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We’re recognizing primary care physicians and orthopedic specialists who use health care resources effectively, so your patients can make smart choices for their health.
A health care system that’s more transparent and consumer focused is a better health care system. Part of that is recognizing physicians for clinical quality and effective use of care. With the Aetna Smart Compare designation, which recognizes high-performing physicians and provider groups, we’re helping build a better care experience for everyone.
The goal? We’re giving members more information to help choose the right practice for themselves and their families. So they can get better faster and reach their best health.
Learn how the National Committee for Quality Assurance (NCQA) — an independent, not-for-profit group that accredits health care organizations — reviews our designation programs to meet criteria for their Physician Quality Certification.
Currently, we’re evaluating primary care physicians and orthopedic hip and knee specialists. The program will be expanding to additional specialties in 2021 and beyond. To earn Aetna Smart Compare designation, physicians and other providers need to exceed clinical quality and cost-effectiveness measures.
These measures include:
Browse the guides below for a full view of our measurement criteria and how we choose specialists.
If you’d like more details about Aetna Smart Compare or want to share information with your patients, we’ve answered our members’ most frequently asked questions below.
The goal of the Aetna Smart Compare designation is to give our members more information to help them choose a practice for themselves and their families. During provider or procedure searches on our Aetna Health℠ app and Aetna® member website, members simply look for the Quality Care and Effective Care labels as another item to consider when choosing a physician.
We evaluate primary care physicians — which includes those in family practices, internal medicine and pediatric practices — and orthopedic specialists who support hip and knee conditions. The program will be expanding to additional specialties in 2021 and beyond.
The Aetna Smart Compare designation is only a guide to help members choose a physician that’s for them, not the sole basis for selecting their doctor. There is no impact on a member’s plan, whether they seek care from a designated provider or not.
Physicians and other providers who receive this designation exceed clinical quality measures under the program, have demonstrated improved outcomes for their patients and provide a high quality of care. For more information, take a look at our designation guides above for primary care physicians and orthopedic specialists.
Physicians and other providers who receive this designation exceed efficiency measures under the program by efficiently managing costs and recommending only appropriate testing and treatments for their patients while providing quality care.
There are three reasons why a physician may not have this designation:
Share your thoughts about Aetna Smart Compare to help us improve your experience.
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