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Pautas
Respected professional and public health organizations create clinical practice guidelines that document best practices and recommendations for care. We’ve chosen certain clinical guidelines to help our providers give members high-quality, consistent care with effective use of services and resources. Estas pautas incluyen protocolos de tratamiento para afecciones específicas, así como también medidas de salud preventivas.
The intention of these guidelines is to clarify standards and expectations. No deben:
- Take precedence over your responsibility to provide treatment based on the member’s needs
- Sustituir los pedidos de tratamiento de un miembro
- Garantizar la cobertura o el pago por el tipo o nivel de atención propuesta o proporcionada
Advisory Committee on Immunization Practices (ACIP) vaccine recommendations and guidelines
American Academy of Pediatrics (AAP) periodicity schedule
Detección de violencia doméstica
Prueba de detección de hepatitis C
Human immunodeficiency virus (HIV) screening
Vaccine recommendations for pregnant women
Biblioteca Nacional Preventive Services Task Force — A and B recommendations
Boletines sobre políticas clínicas
These bulletins state our policy about the medical necessity or investigational status of medical technologies and other services to help with coverage decisions. A national review team creates the bulletins and bases them on:
- Published medical literature
- Formal technology assessments
- Structured evidence reviews
- Evidence-based consensus statements
- Expert opinions
- Evidence-based guidelines from professional and public health entities
Aetna® clinical policy bulletins