American Academy of Family Physicians

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Transparency

Our Stance

The American Academy of Family Physicians (AAFP) believes that transparency in health care refers to reporting information that can be easily verified for accuracy. Both data and process should have transparency and an explicit disclosure of data limitations. Transparency in health care includes, but is not limited to, easy availability of:
  • Payers’ payment policies
  • Payers’ claims adjudication software logic edits
  • Payers’ fee schedules
  • Payers’ clinical policies
  • Payers’ data analysis methodology and performance measures used in rating physician performance
  • Reporting of physician health care cost and quality information

AAFP Advocacy Activities

  • AAFP has met face-to-face with Aetna, Cigna, Humana, UnitedHealthcare and Wellpoint to discuss transparency related to publicly reporting physician performance ratings, as well as other issues important to you. AAFP urges payers to adhere to the policies and positions defined and referenced in the transparency policy.

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