[PDF] Directory - Aetna Medicare

In some regions, the PCP can receive additionalcompensation based upon performance on a varietyof measures intended to evaluate the quality of careand services the PCP provides to you. This additionalcompensation is typically based on the scores receivedon one or more of the following measures of thePCP's office:■ member satisfaction,■ percentage of members who visit the office at leastannually,■ medical record reviews,■ the burden of illness of the members that haveselected the primary care physician,■ management of chronic illnesses like asthma,diabetes and congestive heart failure;■ whether the physician is accepting new patients;and■ participation in Aetna's electronic claims andreferral submission program.Some regions may use some different measuresdesigned to enhance physician performance orimprove administrative efficiency. You are encouragedto ask your physicians and other providers how theyare compensated for their services.www.aetna.comXIX