Pay-for-Performance
Our Stance
The AAFP supports pay-for-performance (P4P) programs that focus on improved patient outcomes and provide positive physician incentives. The AAFP policy emphasizes seven principles for P4P programs:
- Focus on improved quality of care.
- Support the physician/patient relationship.
- Utilize evidence-based clinical guidelines.
- Involve practicing physicians in program design.
- Use reliable, accurate and scientifically valid data.
- Provide positive physician incentives.
- Offer voluntary physician participation.
AAFP Advocacy Activities
- AAFP has met face-to-face with Aetna, Cigna, Humana, UnitedHealthcare and Wellpoint to discuss pay-for-performance and other issues. AAFP urges payers to adhere to the seven principles defined in the pay-for-performance policy.
- In July 2006, AAFP sent a letter to Regence Blue Shield of Washington seeking a better understanding of its Regence Select Network, a pay-for-performance program that excluded family physicians. Read the letter (3-page PDF file; About PDFs).
- In March 2005, the AAFP threw its support behind the National Committee for Quality Assurance's Bridges to Excellence program as a program that engages the patient while providing positive incentives for physicians. Read a press release about Bridges to Excellence and the AAFP's support.
Make Your Voice Heard
- We want to hear about your experiences. Submit a health plan grievance or view grievances submitted by other members (Members Only).
What We're Working On
