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Aetna Smart Compare™ designation

We’re recognizing primary care physicians and orthopedic specialists who use health care resources efficiently, so your patients can make smart choices for their health.

What is Aetna Smart Compare?

What is Aetna Smart Compare?

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.

 

Our quality certification

 

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.

 

NCQA report on Aetna compliance

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How we choose physicians and other providers

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How we choose physicians and other providers

Currently, we’re evaluating primary care physicians and orthopedic hip and knee specialists. To earn Aetna Smart Compare designation, physicians and other providers need to exceed clinical quality and cost-effectiveness measures.

 

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.

Your questions answered

 

If you’d like more information about Aetna Smart Compare, like how your patients can find designated providers, we’ve answered the most frequently asked questions below.

 

 
 
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Your feedback matters

Share your thoughts about Aetna Smart Compare to help us improve your experience.

 

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.