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Aetna Shares 'Price Tag' for Physician Services with Members; First of Its Kind Program Developed with Feedback from Physician Community; Ohio, Kentucky & Indiana Consumers to Access Information as Part of Pilot.


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 the first program of its kind to let consumers find out what they can expect to pay at the doctor's office before going in for a visit. This means that, for the first time, consumers can better gauge their out-of-pocket health care expenses by having online access to the actual discounted rates for up to 25 of the most common office-based services offered by their own primary care or specialist physician. The program will initially be piloted with information for approximately 600 distinct procedures provided by 5,000 individual physicians and physician groups in Cincinnati, Dayton and Springfield, OH, Northern Kentucky Kentucky, state, United States
Kentucky (kəntŭk`ē, kĭn–), one of the so-called border states of the S central United States. It is bordered by West Virginia and Virginia (E); Tennessee (S); the Mississippi R.
 and Southeast Indiana.

"As an industry, we need to make it simpler and easier for consumers to access information that will support them in making well-informed health care decisions," said Aetna President Ronald A. Williams. "The biggest impediment A disability or obstruction that prevents an individual from entering into a contract.

Infancy, for example, is an impediment in making certain contracts. Impediments to marriage include such factors as consanguinity between the parties or an earlier marriage that is still valid.
 to effective consumerism consumerism

Movement or policies aimed at regulating the products, services, methods, and standards of manufacturers, sellers, and advertisers in the interests of the buyer.
 in health care has been the unavailability un·a·vail·a·ble  
adj.
Not available, accessible, or at hand.



una·vail
 of relevant data on health care quality and cost. We've made great strides in providing consumers with details on quality through our Aexcel high performance networks, Hospital Comparison Tool, and the 'Rate Your Medical Professional' survey on DocFind. Now, we are complementing those efforts by taking the lead on opening what is often perceived as the 'black box' on physician-specific pricing.

"Ultimately, consumers need to make the health care decision that is right for them and their families. We encourage them to take a look at the quality and cost information that is currently available, and discuss these issues directly with their family physicians."

As more and more Americans begin managing their health care dollars, they are increasingly interested in the "price tag" for the health care they receive. Through this enhancement, Aetna members will see the actual discounted rates specific to their health plan for office visits, diagnostic tests and minor procedures. The published information will vary based upon the physician's specialty and will be expanded over time based on feedback.

Because this level of detail is new to consumers, Aetna solicited feedback from the physician community to guide the creation of this program. Focus groups were conducted with physicians and their office staffs in the Cincinnati area, and Aetna met separately with representatives from local and state physician professional organizations as well as large group practices in Ohio. Feedback gathered during this process was incorporated into the program.

"I applaud Aetna for taking a significant step toward transparency (1) The quality of being able to see through a material. The terms transparency and translucency are often used synonymously; however, transparent would technically mean "seeing through clear glass," while translucent would mean "seeing through frosted glass." See alpha blending.  of health care pricing," said Regina Herzlinger, the Nancy R. McPherson Professor of Business Administration, Harvard Business School Harvard Business School, officially named the Harvard Business School: George F. Baker Foundation, and also known as HBS, is one of the graduate schools of Harvard University. . "Consumers should know how much a service will cost them before they make the purchase, and health care should be no exception."

"The industry has long taken the position that health care pricing is proprietary, and therefore has not shared the true costs of medical services with consumers on a prospective basis -- only after care is received," said Ray Herschman, National Consulting Practice Leader, Mercer mer·cer  
n. Chiefly British
A dealer in textiles, especially silks.



[Middle English, from Old French mercier, trader, from merz, merchandise, from Latin merx
 Health and Benefits Consulting. "Employers and consumers will be very encouraged by Aetna's pilot program; we believe this important milestone, on the road to a more transparent consumer-driven healthcare marketplace, will lead to more of this important information being shared with consumers."

"When a patient enters my office they should feel confident that they have enough information to discuss their health care issues with me and my staff," said Donald Nofziger, M.D., a pediatrician pe·di·a·tri·cian or pe·di·at·rist
n.
A specialist in pediatrics.
 who practices in Cincinnati. "Increasingly, cost is one of the issues that they're interested in knowing more about. I think Aetna's approach to providing pricing information provides one more piece of data to help my patients make wise decisions, and I look forward to helping my patients understand what this information means to them."

To access the information, members log-on to Aetna Navigator See Netscape Navigator, Netscape and Norton Navigator.

Navigator - Netscape Navigator
 (www.aetna.com), Aetna's password-protected member website, search for their physician using "DocFind," and choose "View Rates for Aetna Members" on the "Provider Detail" screen. Aetna will solicit additional feedback from physicians, customers and members prior to rolling the program out in other markets.

As one of the nation's leading providers of health care, dental, pharmacy pharmacy, art of compounding and dispensing drugs and medication. The term is also applied to an establishment used for such purposes. Until modern times medication was prepared and dispensed by the physician himself. In the 18th cent. , 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)
COPYRIGHT 2005 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
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:Aug 18, 2005
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