Both public and private payers have come to recognize the importance of experimentation with physician payment methodologies that incentivize medical practices to expand the provision of preventive services, improve clinical outcomes, and enhance patient safety and satisfaction. These incentive programs, known collectively as “pay for performance” programs, have the potential to increase physician use of health information technology, evidence-based clinical guidelines, and administrative and clinical “best practices.” They may also increase access to appropriate and timely care.
The American Academy of Family Physicians (AAFP) recognizes the need to reform physician payment, including pay for performance as one approach. However, there are a multitude of organizational, technical, legal, and ethical challenges to designing and implementing pay for performance programs. The AAFP also recognizes that there are both advantages (increased payment, improved efficiency and quality) and disadvantages (cost of acquiring information technology, multiple programs and guidelines, data collection) to such programs as they are currently designed and implemented. Payers' physician measurement processes used to rate/designate family physicians should be transparent and adhere to the AAFP policies on Performance Measures Criteria, Physician Profiling, Data Stewardship, and Transparency.
The AAFP supports pay for performance (PFP) programs that adhere to these principles:
The AAFP will use its influence to support and encourage experimentation using the following guidelines:
(2004) (April 2015 BOD)
Share this page
Alert: Message field is required.
You must sign in before you can share a page on AAFP connection.