Protecting Physician Payment

With more than 100 million total enrollees, the Medicare and Medicaid programs represent the largest and most far-reaching health plans in the country. For nearly 50 years, these landmark initiatives have supported critical health care access for young and old alike, while providing an essential revenue base for health care providers.  

Today, both programs are evolving rapidly as policymakers and elected officials attempt to reduce costs and improve the quality of care. The AAFP has actively supported these reform efforts as the role primary care can play in improving both the efficiency and quality of care gains widespread recognition.  

At the same time, the AAFP understands that primary care physicians must be adequately compensated for the services they provide through means that are responsible without imposing excessive administrative burden. That’s why we will continue to advocate on behalf of family physicians to ensure that Medicare and Medicaid reimbursements appropriately reflect both the costs of clinical services and the new duties and responsibilities primary care physicians are taking on in the current reform-driven environment.

Comprehensive Primary Care Initiative (CPCI)

Monitor an innovative new program that is providing bonus payments to primary care doctors who better coordinate patient care.

Medicaid/Medicare Parity

Explore provisions in the Patient Protection and Affordable Care Act (ACA) that increase payments for a range of Medicaid primary care services to Medicare levels for specified primary care physicians.

Medicare Physician Payment

Understand how the repeal of SGR and the introduction of MACRA, as well as other issues being monitored by the AAFP, will continue to affect Medicare reimbursement for family physicians.

Relative Value Scale Update Committee (RUC) Reform

Understand the RUC’s role in valuing services provided by family physicians.

Direct Primary Care

Learn about the the Direct Primary Care's role in innovating delivery systems and the AAFP's position to ensure fair payment for physicians under this payment model.