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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:
  1. Focus on improved quality of care.
  2. Support the physician/patient relationship.
  3. Utilize evidence-based clinical guidelines.
  4. Involve practicing physicians in program design.
  5. Use reliable, accurate and scientifically valid data.
  6. Provide positive physician incentives.
  7. 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.
  • AAFP has member representation on several national payer advisory boards, such as UnitedHealthcare and the Blue Cross Blue Shield Association, providing the family physician perspective.