Value Based Purchasing (VBP) is a concept by which "purchasers" of healthcare (government, health plans, employers, and consumers) hold the healthcare system (physicians, hospitals, health plans, etc) accountable for both quality and cost of care. VBP begins with data models to support continuous healthcare quality improvement as well as to educate healthcare consumers. Also inherent in VBP are incentives to reward and encourage better decision making by providers and consumers.
The American Academy of Family Physicians (AAFP) recognizes the urgency to improve both efficiency and quality in the delivery of medical care, including VBP as one approach. However, given the technical, legal and ethical challenges in designing and implementing VBP, it is imperative that physician measurement processes used in VBP should be transparent and adhere to the AAFP policies on "Performance Measures Criteria," "Physician Profiling," "Data Stewardship," and "Transparency."
The AAFP supports VBP programs that adhere to these principles:
Based on these principles, the AAFP will use its influence to support and encourage the utilization of the following guidelines:
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