Overview of Transparency

The AAFP recognizes the potential value of Medicare physician claims data. If used correctly, it can potentially provide accurate and meaningful information to patients, physicians, and other stakeholders that could improve quality at the point of care.  

On June 1, 2015, CMS posted the annual release of the Medicare hospital utilization and payment data (both inpatient and outpatient) and the second annual release of the physician and other supplier utilization and payment data. The Medicare hospital utilization and payment data consists of information for 2013 about the average amount a hospital bills for services that may be provided in an inpatient stay or outpatient visit. The Medicare Part B physician, practitioner, and other supplier utilization and payment data shows payment and submitted charges, or bills, for those services and procedures by provider. It allows for comparisons by physician, specialty, location, types of medical services and procedures delivered, Medicare payment, and submitted charges. The new 2013 dataset has information for over 950,000 distinct health care providers who collectively received $90 billion in Medicare payments.  

Recent AAFP Communications

Joint Communications with Other Organizations

Joint Letter to the House Ways and Means Leadership on Surprise Billing - February 7, 2019(5 page PDF)

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