Understanding Methodology for Aetna Smart Compare Program

This guide outlines the methodology used in the 2026 Aetna Smart Compare® program, detailing the quality measures, specialty programs, and evaluation criteria for physicians. It covers designations, categories of measures, program thresholds, and the importance of clinical quality gates. The document serves as a resource for understanding how Aetna analyzes physician organizations using commercial claims data to provide actionable insights for members seeking quality care.