Aetna 2005 Annual Report Download - page 24

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important informational tool to an expanding toolbox that
already includes our Hospital Comparison tool and an Estimate
the Cost of Care tool.
A model for the entire industry, price transparency will be rolled
out to certain additional Aetna markets by late 2006. The tool
also will be enhanced to integrate references to both provider
clinical quality and efficiency information.
USING TECHNOLOGY TO HELP IMPROVE OUTCOMES
Aetnas innovative MedQuery®program, which notifies physicians
when our systems find errors, gaps or omissions in patient care, is
helping members get better care every day. There is no more
important work in health care benefits.
ActiveHealth Management, which became an Aetna company in
2005, is helping to improve health care for millions of Americans.
ActiveHealths patented CareEngine®clinical decision support
system is the powerful tool behind MedQuery. It continuously
scans claims data from 12 million current members (Aetna and
other clients) for clinical problems. The data are analyzed against
accepted medical standards. When an opportunity to improve
care is identified, a patient-specific clinical alert is sent to the
treating physician.
Aetnas MedQuery outreaches
are educational and helpful –
not at all threatening. Theyre
very patient oriented.”
– Michael L. Scheer, D.O.
Trinity, Florida
A model for the
entire industry, price
transparency will be
rolled out to certain
additional Aetna
markets by late 2006.