Physician Tiering Information


Susan Moore


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In response to pressures for greater transparency in the health care system, many insurance companies are introducing so-called “value-based” tiering programs.

In Georgia, Aetna has introduced the Aexcel designation program, United Healthcare has introduced the UnitedHealth Premium physician designation program, and Cigna has introduced the Cigna Care Network. These products attempt to stratify physicians into tiered or selected networks that are based primarily on cost of care.

MAG is fighting to assure that these programs are based on meaningful data and do not disparage physicians or interfere with the physician-patient relationship.