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Aetna Performance Network

Employers and employees look to us for options to help them better control costs. Thatís why we created Aetna Performance Network. Research shows that most members choose the doctor before they choose the hospital when they need a procedure that requires a hospital visit. And they choose the hospital based on where their doctor has privileges. Aetna Performance Network tightly aligns 20 specialties that drive medical costs to top-performing hospitals.

To create the network, we evaluated our participating hospitals based on certain cost and quality criteria. In some cases, other business considerations were applied. We then looked at specialists in 20 categories that frequently use those hospitals. In some markets, 12 out of 20 specialties were also reviewed on additional measures for clinical quality and cost. Our members pay a lower percentage of their medical costs when they use these Aetna Performance Network doctors and hospitals.

Specialties evaluated for Aetna Performance Network:

  • Cardiology*
  • Gastroenterology*
  • General Surgery*
  • Orthopedics*
  • Neurology*
  • Neurosurgery*
  • Obstetrics/Gynecology*
  • Cardiothoracic Surgery*
  • Vascular Surgery*
  • Otolaryngology (ENT)*
  • Plastic Surgery*
  • Urology*
  • Allergy/ Immunology
  • Dermatology
  • Endocrinology
  • Infectious Disease
  • Nephrology
  • Ophthalmology
  • Pulmonary Critical Care
  • Rheumatology

*Specialties designated based on Aexcel criteria in the Aexcel market locations and further refined by their utilization of Aetna Performance Network hospitals.

Where itís available:

Aetna Performance Network is available in these markets:
ArizonaCalifornia (Central Valley, No. Calif, Los Angeles, Orange/Inland, San Diego)
Connecticut
District of Columbia (Washington, DC)
Florida (Brevard County, No. FL, So. FL - Palm Beach and Broward Counties, Tampa)
Georgia (Augusta, Savannah)
Illinois (Chicago)
Indiana (Indianapolis)
Kentucky (Louisville)
Maine
Massachusetts
Nevada (Las Vegas)
New Hampshire
New Jersey (Northern, Southern)
New York (Metro NYC, Upstate)
North Carolina (Charlotte, Winston-Salem, Raleigh- Coastal- Greenville)
Ohio (Cincinnati, Cleveland, Toledo)
Oklahoma (Oklahoma City, Tulsa)
Pennsylvania (Northeast-Scranton, Southeastern-Philadelphia)
South Carolina
Tennessee (Chattanooga, Nashville)
Texas (Austin, Houston, San Antonio)
Virginia (Hampton Roads, Richmond, Roanoke)
West Virginia
Wisconsin (Southeastern)