to; personify.
 Services, and Innovative Member Services. Available information in each area includes results of member surveys, scores on selected HEDIS HEDIS Health Plan Employer Data & Information Set Managed care An initiative by the National Committee on Quality Assurance to develop, collect, standardize, and report measures of health plan performances.  measures, and complete descriptions of the requirements plans must meet in each area.

As one of the nation's leading providers of health care, dental, pharmacy, group life, disability and long-term care long-term care (LTC),
n the provision of medical, social, and personal care services on a recurring or continuing basis to persons with chronic physical or mental disorders.
 benefits, Aetna puts information and helpful resources to work for its approximately 14.435 million medical members, 12.976 million dental members, 9.117 million pharmacy members and 13.662 million group insurance members to help them make better informed decisions about their health care and protect their finances against health-related risks. Aetna provides easy access to cost-effective health care through a nationwide network of more than 684,000 health care professionals, including over 405,000 primary care and specialist doctors and 4,135 hospitals. For more information, please visit www.aetna.com. (Figures as of June 30, 2005)
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Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:1USA
Date:Oct 17, 2005
Words:504
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