Which Health Insurers are Currently Ranking Physicians?

Aetna, Blue Cross Blue Shield of Texas, Cigna, and UnitedHealth are among the plans currently ranking Texas physicians on cost and/or quality of care.

Aetna

Blue Cross

Cigna 

United


 Aetna Aexcel

The specialties evaluated include:

Cardiology,
Cardiothoracic surgery,
Gastroenterology,
General surgery,
Neurology,
Neurosurgery,
Obstetrics & gynecology,
Orthopedics,
Otolaryngology/ENT,
Plastic surgery,
Urology, and
Vascular surgery

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 Blue Cross Blue Shield of Texas Blue Compare

Blue Cross has posted the presentation from the Dec. 22, 2010, webinar about its program. It was the only webinar the company conducted on the program, which rates some 18,000 Texas physicians.

TMA's Payment Advocacy Department staff and an ad hoc committee of physicians have developed a toolkit to guide physicians on how to appeal their ranking.

The specialties evaluated include:

Allergy-immunology,
Cardiovascular disease-noninterventional,
Cardiovascular disease-interventional,
Endocrinology,
Family practice,
Geriatric medicine,
Internal medicine,
Nephrology,
Neurology,
Obstetrics and gynecology,
Pediatrics,
Pediatric allergy-immunology,
Pediatric pulmonary disease, and
Pulmonary disease.  

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 Cigna Care Designation

Almost 20,000 physicians in Houston, Dallas-Fort Worth, San Antonio, and Austin are being rated.

Specialties evaluated include:

Allergy/Immunology,
Cardiology,
Cardiothoracic surgery,
Colon and rectal surgery,
Dermatology,
Endocrinology,
Family practice,
Gastroenterology,
General surgery,
Hematology,
Internal medicine,
Nephrology,
Neurology,
Neurosurgery,
Obstetrics/Gynecology,
Oncology,
Ophthalmology,
Orthopedic surgery,
Otolaryngology,
Pediatrics,
Pulmonology,
Rheumatology, and
Urology.  

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  UnitedHealth Premium® Designation

The UnitedHealth Premium® designation program evaluates doctors in 27 specialties, including:

Cardiology,
Internal medicine,
Obstetrics/Gynecology,
Orthopaedic surgery,
Pediatrics, and
Primary care

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Last Updated On

May 13, 2016

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