Performance Networks with Aexcel®

When you need healthcare, finding the right doctor is critical. It can also be a challenge. Aetna’s physician performance network makes the search easier. Members get access to specialists who have met certain industry-accepted practices for clinical performance and Aetna measures of cost-efficiency. The network helps members:

• Make informed health care decisions
• Lower medical costs
• Get access to quality care

For proposed updates to the 2014 Aexcel program, please scroll down.

Aexcel-designated specialists

These are health care specialists  (PDF) who: 

• Are part of Aetna’s network
• Meet industry-accepted practices for clinical performance
• Meet Aetna’s efficiency standards

Our clinical performance criteria are based on nationally-recognized standards, consistent with leading associations such as:

• National Quality Forum
• National Committee for Quality Assurance
• American Board of Medical Specialties
• American Osteopathic Association
• American Heart Association
• American College of Obstetricians and Gynecologists
• Society of Thoracic Surgeons
• Centers for Medicare & Medicaid Services
  

Aexcel specialties  

Members can choose specialists from 12 categories, usually without a referral. They may even lower out-of-pocket costs by choosing an Aexcel specialist. 

• Cardiology
• Cardiothoracic surgery
• Gastroenterology
• General surgery
• Neurology
• Neurosurgery
• Obstetrics & gynecology
• Orthopedics
• Otolaryngology/ENT
• Plastic surgery
• Urology
• Vascular surgery
  

More on Aexcel

• Get an overview  (PDF) of the program.
• Find out more about how we choose specialists  (PDF).
• Combine Aexcel with other Aetna products, including our consumer-directed Aetna HealthFund® plans. 
• Search for Aexcel-designated specialists with our DocFind® online directory ― just look for the star!  

Physicians have a dedicated Aexcel page on NaviNet, the secure physician website, which provides them with access to reference materials and a detailed description of our methodology.

The National Committee for Quality Assurance (NCQA) is an independent not-for-profit organization that accredits health care organizations and serves as an independent ratings examiner for Aetna. It reviews how Aetna’s Aexcel program meets criteria required by the State of New York.

It is a requirement in the state of New York that NCQA publicly report the results of health plans’ compliance with the New York Attorney General Agreement. View the NCQA's latest report.

Aexcel information we offer you is intended to be only a guide for when you choose a specialist within the Aexcel specialist categories. There are many ways to evaluate doctor practices and you should consult with your existing doctor before making a decision. Please note that all ratings have a risk of error and, therefore, should not be the sole basis for selecting a doctor.

For more information on plans and products, including availability, details, and brochures, please contact Aetna or your broker.
 

As part of the annual assessment and as a result of feedback we receive from our doctors, members and purchasers, we're considering changes  (PDF) to our Aexcel program. We'd like to hear what you think about the proposed updates. Please use feedback options below to share with us your opinions.

One of the clinical criteria for Aexcel designation is e-Prescribing. The Allscripts ePrescribe Platinum Edition is one of the e-Prescribing options available to Aetna participating doctors and it is free of chrage through our agreement with CVS Caremark. It has a secure web-based feature to send prescriptions electronically to pharmacies. To learn more and/ or sign up, visit www.allscripts.com/Aexcel.

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