Aetna signed an agreement for doctor-ranking programs with New York Attorney General Andrew Cuomothe second insurer to adopt the model and the first to apply it nationwide.
The third-largest health insurer in the country, with more than 16 million members, Aetna has an existing program that designates physicians in 12 specialty categories who have passed certain clinical quality and cost efficiency measures. However, the new agreement will identify to consumers how much of the evaluation process was based on cost efficiency and how much on quality measures.
The model reforms doctor-ranking programs by compelling insurers to fully disclose to consumers and physicians all aspects of their ranking system, the attorney generals office said in a news release. Also, under the model the insurer must designate a monitor to oversee compliance and report to the attorney general every six months. We are committed to providing our members with a physician performance evaluation program that is easy to understand and takes into account the input of participating physicians, said Aetna Chief Medical Officer Troyen Brennan in a news release.
Cuomo announced the first doctor-ranking agreement with Cigna in late October. -- by Cinda Becker
What do you think? Post a comment on this article and share your opinion with other readers. Submit your letter to Modern Healthcare Online at [email protected]. Please be sure to include your hometown and state, along with your organization and title.