Citi Benefits Handbook
Aetna
The Institutes of Excellence (IOE) transplant network is Aetna's national network of facilities for transplants and transplant related services. Hospitals that have been selected to participate in Aetna's IOE transplant network have met enhanced quality thresholds for volumes and outcomes. Facilities have been contracted on a transplant specific basis and are considered to be participating only for the specific transplants for which they are contracted and have IOE designations.
The IOE transplant network was established to enhance quality standards and lower the cost of transplant care. Three criteria were applied with respect to network selection,
  • Enhanced organ-specific quality standards;
  • The national availability of and need for transplant facilities, on a transplant specific basis. Need was assessed relative to the distribution of our membership and relative incidence of transplant types; and
  • Mutually acceptable contractual terms and conditions.
Transplants represent highly specialized care delivered by a limited number of providers who have expertise in performing these procedures. By utilizing an IOE transplant facility, you will be receiving treatment from a provider that has demonstrated experience and success in their specific transplant type. Facilities in the IOE transplant network meet Aetna quality standards for volumes and outcomes. IOE facilities also meet Aetna access standards and agree to mutually acceptable contractual terms and conditions.