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2015-12-02T00:00:00.000Z

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Wrong Michael Mesoras?

Dr. Michael Mesoras Mike

Medical Director

Aetna Inc

HQ Phone: (860) 273-0123

Aetna Inc

151 Farmington Avenue

Hartford, Connecticut 06156

United States

Company Description

Aetna Inc. (Aetna) is a diversified healthcare benefits company. The Company offers a range of traditional and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disabil ... more

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Background Information

Web References (9 Total References)


BC Advantage

www.billing-coding.com [cached]

"This is an extension of the whole concept of consumerism," said Dr. Michael Mesoras, Aetna's medical director for patient management in the mid-Atlantic region, which includes Pittsburgh.

"With this, there's the potential that patients could say, 'Well, all these guys are good, I'm going to see which one is less expensive,' " said Dr. Mesoras.The theory is that when people are spending their own money, they will be more judicious in their health care purchases.
In addition to Pittsburgh, Aetna is expanding its program from Cincinnati to seven other markets, although consumers in some of those markets also will receive information about the clinical quality and efficiency of doctors.
In the Cincinnati area, where the company has about 200,000 members, Aetna found that about 26,000 consumers used its Web site to access price information about physician services at a rate of between 600 to 1,000 visits per month.It's unclear if the information changed consumer behavior, Dr. Mesoras said.
...
But Dr. Mesoras, the Aetna official, said his company had been able to use transparency in its favor during negotiations.In a few cases, doctors demanding high rates for certain procedures have backed down after learning that their relative reimbursements will be visible on the Aetna Web site.
"What we don't have in medicine is true competition from a price perspective," he said.


NYS Health Accountability Foundation - News & Events

www.nyshaf.org [cached]

Michael Mesoras, Aetna medical director for patient management in the mid-Atlantic region, said, "This is an extension of the whole concept of consumerism," adding, "With this, there's the potential that patients could say, 'Well, all these guys are good, I'm going to see which one is less expensive'" (Snowbeck, Pittsburgh Post-Gazette, 6/14).

Reprinted with permission from kaisernetwork.org.


Health insurer to offer customers pricing information for physicians

www.postgazette.com [cached]

"This is an extension of the whole concept of consumerism," said Dr. Michael Mesoras, Aetna's medical director for patient management in the mid-Atlantic region, which includes Pittsburgh.

"With this, there's the potential that patients could say, 'Well, all these guys are good, I'm going to see which one is less expensive,' " said Dr. Mesoras.The theory is that when people are spending their own money, they will be more judicious in their health care purchases.
In addition to Pittsburgh, Aetna is expanding its program from Cincinnati to seven other markets, although consumers in some of those markets also will receive information about the clinical quality and efficiency of doctors.
In the Cincinnati area, where the company has about 200,000 members, Aetna found that about 26,000 consumers used its Web site to access price information about physician services at a rate of between 600 to 1,000 visits per month.It's unclear if the information changed consumer behavior, Dr. Mesoras said.
...
But Dr. Mesoras, the Aetna official, said his company had been able to use transparency in its favor during negotiations.In a few cases, doctors demanding high rates for certain procedures have backed down after learning that their relative reimbursements will be visible on the Aetna Web site.
"What we don't have in medicine is true competition from a price perspective," he said.


Aetna Grants $20,000 For Komen Foundation’s Mammogram Voucher Program

www.aetna.com [cached]

"Awareness and early detection are key components to targeting and treating breast cancer effectively," said Dr. Michael Mesoras, Aetna's medical director for the Pittsburgh area.


ACR - ACR Appropriateness Criteria™ Featured in

www.acr.org [cached]

Michael Mesouras, medical director of Aetna in western Pennsylvania, said his company, which has 900,000 clients in the state, will reimburse only those centers that are accredited by the American College of Radiology."

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