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Aetna Expands Efforts to Provide Consumers with a Transparent View of Health Care Costs and Quality.


HARTFORD, Conn. -- 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.
) today announced that it is enhancing its industry-leading health transparency initiatives to help consumers make informed health care decisions based on the actual costs of care and the clinical quality and efficiency of physicians. A recent study found that Americans are demanding more and better information on health care costs - with 84 percent wanting to know the price of health care. Effective August 18, Aetna will provide online access to physician-specific cost, clinical quality and efficiency information in select markets, including:

--Price, clinical quality and efficiency information for physicians in Connecticut; Washington, D.C.; Northern Virginia Northern Virginia (NoVA) consists of Arlington, Fairfax, Loudoun, and Prince William counties and the independent cities of Alexandria, Falls Church, Fairfax, Manassas, and Manassas Park. ; Maryland; Cincinnati, Cleveland, Columbus, Dayton and Springfield, Ohio Springfield is a city in the U.S. state of Ohio and the county seat of Clark CountyGR6. The municipality is located in southwestern Ohio and is situated on the Mad River and Buck Creek, approximately 45 miles (72 km) west of Columbus and 25 miles (40 ; Northern Kentucky; Southeast Indiana; and South Florida, including physician-specific pricing for up to 30 of the most widely accessed services by specialty and indicators based on adverse events, 30 day hospital re-admit rates, overall efficiency in use of medical services, and volume of Aetna members treated;

--Price information only for physicians in Kansas City Kansas City, two adjacent cities of the same name, one (1990 pop. 149,767), seat of Wyandotte co., NE Kansas (inc. 1859), the other (1990 pop. 435,146), Clay, Jackson, and Platte counties, NW Mo. (inc. 1850). , Kan. and Mo.; Las Vegas Las Vegas (läs vā`gəs), city (1990 pop. 258,295), seat of Clark co., S Nev.; inc. 1911. It is the largest city in Nevada and the center of one of the fastest-growing urban areas in the United States. , Nev.; and Pittsburgh, Pa.

The combination of physician-specific cost, clinical quality and efficiency information is a first from a national health insurer. With these new enhancements, clinical quality and efficiency information will be available for more than 14,800 specialist physicians and specific pricing will be available for more than 70,000 physicians.

"While purchasing health care is a much different decision than buying a house or a car, we firmly believe that consumers should ultimately have access to exactly what they're demanding -- the same kind of objective cost and quality information that is readily available when making other significant purchases," said Aetna CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board.  and President Ronald A. Williams. "However, in most instances, consumers have no way of determining what a procedure will cost until they receive the bill.

"Aetna was the first insurer to offer physician-specific pricing information as part of a program in the greater Cincinnati area, and is still the only insurer to offer this level of pricing detail. Now, we're delivering on our commitment to expand the program by extending its geographic reach and helping our members make health care purchasing decisions based on cost and quality."

Aetna launched true price transparency Price Transparency

The accessibility of information on the order flow for a particular stock, allowing knowledge of the quantities of stock being offered and the bids at the various price levels. Also referred to as "market depth.
 in August of 2005, providing consumers with the ability to research physician-specific pricing before receiving a service at the doctor's office. Since that time, between 600 and 1,000 consumers a month have accessed the information for approximately 5,000 physicians and physician groups in the greater Cincinnati area. As the company considered expanding the program, it solicited feedback from the physician and employer communities, including research with physicians in Ohio, Connnecticut, Washington, D.C., Maryland and Florida. Constituent feedback was incorporated into the program enhancements.

"Physicians we spoke to were very clear that their patients needed to have enough information to make decisions based on overall value, not simply price alone. We agree, and the measures we are using are aligned with the Institute of Medicine's criteria for efficiency and effectiveness. Using these two aspects of quality will provide our members with a much stronger starting point Noun 1. starting point - earliest limiting point
terminus a quo

commencement, get-go, offset, outset, showtime, starting time, beginning, start, kickoff, first - the time at which something is supposed to begin; "they got an early start"; "she knew from the
 to make well-informed decisions," said Aetna Chief Medical Officer Troyen A. Brennan, M.D.

The physician-specific clinical quality and efficiency information is taken from Aetna's Aexcel network option. Aexcel was launched in 2003 to help mitigate increases in medical costs, and provide consumers with access to independent, objective information to aid them in selecting specialists. Aexcel-designated specialists undergo an evaluation process that reviews their delivery of care based on measures of efficiency and clinical performance, including prevalence of complications and repeat procedures.

"Consumers must have transparent health care cost and quality information to navigate the new health care economy," said Grace-Marie Turner, president of the Galen Institute, a Washington, D.C.-based research organization focusing on health and tax policy. "In providing cost and quality tools to its members, Aetna is leading the way in introducing transparency into the health sector. And, Aetna is attuned at·tune  
tr.v. at·tuned, at·tun·ing, at·tunes
1. To bring into a harmonious or responsive relationship: an industry that is not attuned to market demands.

2.
 to the need to provide information that is accessible and useful to consumers while being respectful re·spect·ful  
adj.
Showing or marked by proper respect.



re·spectful·ly adv.
 to providers. My hope is that others in the health care marketplace see the value of following Aetna's lead in providing these important tools to consumers."

Beginning in mid-August, Aetna members can access the enhanced information by logging on to Aetna Navigator (www.aetna.com), Aetna's password-protected member website, searching for their physician using "DocFind," and choosing "Provider Detail." Members who view rates will see the actual rates specific to their health plan for office visits, diagnostic tests, minor procedures, major procedures and other services. Members interested in clinical quality and efficiency will see whether the physician is Aexcel-designated. For those who are Aexcel-designated, the page will show whether he or she has met the Aexcel criteria for clinical performance, efficiency and volume of Aetna members treated.

Aetna is one of the nation's leading diversified diversified (di·verˑ·s  health care benefits companies, serving approximately 28.3 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 Behavioral health was first used in the 1980's to name the combination of the fields mental health and substance abuse. As an example, an organization serving both mental health and substance abuse clients might refer to its practice as behavioral health or , group life, 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.
 and disability plans, and medical management capabilities. Our customers include employer groups employer group Association of employers Managed care An entity with a current group benefits agreement in effect with a health plan to provide covered health care services to its employee-subscribers and eligible dependents. , individuals, college students, part-time and hourly workers, health plans and government-sponsored plans. www.aetna.com
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Publication:Business Wire
Geographic Code:1USA
Date:Jun 13, 2006
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