Aetna Medicare Plans among Top 50 Plans in NCQA’s Medicare Health Insurance Plan Rankings, 2011-2012
September 22 2011 - 12:16PM
Business Wire
Four Aetna (NYSE:AET) Medicare plans are ranked in the top 50
Medicare plans in the country, according to the National Committee
for Quality Assurance (NCQA) Medicare Health Insurance Plan
Rankings, 2011-2012. The rankings, released Wednesday, place
Aetna’s Medicare HMO plans in Maine, Pennsylvania, New York, as
well as a multi-state Medicare PPO plan offered in several states,
in the top 50 Medicare plans in the nation.
Aetna also has five commercial plans in the top 100 of NCQA's
Private Health Insurance Plan Rankings, 2011– 2012, which ranks
private HMO and PPO plans. These markets include Massachusetts,
Connecticut and southern New Jersey. Connecticut and Massachusetts
have both an HMO and a PPO in the top 100 rankings.
Rankings are based on clinical performance, member satisfaction
and NCQA accreditation. For the first time, the NCQA included PPOs
in its rankings this year, in an effort to extend the relevance to
more consumers. As a result, HMOs and PPOs were scored in a
combined list of rankings, for Medicare plans and private
plans.
“We’re pleased to participate in the rankings by NCQA and have a
shared commitment to improving health care quality,” said Andrew
Baskin, M.D., Aetna’s head of Quality and
Provider Performance Management. “This year’s rankings were
compiled differently than in the past and do not allow for direct
comparisons with prior years. Still, the rankings bring focus to
the important issue of quality. Improving the quality and
cost-effectiveness of care is critical to building a stronger, more
effective health care system.”
Aetna plans scored well on the Healthcare Effectiveness Data and
Information Set (HEDIS®1). HEDIS is the measurement tool used by
the nation’s health plans to evaluate their performance in terms of
customer service and clinical quality, including measures that
examine how often patient care conforms to evidence-based
guidelines. In 2011, Aetna improved its national average on 17 of
27 HEDIS clinical accreditation measures for its commercial
(private) HMO plans, and 21 of 26 for its commercial PPO plans. For
Aetna’s Medicare HMO plans, the company improved on 14 of 20
accreditation measures; for the Medicare PPO plans, Aetna improved
on 15 of 20 accreditation measures.
“We are particularly proud that all of our commercial and
Medicare HMO and PPO health plans are accredited by NCQA,” said
Baskin. “Our scores are a reflection of market performance as well
as investment in those specific markets for HEDIS efforts and data
collection. Improving quality through adherence to evidence-based
medicine is the fundamental principle that guides Aetna’s clinical
work.”
About Aetna
Aetna is one of the nation’s leading diversified health care
benefits companies, serving approximately 36.5 million people with
information and resources to help them make better informed
decisions about their health care. Aetna offers a broad range of
traditional, voluntary 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. For more information, see www.aetna.com.
About NCQA
NCQA is a private, non-profit organization dedicated to
improving health care quality. NCQA accredits and certifies a wide
range of health care organization. It also recognizes clinicians
and practices in key areas of performance. NCQA’s Healthcare
Effectiveness Data and Information Set (HEDIS®) is the most widely
used performance measurement tool in health care.
1 HEDIS is a registered trademark of the National Committee for
Quality Assurance (NCQA).
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