Aetna 2005 Annual Report Download - page 36

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32
As a reflection of this effectiveness, our enrollment in Aexcel
grew from 79,000 at the end of December 2004 to 470,000 in
early 2006.
Based on the exceptionally positive reception that Aexcel has
received in the marketplace, the very high member satisfaction
and the potential for savings, we have expanded this effort to a
total of 20 markets in 2006. In addition to the business success,
Aexcel has attracted substantial attention from policy makers
and health economists as an outstanding example of the business
case for quality in health care.
Moving forward, Aetna is building on our experience with Aexcel
to develop a broad-based national pay-for-performance initiative
that will apply to all of our health plans. This program, which
initially will be targeted to physicians and will expand to include
hospitals as well in the medium to longer term, will provide cash
bonus payments twice yearly. It also will include nonfinancial
rewards, such as reduced administrative requirements or public
acknowledgment of superior performance. The program will
include performance-based payments in five key areas – medical
cost-effectiveness, clinical performance, member access, member
satisfaction and administrative practices. I am confident that this
groundbreaking, new national pay-for-performance initiative will
add significant value for our customers.
Early experience
with Aexcel:
Very high patient/
physician satisfaction
Potential for health
care savings
Strong interest from
employers
Aexcel is an example of making the business
case for quality in health care.