Andrew Baskin, MD, is Aetna’s national medical director for Quality and Provider Performance Measurement, reporting directly to the chief medical officer. He is responsible for initiatives to measure and improve quality of care, measurement implementation and public reporting, health plan accreditation, collection and reporting for HEDIS, and the establishment of performance-based networks. Additionally, he partners with others to help establish programs which create incentives for more effective and efficient care, influence and assure compliance with health care reform regulations, develop products to improve affordability and quality of care, and promote payment reform.
Prior to this role, Dr. Baskin served in various medical director roles at Aetna, gaining experience and expertise in clinical and coverage policy development, benefit and plan design, establishing coding and reimbursement policy, disease management program operations, and provider relations. Prior to joining Aetna in 1998, he practiced as a primary care internal medicine/geriatrics physician in the Philadelphia suburbs. He is a member of the National Quality Forum (NQF) Consensus Standards Approval Committee (CSAC), the National Committee for Quality Assurance’s (NCQA) Committee on Performance Measurement, and the NCQA’s Standards Committee; he co-chairs the NQF Steering Committee for GI/GU measurement; and he is a member and immediate past chair of America’s Health Insurance Plans’ Chief Medical Officer (CMO) Leadership Council and CMO Committee.