 |
| Aetna members Register for Aetna Navigator® to use our member tools, view your claims and more |
| Not a member? Get access with Aetna |
| Test drive other Aetna tools |
Legal Notices |
Find information on clinical quality
Depending on your search area, Aetna can help you quickly and easily locate effective, high performing specialists in the Aetna network of health care providers. Aetna gives a special designation, called Aexcel®, to doctors and doctor groups who:
- Are part of the Aetna network of health care providers
- Have met industry-accepted practices for clinical performance
- Have met Aetna’s efficiency standards
How to locate an Aexcel-designated specialist
Aetna provides its members with access to an online provider directory, DocFind®: To access DocFind, log on to Aetna Navigator, our secure member website. To locate Aexcel-designated physicians within DocFind, look for the blue star 
next to their names.
How Aetna identifies high-performing specialists
When evaluating specialists for the Aexcel designation, Aetna looks at:
- 30-day hospital readmission rates for patients
- Patients' rates of health complications during hospital stays
- Other treatments, by specialty, that can help improve health outcomes
Specialists who meet criteria in these areas are then evaluated on cost efficiency. We try to include all costs of their care – not just office visits. We review inpatient, outpatient, diagnostic, lab and pharmacy claims. Then we compare the total costs of care from each doctor to the costs of other doctors in the same region.
Doctors who best meet these qualifications are designated for Aexcel.1 Be aware that Aexcel is only available in certain regions.
|
1Aexcel designation is only a guide to choosing a physician. Members should confer with their existing physicians before making a decision. Designations have the risk of error and should not be the sole basis for selecting a doctor.
| This material is for information only. Investment services are independently offered through JPMorgan Institutional Investors, Inc., a subsidiary of JPMorgan Chase Bank. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Aetna receives rebates from drug manufacturers that may be taken into account in determining Aetna’s Preferred Drug List. Rebates do not reduce the amount a member pays the pharmacy for covered prescriptions. Aetna Rx Home Delivery refers to Aetna Rx Home Delivery, LLC, a licensed pharmacy subsidiary of Aetna Inc. that operates through mail order. Information subject to change. | |
2008324 |
Aetna.com Home | Help | Contact Us | Search We Want You To Know® | Copyright © 2001-2008 Aetna Inc. |