Currently, we’re evaluating primary care, orthopedic hip and knee, and obstetrics and gynecology physicians. To earn Aetna Smart Compare designation, physicians and other providers need to exceed clinical quality and cost-effectiveness measures.
Aetna Smart Compare designations for commercial plans are limited to self-insured plans in California and Texas. Members excluded from the program will not see designations in Aetna's secure member portal, and they will not receive designations through other communication channels.
These measures include:
- Number and types of services performed
- How often patients return to the hospital
- Rates of health complications during hospital stays
- Use of technology
- Cost of services
Browse the guides below for a full view of our measurement criteria and how we choose specialists.